Payment before June 1st—$85.00 Payment after June 1st—$100.00 Please Print Full Name _______________________________ Age_________ Birthdate ___________________ Coach Naughton 2694 Bottomridge Drive Orange Park, FL 32065 Application for Enrollment My daughter would like to enroll in the Girls Basketball Camp. I understand that transportation will not be provided. Please make checks payable to Vicki Naughton. Coach Naughton’s Girls Basketball Camp Address _________________________________ City ___________ State _______Zip __________ Telephone _______________________________ Email Entering Grade ___ School ________________ Circle shirt size Girl’s: Small Women’s: Small Medium Medium Large Large X-Large Parents may register by mail by filling out this portion of the brochure and signing the release statement on the other side. Please include your camp fee and return to the address below. Campers may also register the day of camp one hour before the start of camp. Send completed registrations to: June 15-18 Bishop John J. Snyder High School Gymnasium Before care provided. Call for details. Vicki Naughton 2694 Bottomridge Drive Orange Park, FL 32065 For more information call Coach Naughton at 908-8954 or 910-6635 When: June 15-18 Entering 3rd –9th Grades Monday through Thursday 9:00 a.m.-12:00 p.m. (before camp care from 8-9) Dear Camper, The face of women’s basketball on the First Coast has been changing and the competition is getting stronger. We are so excited about getting the chance to work with you as you develop as a basketball player. This camp will offer you the opportunity to improve all of your skills. The camp will focus on proper shooting form, dribbling skills and passing skills. We will have skills competitions, three on three tournaments and lots of fun. Camp Directors Coach Vicki Naughton spent over 30 years coaching basketball before retiring. She was chosen by former Athletic Direction Lou Pereira to start the girls basketball program at BJS and continues to work with the program today. Coach Garrett Naughton played high school basketball here at Bishop Snyder under Coach Lou Periera. He played 4 years of college ball. 2 years at FSCJ and 2 years at Barry University in Miami Shores and now plays in the ABA league. He will bring his vast knowledge of basketball to the camp. Sincerely, Coach Naughton For and in consideration of the child being allowed to participate in this camp and other valuable consideration, the undersigned parent, guardian or legal representative on behalf of the child and the child’s parents, personal representatives, assigns, heirs and next of kin do hereby release and hold harmless the Diocese of St. Augustine; a corporation sole; Bishop Felipe J. Estevez individual; Bishop John J. Snyder, individual; Bishop John J. Snyder High School, Coach Naughton’s Basketball Camp; all organizers of this camp all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the personal or the personal property of the child, or death caused by negligence or otherwise, while the said child is engaged in the above-stated camp and any activities of the camp. I further authorize any representative of this camp to obtain medical treatment or my child in the unlikely event of an injury or illness during this program and I agree to pay any expenses incurred for such treatment. Camp Facilities The camp will be held in the beautiful, air conditioned, Demetree Gymnasium at Bishop John J. Snyder High School with court space for up to 4 games at one time. All campers must wear shorts, T-shirts, and tennis shoes. Parent Guardian Representative Signature ________________________________________ DATE _________________________________ Camp Schedule Register before June 1st and camp cost is $85.00. Free-throw shooting Offensive skills Register after June 1 and camp cost is $100.00. Defensive skills Fundamentals stations Before care from 8-9 is $5.00 Competitions Each Camper is provided a camp T-shirt. The undersigned parent, guardian or legal representative hereby consents to the participation of _______________ (name of child) in Coach Naughton’s Basketball Camp and all of its associated activities. The undersigned expressly agrees that this release waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian or legal representative further acknowledges that he/she is authorize to enter this agreement on behalf of the child, the child’s parents, personal representatives, assigns, heirs and next of kin. Thank you so much for joining us. We can’t wait to see you! Camp Cost Parental Permission and Release of Liability “Coach Naughton’s Basketball Camp is not affiliated or associated with Bishop John J. Snyder High School, the Diocese of St. Augustine, Bishop John J. Snyder or Bishop Felipe J. Estevez as Administrator of the Diocese of St. Augustine, corporation sole.”
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