REGISTRATION FORM 2009 ROD BARNES BASKETBALL CAMPS

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2009 ROD BARNES BASKETBALL CAMPS
INDIVIDUAL DAY CAMP
FATHER-SON CAMP
The Rod Barnes Individual Camp is a fourday camp that will focus on the fundamentals of
basketball through station work and competition,
with strong emphasis on shooting, ball-handling
and individual offensive and defensive skills.
The first Rod Barnes Father-Son Camp offers
an experience like no other for fathers and sons to
strengthen their relationship through basketball.
Campers will be divided by age and skill level
to ensure that each camper has a meaningful
experience. All campers will receive one-on-one
coaching from the Georgia State staff and players.
IMPORTANT INFORMATION:
REGISTRATION: Please complete the registration form
in this brochure and return with payment or deposit.
Applications must be postmarked by the deadline to
guarantee space. On-line registration is also available.
WHAT TO WEAR: Basketball shoes, gym shorts (no
cutoffs), t-shirt. Participants must provide their own
protective gear.
Please mark all personal items with name or initials.
The Rod Barnes Basketball Camp is not responsible for
lost or misplaced items.
WHAT NOT TO BRING: Jewelry; I-Pods or other electronic
devices; Uncooperative Attitude.
LUNCH: Lunch is included in the camp fee. Campers
may bring their own lunch if they do not want to eat
the meal provided.
PAYMENT: Cash, money order or credit cards are
accepted (no personal checks). Full payment or a
$50 NON-REFUNDABLE deposit is required with your
application. Any balance due at registration must be
paid with cash or money order.
QUESTIONS: Contact the Georgia State Basketball Office
at 404.413.4106.
EMERGENCY CONTACT DURING CAMP:
Jeff Conarroe - 404.275.2928
This Father’s Day
weekend event will feature
a full day of competition,
skill development and
togetherness. Coach
Barnes and his staff will
teach basketball and share
philosophies on how the
game can build the bond
between fathers and sons.
REGISTRATION FORM
CAMP SESSION (Check One):
Individual Day Camp
June 15-18, $250
Father-Son Camp
June 20, $100
NAME OF CHILD
SSN
DATE OF BIRTH
NAME OF PARENT (INCLUDE FATHER’S NAME FOR FATHER-SON CAMP)
HOME ADDRESS
CITY
STATE
Camp Dates: June 15-18, 2009
Time: 9:30 a.m. - 4:30 p.m. each day
Registration 8:30 - 9:30 a.m. on June 15
Dropoff available at 8 a.m. each day
Location: Georgia State Sports Arena
Cost: $250 per camper
Ages: 8-15
Application Deadline: May 29, 2009
FATHER-SON CAMP
Camp Date: June 20, 2009
Time: 9 a.m. - 5 p.m. (Registration 8-9 a.m.)
Location: Georgia State Sports Arena
Cost: $100 per pair ($75 if paid in full by May 29)
$40 for each additional son
Ages: Sons, ages 7-15
Application Deadline: May, 29, 2009
Camp fee includes instruction, supervision, liability
insurance, camp t-shirt and lunch.
Registration form and payment/deposit must be
postmarked by the deadline.
Space is limited, so register now!
ZIP
SCHOOL
PRIMARY PHONE NUMBER
EMERGENCY DAYTIME PHONE NUMBER
INDIVIDUAL DAY CAMP
GRADE IN 2008-09
EMERGENCY CELL PHONE NUMBER
MEDICAL CONDITIONS
I hereby state that the Rod Barnes Basketball Camp is not
responsible for any pre-existing medical disorder or injury, and
the Rod Barnes Basketball Camp will assume responsibility
only for injury incurred while above camper is participating in
supervised activities.
I hereby authorize any emergency medical treatment which
may be advised or recommended by the attending physician
relative to the above camper.
SIGNATURE OF PARENT
DATE
PAYMENT OPTIONS (Check One):
Cash*
Money Order
Visa
MC
Name on Card ______________________________________
Card # _____________________________________________
Expiration _____________ Amount to be charged ________
* Please do not send cash through the mail
RETURN THIS PORTION, WITH FULL PAYMENT
OR A $50 NON-REFUNDABLE DEPOSIT, TO:
Georgia State Basketball
P.O. Box 3975, Atlanta, GA 30302-03975
ON-LINE REGISTRATION AT
www.GeorgiaStateSports.com
Click the Rod Barnes Basketball Camp link
on the Men’s Basketball Home Page
Rod Barnes is entering his third season as the Georgia
State head coach, and he is excited about the future
of Panther Basketball.
The former Naismith National Coach of the Year,
Barnes was hired in 2007 to rebuild Georgia State
Basketball. In his first two seasons in Atlanta, he
brought renewed energy and interest to the program
while laying the groundwork for success.
The Panthers made great strides in the 2008-09
season, and the future is bright with a core of talented
returnees and a highly-regarded recruiting class.
As Barnes’ Panther players develop their basketball
talents, they are excelling in the classroom and in the
community and preparing for success in all areas.
The 43-year-old Barnes is an 19-year veteran of
college coaching. He was honored as the Naismith
National Coach of the Year as well as the Southeastern
Conference Coach of the Year in 2001, when he led
Ole Miss to its most successful season ever. His squad
set a school record for wins with a 27-8 mark, reached
the NCAA Sweet 16 for the only time in school history
and achieved a final national ranking of No. 9.
A former all-conference player at Ole Miss, Barnes
holds the distinction of being the only person in SEC
history to earn all-SEC honors as a player and then
be named SEC Coach of the Year. Barnes compiled a
141-109 record in eight seasons at Ole Miss (19982006), guiding the Rebels to four postseason bids
while producing three 20-win seasons. He also spent
five seasons as an assistant coach at Ole Miss under
Rob Evans before becoming head coach in 1998.
GEORGIA STATE MEN’S BASKETBALL
P.O. Box 3975
Atlanta, GA 30302-3975
Georgia State
Head Coach
GeorgiaStateSports.com
ROD
BARNES
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