PRAIRIE STARS
Basketball
Camp
Boys Grades 1 - 8
Campers must bring their own
lunch during the 4 days of camp.
Directions to:
UNIVERSITY OF ILLINOIS-SPRINGFIELD
I-55 to Exit 90
June 13-16 , 2011
Go East on Toronto Rd
9 am - 4 pm
Left on 11th Street.
mon
*Camp takes place at The Recreation &
Activities Center on the UIS Campus
“TRAC”
2171 University Drive
Springfield, IL 62703
UIS Men’s Basketball
1 University Plaza
Springfield, IL 62712
Right on University Plaza
tues
wed
thurs
Prairie Stars Basketball Camp
IMPORTANT INFORMATION
Registration Form
C AM P ST AF F
Name______________________________________
The Prairie Stars basketball camp is
staffed by the UIS Men’s Basketball
C o a c h i n g s t a f f . F o r m e r p l a ye r s a n d
other experienced coaches may be
used as counselors and will give support instruction.
Address____________________________________
City_______________________________________
W H AT T O B R I N G
The 2011 Prairie Stars basketball camp will be the first camp
directed by Head Coach Ben
Wierzba at the University of
Illinois-Springfield.
Head Coach
Coach Wierzba is excited about
having young people who want
to improve as young men and
basketball players attending
this years camp.
Ben Wierzba
Campers will have the opportunity to improve on the basic
fundamentals of offense and defense. Drills and
individual/team competitions will help players improve their entire game. The team drills and the 3on-3 games, which runs throughout the camp, will
help players develop their situational and in-game
decision-making skills.
Make Checks Payable to
UIS Men’s Basketball
For more information on camp,
Email Jeremy Herring at [email protected],
or call (217) 206-8551
Plenty of basketball clothes, practice
socks, shorts, and T-Shirts. Money to
buy Gatorade and bottled water. Bring
any medication and additional items
as needed.
R EG I ST R AT I O N & C H EC K - I N
The 2011 Prairie Stars Basketball
C a m p w i l l b e b e g i n a t 9 A M e v e r yd a y .
Campers should arrive between 8:30
AM and 8:45 AM each morning for
check in.
M E AL S
Campers will be responsible for packing and bringing their own lunch ever yd a y. U I S M en ’ s B ask e tb al l w il l no t
provide lunch to campers.
COST
Cost per camper is $150.00 for the
four day camp period.
Camp Family Discount: If 2 or more
c am pe rs a t te nd fro m s am e f am il y,
Cost per camper is $125.00.
State______________________________________
Please detach and return with payment to UIS Prairiestar Basketball
PRAIRIE STARS
Basketball
Camp
Zip________________________________________
Telephone (___________)_____________________
Parent’s Name_______________________________
Entering Grade_______Birthday_________________
UIS BASKETBALL CAMP WAIVER (REQUIRED)
I/We, the undersigned, _____________________________
(Parents Name)
Parent or guardian of a minor participating in basketball
camp at the University of Illinois-Springfield, do hereby authorize the participation of, and accept responsibility for the
attendance of, said minor in the above camp on the Springfield, IL campus and all activities in connection therewith,
conducted under the auspices of the University of IllinoisSpringfield Department of Athletics.
Since the Law requires that parental permission be obtained for most medical procedures on minors, I/we wish to
give permission for the trainer of the University of IllinoisSpringfield to perform such diagnostic, therapeutic, and
operatic procedures as he or she deems necessary for
my/our child.
I/we understand that my/our consent will allow procedures
to be promptly carried out so that no unnecessary delays
will occur with treatment. No operation will be performed,
except in extreme emergency, without the parent(s) being
contacted and fully informed and consent obtained.
I/We also understand that the University of IllinoisSpringfield coaches have the right to send my/our child
home without refund for damages, inappropriate activities,
or misconduct, and that I/we may be billed for damages or
other replacement costs resulting from theft or damage.
Signed______________________________Date________