Name: ______________________________________________________________________

Address: _____________________________________________________________________

City: ________________________ State: _________________ Zip: _____________________

Home Phone: ________________ Age at Camp: ____T-Shirt size: ____ Grade Fall 2012:_____

E-mail Address: ________________________________________________________________

Elite Camp: August 8-9, 2011 (Grades 9-12)

A non-refundable deposit of $100 is needed to process application. Balance is due at registration.

Player Medical Release Form

All campers must have their own medical coverage. Campers will not be allowed to play unless the following information is submitted. This form must be signed by the parent or guardian of the camper.

Name of Applicant: ___________________________________________________
Camper Insurance Co.: _______________________________________________

Policy #: ___________________________________________
Subscriber’s Name: __________________________________

Phone #: __________________________________________
Pre-authorization required by company YES ___  NO ___ 

Medical Treatment Authorization

I/we the undersigned, for ourselves, our heirs, executors and administrators, waive, release and forever discharge the USF Basketball Camp and it’s staff, officers, agents, employees, representatives, successors and assignees of and from all rights and claims for damages, injuries, or lost of person propriety which may be sustained or occur during participation in camp activities or while at camp.

Signature ______________________________________________ Date ________________

Balance due for all campers at registration.

Please make checks payable to: Jose Fernandez Basketball Camp.
Mail application to:

University of South Florida

Attn: Jose Fernandez Basketball Camp
4202 E. Fowler Ave., SUN 141
Tampa, Florida 33620

For more information regarding camp,

Contact: Andy Alwood

(813)-974-9859

aralwood@usf.edu

Camp Philosophy

We strongly believe in the enhancement of fundamental skills, and therefore are dedicated to fostering an environment which affords each participant the opportunity to develop their fundamental skills at their individual pace.  Our daily sessions consist of a structured yet enjoyable atmosphere where we stress both the physical and mental aspects of the game.  Through detailed instructions, positive reinforcement, and constructive criticism, we exemplify the highest standards in all aspects of our camp.  We are confident that the skills acquired at the Jose Fernandez Basketball Camps will fully prepare aspiring players for competitive basketball futures.

Certified Athletic trainer will be available during all camps.