Team Name: _________________________________________________________________

Address: ______________________________________________________________________

City: __________________________State: _________________ Zip: ___________________

Head Coach Cell/Contact #: _________________________Fax: ________________________

Coaches E-mail Address__________________________________________________________

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

 ***MAKE ALL CHECKS PAYABLE TO: Jose Fernandez Basketball Camp

Team Camp - Undetermined

___ 1 team $500.00  ___ 2 teams $475.00 each   ___ 3 or more teams $450.00 each  

Additional material and acknowledgement of your registration will be mailed to you upon receipt of your application and non-refundable deposit.

Mail completed Application and checks to:

Univesity of South Florida

Attn: Jose Fernandez Basketball Camps

4202 East Fowler Ave, SUN 141

Tampa, FL 33620

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 Company: ________________________________________ 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: ___________________

For more information regarding camp,

Contact: Andy Alwood

(813)-974-9859

aralwood@usf.edu



Camp Philosophy

We strongly belive 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 instruction, 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.