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FACEBOOK.COM/MIZWHEELBBALL @MIZWHEELBBALL MIZZOUREC.COM/MWB JULY 7-11, 2019 CAMP FOR MORE INFORMATION ABOUT MIZZOU WHEELCHAIR BASKETBALL,VISIT
FACEBOOK.COM/MIZWHEELBBALL
@MIZWHEELBBALL
MIZZOUREC.COM/MWB
JULY 7-11, 2019
CAMP
FOR MORE INFORMATION ABOUT MIZZOU WHEELCHAIR
BASKETBALL,VISIT
2019 CAMP APPLICATION (Please print.)
ATHLETE NAME:PARENT/GUARDIAN NAME:ADDRESS: CAMPER CELL PHONE: CAMPER EMAIL: PARENT EMAIL: EMERGENCY CONTACT PHONE: DATE OF BIRTH:GENDER:GRADE (FALL ‘19): ROOMMATE PREFERENCE (OPTIONAL): YEARS OF EXPERIENCE:NWBA CLASS: DISABILITY AND LEVEL OF INJURY: ONSET OF DISABILITY:
T-SHIRT SIZE (ADULT SIZES): S M L XL XXL
JERSEY SIZE (ADULT SIZES): S M L XL XXL
$ (AMOUNT ENCLOSED) MAKE CHECKS OR MONEY ORDERS PAYABLE TO THE UNIVERSITY OF MISSOURI.
I have read and accept the conditions described in this brochure. I understand the University of Missouri retains the right to use photographs and video of campers for publicity and promotional purposes. I relinquish all rights that I may claim in relation to use of these photographs and/or videos.
CAMPER SIGNATURE
If under 18, parent/guardian signature
CAMPER PRINTED NAME
If under 18, parent/guardian printed name
MAIL YOUR COMPLETED REGISTRATION FORM TO:
WHOMales and females, ages 12-19 with a permanent disability of the lower extremity.
All campers must be independent in performing all activities of daily living. No attendant care will be provided. We strongly recommend you bring your own basketball chair. Please contact us as soon as possible if you need a chair. We have a limited number for loan.
PURPOSEThis camp focuses on individual fundamental skill development and strategies in team play. Players participate in skill developing drills, controlled scrimmages and games that emphasize the skills and concepts taught by the staff.
STAFFThe camp is led by Ron Lykins, the University of Missouri head coach and current United States Men’s National Team coach.
Staff members include coaches and players who are experienced at the intercollegiate and international level.
FACILITIESThe camp takes place in historic Brewer Fieldhouse within the MU Student Rec Complex at the University of Missouri.
TRAVELAll campers are responsible for their transportation to and from Columbia. Local transportation is provided by the camp staff. No early arrivals or late departures. Campers are responsible for their own accommodations before and after camp dates.
FOR FURTHER INFORMATION, VISIT MIZZOUREC.COM / MWB OR CONTACT Camp Director, Ron Lykins Phone: (573) 882-7865Email: [email protected]
CAMP DATES: JULY 7-11, 2019
JULY 7 Check in 3:00 PM - 5:00 PM Instructional Session 7:00 PM
JULY 11Check out 11:00 AM – 12:00 PM
FEES: $400Fees include meals, housing, camp apparel, instruction, insurance and administrative costs. Registration deadline is July 1, 2019. $25 discount if registered by June 21, 2019.
REFUNDSAll monies, less the $75 non-refundable administrative fee will be refunded for medical reasons only. A letter of explanation must be included with the request for a refund. The request for refund must be received prior to the start of camp. Ron Lykins, Director, Mizzou Wheelchair Basketball Camp
University of Missouri213 Rothwell Gymnasium, Columbia, MO 65211-4210
