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7/31/2019 FastBreak12_Brochure2
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Randy Nesbits ability to teach the game, his
enthusiasm for young people, and his well-
known reputation in the coaching world are all
of the reasons why a player wishing to
develop his abilities further would benefit
greatly from a basketball camp experience
with Coach Nesbit.
Mike Krzyzewski,
Head Coach, Duke University
Boys & Girls Middle School (6th-8th)
BASKETBALL CAMPJuly 30th August 2nd9:00am 2:00pm
Randy NesbitHead Coach , Mens Basketball
Roane State Community College
CAMP INSTRUCTOR:
From 9-year-old phenoms to
big-time college players,
Randy Nesbit has helped
thousands of players develop
better shooting mechanics,
dribble moves, driving
footwork and one-on-one
skills. Coach Nesbit and his
staff deliver a major college
camp experience for a
fraction of the price!
The $95 Registration includes:
Catered Lunch Each Day
Camp Tee Shirt
PROFESSIONAL Instruction
Small Camp and Multiple Courts
Personal Attention for Skill Development Late Registration? Yes. After 7/23 add $15.
LOCATION:First Baptist Concord, 11704 Kingston Pike, Farragut
DISCLAIMER: Who shouldnt attend anyone who can shoot like Ray Allen, handle like Steve
Nash, drive like Derrick Rose, post up like Kevin Love, or face-up one-on-one like Kobe Bryant.
Oh yeah and anyone who thinks theyre already good enough.
7/31/2019 FastBreak12_Brochure2
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CAMP APPLICATION
Name:
Address:
City: State: Zip:
Phone:
E-Mail:
Grade (2012-13): 6 7 8 Age: Height: Weight:
School:
Parents Name(s):
Parents Cell:
Emergency Contact:
Emergency Phone:
Medical Conditions:
T-Shirt Size (circle one): Youth Lg Adult Sm Adult Med Adult Lg Adult XL
WAivEr of LiAbiLity & DiscLAimEr
I, the parent or legal guardian of the above named individual, acknowledge
that participation in athletic events necessarily involves risk of physical
injury. In consideration for accepting the registration of the above named
individuals and permitted the voluntary participation of said individual in itsprograms, I hereby release, discharge, and hold harmless Randy Nesbit,
First Baptist Concord, Concord Christian School, and all their respective
ministers, employees, volunteers and other representatives from any
claims arising out of or in relation to any physical injury that may result to
said individual while participating in summer sports camp events, including
any physical injury by negligence of anyofficial, referee or coach whileperforming his/her duties during any practices or games.
Signature of Parent or Legal Guardian Date
Emergency Authorization
I, the undersigned parent or legal guardian of the participant, a minor,
hereby authorize the coaches, assistant coaches or pertains of team
members acting in the capacity of activity supervisors/vehicle drivers, as my
Agents to consent to medical, surgical or dental examination and/or
treatment. In case of emergency, I hereby authorize treatment and/or care
at any hospital. If there is an emergency and I cannot be reached, please
contact the emergency contact listed on this form.
Signature of Parent or Legal Guardian Date
RETURN FORM AND CHECK FOR $95 (PAYABLE TO CCS) TO:
First Baptist ConcordAttn: Julie Arnold11704 Kingston PikeKnoxville, TN 37934
FOR QUESTIONS, SEND AN EMAIL TO: [email protected]