Medical Release Form
For Players currently
in Grades 3-8
I certify that ___________________ is
physically fit for playing basketball.
FUNdamentals First
Camp Hours
9:00 am-3:00 pm
Insurance and Medical Information
(this section is required)
Name of Insured ___________________
Camp Location
Godwin High School
Policy Number ____________________
2101 Pump Road, Henrico VA
23238
Doctor’s Name ____________________
Doctor’s Phone ____________________
Camp Features
Medications camper is currently taking:
_______________________________
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Medical conditions currently being treated:
_______________________________
List any allergies, special conditions, or
special needs:


_______________________________
_______________________________
Emergency Contact Name and Number:
_______________________________
In the event my daughter suffers any
accident requiring medical treatment, I
hereby give permission for any medical
treatment which may be deemed necessary
and reasonable under the circumstances.
Additionally I give permission for video and/
or photos to be taken to be used for
promotional use.
_______________________________
Parent/Guardian Signature and Date
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
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Free Camp T-Shirt for all campers
Camp Concessions with snacks and
drinks available
Lunches can be brought from home or
purchased at camp concessions
Camp Prizes will be awarded for
 3 on 3 Tournament
 Hot Shots Contests
 Ball Handling
 Free Throw Contest
5 to 1 Camper to Coach Ratio
Age-Specific Instruction
Sibling Discount—10% discount for
each additional child
Godwin Lady Eagles
Girls’ Basketball Camp
June 22-25, 2015
9am—3pm
Who We Are
The camp will be led by Lady Eagle Head Coach,
Trevor Lampman, along with current college
players, Godwin Girls’ Basketball Staff, and
current Godwin Lady Eagle players.
What We Do
We will provide an opportunity for young
basketball players, currently in grades 3-8, to
learn drills, techniques and fundamentals that
coaches utilize at every level. The activities and
drills will be age and/or skill-level specific and
will equip your daughter to advance her game
and take it to the next level.
About Coach Lampman
Typical Camp Schedule
8:45 am
Campers Register/ Sign In
9:00 am
Free shooting
9:15 am
Warm Ups / Stretching
9::50 am
Stations (passing, defense,
ball handling and shooting)
10:50 am
Morning Break
11:00 am
Camp Games
11:30 am
Mass Session (ex. screening)
11;45 am
3 on 3 Practice w/ counselor
Noon
Lunch
1:00 pm
Warm Ups
2015 Godwin Lady Eagles Girls’
Basketball Camp Application
For Players currently in Grades 3-8
Name of Camper_______________________
Address_____________________________
___________________________________
Parent/Guardian Name
___________________________________
Phone ______________________________
Email_______________________________
Camper’s Age_________________________
Entering Grade (next year)________________

Head Girls’ Basketball Coach at Godwin HS

Ten Years Division I Coaching Experience

Eight Years Varsity Coaching Experience

Has coached numerous Collegiate Division I
All-Conference athletes who went on to play
professional basketball
1:10 pm
Position Work (guards, posts)
Youth Small Youth Med Youth Large
1:30 pm
Individual Contests/ Games
Adult Small
Has coached several High School All-District
basketball players, including a McDonald’s
All-American
2:00 pm
3 on 3 Games
3:00 pm
Campers get picked up

Every athlete will be challenged
and will come away a
better player!!!
School______________________________
Shirt Size (circle one)
Youth XL
Adult Med Adult Large Adult XL
Camp Payment
Sign Up before May 18 $110
($50 deposit required and balance due on June 22)
Sign Up after May 18 $135
($50 deposit required and balance due on June 22)
Fill out both sides and send to:
Godwin Lady Eagles Basketball Camp
2101 Pump Road,
Henrico VA 23238
804-750-2600
Email - [email protected]
Make checks payable to
Godwin High School