Address: ____________________________ ____________________________ Home Phone: ________________________ Age: ______ Shirt Size(adult): _________ School: _____________________________ Mineral Area College Cardinals Basketball Academy 5270 Flat River Rd. P.O. Box 1000 Park Hills, MO 63601 Name: ______________________________ Address Correction Required Camp Application Basketball Academy at Mineral Area College Parent’s Name: ______________________ Emergency Phone: ___________________ Release Form (Required) I (as a parent/legal guardian) of the above named camper approve my child’s participation in the MAC Basketball Academy. I certify they are in good health and able to participate in all activities. I understand that basketball is a sport that a variety of injuries may occur. I authorize the staff to act for me during the event, according to their best judgment in any emergency requiring treatment, for services which I will pay. I authorize the camp staff to provide first aid, treatment of any injuries, and act in my child’s best interest during participation. I agree to hold Mineral Area College, the college staff, the camp staff, and all members of the camp harmless and waive any legal action resulting from accidental injury at this event. Parent’s Name: ________________________ Signature: ____________________________ Date: __________ July 17-20, 2006 9:00am – 3:00pm $135 Please Pre-Register For Boys & Girls 2nd-12th Grade Beginners to Advanced Campers MAC Cardinals Basketball Academy This All-Day Basketball Camp is designed to teach each camper the fundamental skills of basketball in a FUN and exciting setting. Each Camper will receive expert instruction, compete in individual skills contest, and play in structured team games on a daily basis. Campers will enjoy learning basketball fundamentals through a variety of drills, personal instruction, demonstrations, videos, and competitive game-like situations. Each camper will also receive a detailed progress report at the conclusion of the camp. The camp will be held in the Sechrest Field House at Mineral Area College on July 17-20, 2006 (Mon.–Thurs) from 9:00am to 3:00pm. Lunch is provided daily for all campers. Camp Staff: Chad Kish (MAC Assistant Coach) Kish has served as a camp counselor, coach and director for a variety of camps across the country. He is the Director of the East Central Basketball Camp, and has over ten years experience coaching basketball and working with summer camps. Kyle Gerdeman (MAC Assistant Coach) Gerdeman helped develop the 2005 NJCAA “Player of the Year” while at Moberly. He has served on various camp staffs as a coach, counselor, and director. He has been coaching basketball and working with camps over ten years. Additional Staff: Current MAC Basketball Players Local Basketball Coaches (to be announced) Camp Highlights Expert Instruction from qualified camp staff MAC Cardinal Basketball Academy T-Shirt Detailed Progress Report that will outline each campers progress and target “improvement areas” Daily Individual Contests Daily Skill Development Sessions Season Pass to MAC Cardinal Basketball games Awards Banquet and Pool Party Opportunity to Improve basketball skills daily Fundamental Focus Ball Handling Shooting Rebounding Passing Defense Team Offense Scoring Situations Team Defense Sample Daily Program Introduction/Warm-up Fundamental Development Stations I Free-Throws Individual Fundamental Contest Fundamental Development Stations II Shooting Instruction Shooting Contest Lunch (Provided by Camp) Daily Feature (Lecture, Demonstration, etc.) Drill Factory Team Offensive Development Shooting Contest Competitive Situations Free-Throws Real Game Action Daily Wrap-up (Question & Answer Session) How to Register: Fill out the enclosed form and mail application and payment of $135 by July 10. If you plan on Registering after July 10, Please call and confirm your spot. What to Bring: Playing Clothes, Basketball Shoes (NO sandals), Towel & Swimming Suit (Thursday) Meals: Lunch and a drink will be provided FREE of charge each day. There will be a concession stand with drinks and snacks available during morning and afternoon breaks. Competition: Each Camper will have a chance to put their fundamentals to the test each day in individual contests and competitive situations within their age group. Campers: This camp is designed for BOYS and GIRLS of All AGE levels and All ability levels. Instruction and drills are designed for the beginning to advanced camper. Suggested Grade levels 2nd to 12th. Mineral Area College Basketball Academy Chad Kish 573-518-2104 Kyle Gerdeman 573-518-2311