2017 Purdue Women’s Basketball Camp
INDIVIDUAL CAMPS
2017 Dates
June 16-17
Elite Camp
June 16-18
Player Fund. Development
June 16-17
Junior Skills Camp
CAMP FEATURES
♦State of the art
ELITE (Grades 8-12)
June 16-17
 Overnight, highly competitive camp
 Designed for outstanding and highly competitive high school
players
 Open to all entrants per NCAA
 Individual position and intense college drills with focus and attention from Purdue Coaching Staff
 Lectures on NCAA Rules, strength, conditioning
and academics
PLAYER FUND. DEVELOPMENT
(Grades 6-12) June 16-18
Overnight, t-shirts and awards provided
Repetition on fundamentals
9 a.m. to 9 p.m. daily
Constant feedback
facilities, includes
air conditioning
JUNIOR SKILLS
June 16-17
 Expert instruction
 Day camp geared to younger players
 Emphasis on fundamentals
 9 a.m. to 4 p.m. with lunch provided
 Individual attention
REGISTRATION INFORMATION
 Purdue Women’s
Basketball players
and coaches
available
 Athletic trainers
on duty at all times
(Grades 1-6)
Register online at www.purduesportcamps.com or complete the application. Payment
in full is due on or before registration closes. Please send check and completed applications to:
Sharon Versyp’s Basketball Camp, LLC,
P.O. Box 2477
West Lafayette, IN 47906-2477
Online registration deadlines are 5 days prior to the camp start date. Online registrations
are subject to an administration processing fee.
REGISTRATION/CONCLUSION TIMES
Registration
Concludes
June 16
JUNE 16-17
9 a.m.
ELITE CAMP
June 16
JUNE 16-18
June 18
PLAYER DEVELOPMENT CAMP 12-1 p.m
11:30 a.m.
June 17
JUNE 16-17
June 17
8-9 a.m.
JUNIOR SKILLS CAMP
4 p.m.
2017 Purdue Women’s Basketball Camp
INDIVIDUAL CAMPS
ELITE CAMP
JUNE 16-17
Overnight/Grades 8-12
$180 Commuter, $225 Residential, includes air conditioned rooms
PLAYER FUND. DEVELOPMENT JUNE 16-18
Overnight/Grades 6-12
$295 Commuter, $335 Residential, includes air conditioned rooms
JUNIOR SKILLS CAMP
JUNE 16-17
Day Camp/Grades 1-6
$150 Day Camp
Purdue Women’s Basketball Camp Registration
Medical Treatment Authorization Form
Participant’s name
Date of Camp
Name
DOB
1. List any medical conditions that camp personnel should be aware
of (use additional pages if necessary):
Address
City
State
Zip
Parent or Guardian
2. List any medications currently taking:
3. List any allergies:
Daytime Phone
In case of emergency, please contact:
Name
Evening Phone
Daytime Phone
Cell phone
Name of Medical Insurance
E-mail
Phone
Insurance Policy Numbers
Age:
Grade (as of June 2017):
T-shirt Size:
Roomate Name:
Printed Name of Parent or Guardian (Required)
CONTACT INFORMATION
Terry Kix
PARENTAL AUTHORIZATION
Purdue University Medical Authorization for Treatment of a Minor (persons
under 18 years) Pursuant to Indiana Code Paragraph 16-36-1-6, I request and
authorize the Purdue University Student Health Center, Purdue University Ambulance Service, Arnett IU Health and St. Elizabeth Hospital medical personnel
agents and employees to provide all reasonably necessary medical care advisable for the health of my child, including but not limited to medical transport,
hospital tests, such as pathology, radiology, anesthesia, evaluation and treatment by physicians, including surgery, and prescription drugs. I acknowledge
that no representations warranties, or guarantees can be made with respect to
any medical care or treatment provided. I also understand that, as a result of my
child’s participation in this program, it will be necessary for supervisors, coaches, residence hall personnel, and others involved with the program to have
access to relevant medical information pertaining to my child, and I authorize
the use and disclosure of my child’s medical information to promote a safe and
healthy experience for my child. Further, I hereby grant permission for my child:
Phone: 765-494-7949
Cell: 765-413-3804
Minor’s Name
Date
To attend the 2017 Purdue Women’s Basketball Camp by signing below:
E-mail: [email protected]
Signature (Parent or Guardian)
Date