camp application
Mail this completed application and camp fee or $50 deposit (check or money order) to:
Camp Fee must be paid in FULL by May 1st to receive $25 discount
Deposits are non-refundable after June 1
Check One:
June 13-16
June 27-30 FLAMES BASKETBALL CAMPS
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24502
Half Day Camper (Ages 6-10)
Full Day Camper
FLAMES
BASKETBALL
CAMP
2011
Please send ________ additional brochures for my friends.
CAMPER INFORMATION
Name Address School Email Address @
Phone (
)
Age (at camp) Birth Date Grade (Fall) T-shirt Size (Adult) Name Phone (H)
(W) Other Emergency Contact Phone (H)
(W) Relation (C) Relation (C) PARENT INFORMATION
INSURANCE INFORMATION
Policy Holder Insurance Policy Policy # HEALTH QUESTIONS
Allergies? If so, please explain Medication? If so, please explain Any condition or injury that prevent full participation in camp? If so, please explain Consent to Treat and Release
I hereby give permission to Liberty University and Flames Basketball Camp, 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 hospitalization. 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
Liberty University and Flames Basketball Camp, 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.
_____________________________________________________________________________________________________________
Parent/ Guardian (Print)
Signature
Date
JUNE
13-16
JUNE
27-30
FLAMES BASKETBALL CAMP 2011
CAMP HIGHLIGHTS
PURPOSE
Our main goal for those that attend Flames Basketball
Camp is to teach the fundamentals of dribbling, shooting,
passing, and teamwork while becoming a strong athlete
both on and off the court.
Final Four Championship Tournament
DAY CAMP ONE ............................................... JUNE 13-16
DAY CAMP TWO ............................................. JUNE 27-30
Camp is held at the Lahaye Student Center at Liberty University.
HALF DAY: 9 a.m. - 12:30 p.m.
FULL DAY: 9 a.m. - 3:00 p.m.
Half Day Camp is for 6, 7, 8, and 9 year-olds who may
not be ready for full day camp. They will get the same
instruction as full day campers but will be dismissed at
12:30. Contact the camp office for any questions on full
or half day eligibility.
Gym doors open at 8:30 a.m. and close at 3:30 p.m.
Flames Basketball Camp can not arrange any housing or
child supervision for after camp hours.
COST
Half Day Campers..........................Ages 6-10
Before May 1...................$75
After May 1.....................$90
Full Day Campers...........................Ages 10-16
Before May 1...................$125
After May 1......................$140
Includes: Nike Camp T-shirt, Team Poster, Nike Giveaways
REGISTER ONLINE
www.libertyflames.com
Visits from Current & Former Liberty
players as well as special guests
Nike Prizes Awarded Daily and Weekly!
SESSIONS
Monday - Thursday
1-on-1 Teaching from Camp Staff
CLICK ON MEN’S BASKETBALL / CAMPS
Individual and team shooting contests
Awards ceremony & autograph
session at the conclusion of camp
(Parents Welcome)
LUNCH
Lunch will be available for purchase
each day from one of the camp
sponsors. Campers are also
permitted to bring their own lunch.
CAMP STORE
All campers are strongly advised to keep
their spending money and valuables
in the Camp Bank. The Bank will open
any time the concession stand is open,
so campers will have frequent access
to their money. There is no fee for the
service and any remaining balance in
the account should be collected on the
last day of camp.
MEDICAL SERVICES
Medical services are available through
Liberty Athletic Training. A certified
athletic trainer is on duty during the
duration of camp.
A Message from Coach
Summer break is coming
quickly and we here at Flames
Basketball Camp are excited
about our 3rd summer of
basketball camp! Come out
and join us for one of our
camps this June and learn skills
that can improve your game,
help you reach your goals, and
most of all.... have FUN!!
Coach Layer
SPACE IS
LIMITED!
REGISTER EARLY!
$15 DISCOUNT GIVEN BEFORE MAY 1
DAILY SCHEDULE
9:00 .............................................Attendance and stretching
9:30 ......................................... Drills and Skill Development
11:00 .................... ......................... Individual Competitions
Noon .......................................... Lunch (Full Day Campers)
12:30.......................................... Half Day Camper Dismissal
12:45 ................ .............................................. Special Speaker
1:30 ......................................................................... League Play
3:00 ....................................... Announcements & Dismissal
* Schedule subject to change
(434) 582-2337