SCHMIDT INDIVIDUAL CAMP MEDICAL RELEASE 2016-17 TEAM HIGHLIGHTS Name__________________________________________________________ Parent’s Name___________________________________________________ Parent’s Address (if different)_______________________________________ Parent’s Phone #_________________________________________________ Emergency Contact_______________________________________________ Name__________________________________________________________ Relationship_____________________________________________________ Phone #________________________________________________________ Insurance Information Company________________________________________________________ Policy Holder____________________________________________________ Policy #_______________________________ Group #___________________ PPO/PPN/HMO__________________________________________________ Medical Information Physician’s Name________________________________________________ Physician’s Phone #______________________________________________ •#11 Atlantic 10 conference wins – third straight year with double digit A-10 wins - PROGRAM RECORD • Led the Atlantic 10 in scoring at 76.8 points per game THE 11TH ANNUAL MARK SCHMIDT INDIVIDUAL CAMP • Third straight season with multiple players named to the A-10 All-Conference team • Jaylen Adams – 1st team (second straight year) • Matt Mobley – 3rd team Allergies________________________________________________________ Restrictions_____________________________________________________ Medications_____________________________________________________ Dosages________________________________________________________ Consent to Treat and Release I hereby give permission to the Mark Schmidt Basketball School, its officers, employees, agents, trainers, or staff members to take whatever action is necessary for the health and welfare of my child including consenting on my behalf to any and all medical treatments, procedures, operations and/or hospitalizations. I further agree to hold them harmless and indemnify them for all medical bills incurred for the treatment of my child. I understand that basketball is a very physical sport that can result in serious injury. I hold the Mark Schmidt Basketball School and its officers, employees, agents, trainers or staff members harmless and hereby release them from liability for any injury to my child while attending the camp. _______________________________________________________ Date _________________________________________________________________________ Parent/Guardian’s Signed Name Date • Mark Schmidt moved to #2 all-time on the St. Bonaventure coaching wins list with 166 Mark Schmidt Basketball Camp St. Bonaventure University Route 417 / Reilly Center St. Bonaventure, NY 14778 Medical History Parent/Guardian’s Printed Name • #20 overall wins – first back-to-back 20-win seasons since 1977-78 JUNE 26-29, 2017 AUGUST 1-4, 2017 BE A PART OF THE ACTION! 2016 ATLANTIC 10 CHAMPIONS MARK SCHMIDT Head Basketball Coach St. Bonaventure University • A proven head coach with over 100 wins at the Division I level • Led the Bonnies to the 2016 A-10 regular season championship & 2012 NCAA Tournament • 2016 Atlantic 10 Coach of the Year • Was an assistant coach at Xavier from 1994-2001, guiding the Musketeers to four NCAA Tournament berths • Was a player on three NCAA Tournament teams at Boston College between 1981-85 WHAT THEY ARE SAYING ABOUT COACH SCHMIDT “Coach Schmidt was instrumental in my development while I was at Xavier and was a big part of the success that we had during my four years there. I think he’ll make an excellent head coach at St. Bonaventure and have the same type of positive impact on their program.” - David West – Indiana Pacers 2008 & 09 All-Star and All-American at Xavier University “St. Bonaventure is very fortunate to have Mark Schmidt as its head coach. He understands, after previously working at Loyola and Xavier, the workings of a Catholic university. He is very familiar with the Atlantic 10 Conference. His priorities are wellplaced. I think it’s a home run for St. Bonaventure. I think Mark will be spectacular there.” - Former Wake Forest Head Coach Late Skip Prosser “Mark did a great job as head coach at Robert Morris and it’s good to see that hard work rewarded. This is a great step in his coaching career to move to the Atlantic 10 and join a school with the history and tradition of St. Bonaventure. He will be a great fit for their department and will get that program moving in the right direction.” - Former Maryland Head Coach Gary Williams INDIVIDUAL CAMP WEEKS WHY THIS CAMP IS FOR YOU The goal of the Mark Schmidt Individual Camp is to help develop well-rounded, complete basketball players. Coach Schmidt and his staff believe in teaching players the fundamentals of the game along with the proper attitude and work ethic needed to be successful. Our philosophy stresses “confidence through compliments,” teamwork, effort and sportsmanship. Coach Schmidt believes these ingredients help young people to achieve success not only on the court, but also with family, school and life. The basketball camp is directed and planned by coach Schmidt and his assistants at St. Bonaventure. The camp’s staff consists of top area coaches and Bonaventure players who work with each camper individually to improve and expand on his abilities. HIGHLIGHTS OF THE MARK SCHMIDT INDIVIDUAL CAMP GREAT FACILITIES • Games in the famed Reilly Center and on the NEW Bob Lanier Court • 3 indoor basketball courts in the NEW Richter Center For Boys ages 8-17 Tuition is $345 per week for 1 & 2 (Overnight) AUGUST 1-4 TYPICAL CAMP DAY: (First day begins at 12 noon; last day ends at 12 noon) 7:30-8:00Wake-up 4:30-6 8-9 Breakfast 6-7 9-10 Fundamental/7-8 Stations 8-9 10-11 3-on-3 comp. 11-12 Games 9-10 12-1 Lunch 2:30-3:30 Contests 10:30 3:30-4:30 Games Dinner Guest Speaker Games Fundamental/ Stations Snack Bar/ Open Gym Bed check/ Lights out DISCOUNTED PACKAGES DAY CAMPER RATE Attend from 9 a.m.-8:30 p.m. (includes lunch and dinner) and pay a discounted rate of $245 per week. NEW PARTIAL DAY RATE Attend from 9 a.m.-4 p.m. (includes lunch) and pay a discounted rate of $195 per week. FAMILY RATE 2 or more brothers receive a $45 discount per camper TEAM RATE COMPLETE CAMP EXPERIENCE EACH CAMPER RECEIVES ... INDIVIDUAL #2 Registration: August 1, 12-2 p.m., Reilly Center EXPERT INSTRUCTION • Personalized report cards analyzing each camper’s individual skill level • FREE camp t-shirt JUNE 26-29 INDIVIDUAL CAMP Registration: June 27, 12-2 p.m., Reilly Center • Members of the St. Bonaventure Basketball Team will be on staff to work and play with campers • Average ratio of 1 coach to every 8 campers is one of the best in the country • Experienced college, high school and youth coaches provide outstanding instruction • Fundamental/drill stations each day • 3 games per day • Individual, 3-on-3, and team competitions • NCAA “March Madness”-style tournament at the end of the week • Awards ceremony held at the end of the week • NCAA academic seminar • Staff supervision in dorms • Buffet meals served in Hickey Dining Hall • Athletic trainers on duty at all times INDIVIDUAL #1 MARK SCHMIDT Five players (or more) from the same team receive a $45 discount per camper AWARDS / DAILY COMPETITIONS • • • • * For each age division 3-on-3 champions • Best defensive player 5-on-5 champions • Bonnie Camper of the Week 1-on-1 champions • Mr. Hustle Mr. Sportsmanship • Mr. Enthusiasm Mail application and make check payable to: Mark Schmidt Basketball Camp Men’s Basketball Office – Reilly Center 3261 West State Road St. Bonaventure, NY 14778 Camper’s Name : ____________________________ Age: ______ Parent’s Name: _________________________________________ Address: ______________________________________________ City: _________________________ State_____ Zip ____________ Home Telephone # ______________________________________ School: ________________________________________________ Parent’s Email: ________________________________________ Roomate Preference: ____________________________________ Please check the box(es) of the session(s) you will attend: Individual #1 June 26 - 29 Overnight $345 Day Camper Only $245 Partial Day Rate $195 Individual #2 August 1-4 Overnight Day Camper Only Partial Day Rate $345 $245 $195 Please circle desired camp T-shirt size: S M L XL XXL $100.00 non-refundable deposit is required for each overnight session. Balance is payable on or before the first day of the basketball camp. For more information, contact Matt Pappano Office Phone: (716) 375-2218/Cell: (716) 790-0425 Email: [email protected] Fax: (716) 375-2291 or visit our web site: WWW.GOBONNIES.COM (First day begins at 12 noon; last day ends at 12 noon) Please fill out both sides, detach & return.
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