Winter Basketball Camp

                                                                                                           

        GRADES 5^th to 12^TH

·       January 2^nd  to January 4^th     9:00 am to 3:00 pm

      6100 Memorial Highway, Tampa, FL 33615

  All the skills and thrills of basketball are taught through fast-paced drills and skill building exercises. The focus is on developing a young player’s ability and confidence by refining his or her dribbling, passing, shooting, and ball control. Each participant will receive specific instruction on how to play the game and improve themselves both on and off the field. Our goal is to provide a fun, in-depth basketball experience emphasizing fundamentals to allow our campers to reach their full potential.

 All participants will need tennis shoes, towel, basketball, tennis-ball, jump-rope and notebook.  Water, snacks, and Powerade will be available for purchase. Each Each participant will receive a Camp Tee Shirt. Any questions should be directed to Dan White, BCB Academy’s Head Coach.  (dwhite@bcbacademy.com or by phone: 813-469-3733.)

 The cost of the clinic for advance registration is $149. To insure a proper teaching atmosphere, the clinic will be limited to 15 participants, so be sure to turn in your registration forms (included at the bottom of this page) as soon as possible.   (If you do not pre-register, you can still have your athlete show up at the camp location, and pay a registration fee of $179.   

                                                                                                         

If you would like to take advantage of the pre-camp enrollment discount and guarantee your athlete a place at this camp, please cursor over the Registration Form and Medical Release form below (highlight them both), hit Control, “P”, then hit “Enter” (or cursor “Print” on the screen), print these two forms, complete them, and mail them to the address shown at the bottom of the page.

REGISTRATION FORM

Name: ______________________________Age: ____   Grade in School: ________

Address:_____________________________________________________________

City: _____________________          State: _________        Zip Code: _____________

Daytime Phone: _______________________ Cell Phone: _____________________

Email: _________________________________________  

School Currently Attending: ________________________________________

T-Shirt Size (Youth)                                                       Adult T-Shirt Size (Adult)

___Small   ____Medium   ____Large                    ___Small    ___Medium   ___Large

Are you interested in private 1 on 1 lessons with Coach White? YES or NO

MEDICAL / MEDIA RELEASE AND WAIVER

My child has no physical condition that will keep him/her from participating in the full range of activities planned.

I authorize the sponsors of this clinic to act for me according to their best judgment in any emergency requiring medical attention.  I understand I will be contacted as soon as possible in the event of an accident or injury.

I hereby give Back Court Basketball Academy and their representatives and assign the right and permission to publish, my child's photographic or video images for the specific purpose of publication.

_______________________________________        Date: ___________

                     Parent/Guardian Signature

After completing the above two forms, please mail them and your check for $149, to: BCB Academy Inc., P.O. Box 21492 Tampa, FL 33622

Thank you.