Camp Registration
Camp Staff
Name___________________________________
Address__________________________________
City_____________________________________
State________ Zip_________________________
Phone (______)___________________________
Emergency Contact________________________
Emergency Number________________________
Email____________________________________
Age__________ Grade______(entering Aug 2016)
June 5–8, 2017
Monday-Thursday, 9 am-4 pm
(breakfast and lunch included)
Shirt Size (circle one)
YXL
AS
AM
AL
AXL
AXXL
AXXXL
Make checks payable to:
Legacy Charter School
Cost: $90 per camper
$80 per additional sibling
Please complete both sides of this panel, detach
along the dotted line and return only this portion
with your payment. You may return the form with
your payment to the front office at Legacy Charter
School, or you may mail it to:
Legacy Charter School
Attn: BJ Jackson
900 Woodside Avenue
Greenville, SC 29611
864-248-0646
Please return by May 19, 2017
BJ Jackson,
Athletic Director
An esteemed Head
Boys’ Basketball Coach
and leader in the Upstate
for over 12 years, Coach BJ
Jackson has brought an abundance of expertise
to Legacy Charter School’s Youth Basketball
Camp with over 200 career wins, including
the 2016 USA National Prep High School
Championship.
Youth Basketball
$90
CAMP
(per camper,
breakfast &
lunch incl.)
Coach Jackson is the Founder of the SC Dawgs
AAU Basketball Organization and served as a
coach in the SC TOP 80 player camp.
LaCheryl Smith, Asst. Athletic Director
Coach Smith is Head Coach of Legacy’s Varsity
Girls team and Director of Carolina Lady
Shock. She has 20 years of coaching experience,
including Assistant Coach at Furman University
and Head Coach at Southern Wesleyan
University. She also served as Assistant Coach
at Southside High School and Head Coach at
Hillcrest High School where she led the Lady
Rams to five consecutive state playoffs and
served as coach of South Carolina’s 2005 North/
South All-Star Game.
Smith’s coaching and administrative experience
also includes 10 years as a University of North
Carolina women’s basketball camp counselor,
coordinator of Greenville’s Potential Sports
Academy, and 13 years as director of South
Carolina’s Lady Flames AAU Program.
NEW! Two-court gym facility!
June 5-8, 2017
Open to all Boys & Girls ages 7-14
Monday-Thursday
9 am – 4 pm (breakfast & lunch included)
Directed by
BJ Jackson
Athletic Director, Legacy Charter School
Head Coach National Boys Basketball
2016 USA National Prep High School Champions
LaCheryl Smith
Assistant Athletic Director, Legacy Charter School
Head Coach Varsity Girls Basketball
Director of Carolina Lady Shock
2017 Basketball Camp
Camp Highlights
Medical Waiver
For boys & girls 7–14 years old
I hereby state my child_____________________
(camper’s name)
CAMP FEATURES
June 5–8, 2017
Monday-Thursday 9 am–4 pm
(breakfast and lunch included)
Gym will open at 8:30am and close at 4:00pm
Early drop off or late pick up $10 charge
•
•
•
•
•
•
Daily skill instruction from Legacy
coaches and players
Five-on-five play and championship
tournament on Thursday
Shooting contest
Each camper receives an official camp
T-shirt
Each camper receives a camp certificate
of participation
Individual awards for skills
Who May Attend
Any boy or girl between the ages of 7-14
Offensive Fundamentals
Shooting
Passing
Ball Handling
Location
Legacy Charter School
NEW TWO COURT GYM FACILITY
601 E. Bramlett Road
Greenville, SC 29611
Defensive Fundamentals
Proper Stance & Footwork
Rebounding
Man-to-Man Defensive Techniques
What to Bring
Basketball Shoes, Athletic Shorts and T-Shirt,
Water Bottle
Team Fundamentals
Players will be divided and assigned a team
coach to help implement the individual skills
taught in a team setting.
Cost
$90 per camper
$80 per additional sibling
$10 charge for early drop off or late pick up
is in good health and has my permission to
participate in all Legacy Youth Basketball Camp
activities. I authorize the staff at the camp to
provide emergency first aid in the event of sickness
or injury. I also give permission for the camp
staff to sign for me in the event that emergency
treatment, hospitalization and/or surgery is required.
I understand I am financially responsible for any
medical bills incurred by my child while at the Legacy
Youth Basketball Camp.
My signature below hereby releases the camp, Legacy
Charter School, and camp staff from any and all
liability and any manner of actions, suits, damages,
claims and demands on account of personal injury
arising from my child’s participation in the camp.
Please list any medical conditions/allergies the camp
staff should be aware of:
________________________________________
________________________________________
________________________________________
Parent Signature:_________________________
Date:___________________________________
Emergency Phone:________________________
Health Insurance Provider:_________________
Policy #_________________________________
Complete both sides, detach at dotted line, return with
your payment made payable to: Legacy Charter School