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WARRIORS BASKETBALL CAMP APPLICATION

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					                      WARRIORS BASKETBALL CAMP APPLICATION


                                                                                                                                                                           WARRIORS BASKETBALL CAMP
NAME

AGE                                HEIGHT                                   WEIGHT

ADDRESS

CITY

BIRTHDATE
                                                           STATE              ZIP

                                                        GRADE LEVEL (Fall 2009)
                                                                                                                                                                                  SPRING 2010
HM. PHONE                                    PARENT WORK/ CELL PHONE

EMAIL                                                      GENDER:         M OR F          (CIRCLE ONE)
                                                                                                                                                                                                                                                   SESSION DESCRIPTIONS
                                                                                                                                               WARRIORS BASKETBALL CAMP                                                   General Sessions/Skills Clinics – These sessions, for boys and girls,
MEDICAL CONDITIONS/PHYSICAL CONDITIONALS THAT WE SHOULD KNOW ABOUT:
                                                                                                                 Celebrating our 10th year of offering Warriors Basketball Camp here in the Bay Area, we are              ages 7-15, of all skill levels and abilities, focus on individual skill
                                                                                                                 excited to announce our spring schedule for 2010. Since our inception we have conducted over             development, the importance of fundamentals and the development of
                                                                                                                 200 camp sessions with nearly 16,000 youth participants. Our camp has quickly become the                 a healthy team attitude. Campers take part in a variety of games,
                                                                                                                 most popular and most recognized program in Northern California. During that time, our                   competitions and fundamental drill work.
EMERGENCY CONTACT                                                                                                philosophy and goals have remained constant – to give players of all skill levels and abilities an
                                                                                                                 opportunity to improve their game in a positive playing environment with teamwork,                       Future Stars Camp – The perfect introduction to organized basketball,
EMERGENCY PHONE #
                                                                                                                 sportsmanship and fair play being central to everything we do. Our high level coaching staff,            these sessions allow boys and girls, ages 5-8, to develop proper habits
MEDICAL INSURANCE COMPANY                                                                                        led by Jeff Addiego, Tony Melendez, and Justin Williams-Bell, aims to help aspiring young                at an early age. Youth-sized basketballs and 8-foot goals help bring the
                                                                                                                 players improve their skills and develop a love and passion for the game of basketball.                  game down to their level.
POLICY NO.
                                                                                                                                                                                                                          Guard Clinic – These sessions are also for boys and girls, ages 7-15,
JERSEY SIZE:         YM       YL        AS      AM       AL      AXL       AXXL          (CIRCLE ONE)            The spring schedule is highlighted by 15 sessions at 14 different locations throughout the Bay           and are designed to assist campers in building a solid foundation in
                                                                                                                 Area, including the Warriors home floor at Oracle Arena. A variety of sessions will be offered           terms of guard skills. We incorporate a variety of drills designed to
PLEASE SELECT CAMP SESSION: Early Registration Discount – Sign up by February 17, 2010 and receive
$20 off each March session. Sign up by March 10, 2010 and receive $20 off each April session. Sign up by April   which include general sessions, future star camps (ages 5-8), a parent/child camp and                    improve ball-handling, shooting, passing, defense, decision-making
14, 2010 and receive $20 off each May session. All applications received after those dates must include the      specialty clinics held at various locations. In addition to high quality instruction, all of our camps   and more.
amount listed below. Multiple Session Discount – Sign up for two (2) or more sessions and receive $20 off each   will include two (2) free tickets to a Golden State Warriors home game. Our camp remains as
session. Sibling Discount – Sign up multiple siblings for the same session and each child receives $20 off.
                                                                                                                 the only program in Northern California that brings players closer to the NBA game.                      Shooting Clinic – With a focus on developing and improving shooting
                                                                                                                                                                                                                          mechanics and technique, theses sessions are geared toward helping
[   ] GUARD CLINIC II @ SONOMA COUNTRY DAY SCHOOL 3/7/10 ($100)
[   ] SPRING BREAK SESSION I @FREEDOM HIGH SCHOOL, OAKLEY 3/15-3/19 ($295)                                                                           CAMP FACTS / BENEFITS                                                campers fine tune their shooting stroke. We incorporate a variety of
[   ] FUTURE STARS CAMP III @ SILLIMAN ACTIVITY CENTER, NEWARK 3/21/10 ($100)                                       Warriors Basketball Camp is for boys and girls, 7-15 (unless noted otherwise).                        drills designed to improve footwork, one-on-one moves, movement
[   ] PARENT/CHILD CAMP @ ORACLE ARENA, OAKLAND 3/27/10                                                                                                                                                                   without the basketball, as well as, lay-up and jump shooting mechanics.
                                                                                                                    Camp staff is comprised of local high school and college coaches, as well as, current
      ($200 PARENT/CHILD COMBO, $65 FOR EACH ADDITIONAL CHILD)
[   ] SHOOTING CLINIC I @ IRON HORSE MIDDLE SCHOOL, SAN RAMON 3/28/10 ($100)                                        and former local college players. The player-to-coach ratio is approximately 8:1.                     Parent/Child Camp – This unique camp experience allows parents to
[   ] SPRING BREAK SESSION II @ALAMEDA HIGH SCHOOL, ALAMEDA 4/5-4/9 ($295)                                                                                                                                                interact with their children in an exciting basketball setting. Parents and
                                                                                                                    Each camper receives a reversible Warriors jersey, headband, player evaluations,
[   ] SPRING BREAK SESSION III @ FALLON MIDDLE SCHOOL, DUBLIN 4/5-4/9 ($295)                                                                                                                                              their children will be able to work on fundamental skills and learn about
[   ] SPRING BREAK SKILLS CLINIC @ ORACLE ARENA, OAKLAND 4/11/10 ($140)                                             certificate and more!                                                                                 the game together on the Warriors home floor at Oracle Arena. This
[   ] SPRING BREAK SESSION IV @ MONTA VISTA HIGH SCHOOL, CUPERTINO 4/12-4/16 ($295)                                 Campers will also receive two (2) complimentary tickets to a Golden State Warriors                    camp is for children ages 5-15 and their parent(s).
[   ] SPRING BREAK SESSION V @ HALL MIDDLE SCHOOL, LARKSPUR 4/12-4/16 ($295)
[   ] SHOOTING CLINIC II @ FOOTHILL COLLEGE, LOS ALTOS HILLS 4/25/10 ($100)                                         home game.                                                                                            High Intensity Skills Clinic – This session is for boys and girls, ages
[   ] GUARD CLINIC III @ 24 HOUR FITNESS SUPER SPORT, SAN MATEO 5/2/10 ($100)                                       Many of our sessions feature appearances from current and former Warriors players                     11-17. This clinic will give participants an opportunity to take part in an
[   ] SHOOTING CLINIC III @ JUSTIN-SIENA HIGH SCHOOL, NAPA 5/2/10 ($100)                                                                                                                                                  “NBA-like practice.”
[   ] HIGH INTENSITY SKILLS CLINIC @ WEST VALLEY COLLEGE, SARATOGA 5/16/10 ($100)
                                                                                                                    and coaches.
[   ] FUTURE STARS CAMP IV @ 24 HOUR FITNESS SUPER SPORT, SAN JOSE 5/22/10 ($100)                                   Prizes and awards are given out at the end of each session for special team and                                                  AREAS OF FOCUS
                                                                                                                    individual accomplishments.                                                                           Our camps are designed to help players of all skill levels and abilities
PAYMENT METHOD:
                                                                                                                                                                                                                          to improve in the following areas:
 CHECK #                            VISA      MASTERCARD                 AMERICAN EXPRESS                       Limited enrollment ensures that all campers receive individual attention from our
ACCOUNT NUMBER                                                              EXPIRATION DATE                         coaches.                                                                                                      Team Attitude/Positive Interaction
V-CODE (LOCATED ON BACK OF CARD)                               BILLING ZIP CODE                                     Multiple Session Discount – Sign up for two (2) or more sessions and receive $20 off                          Dribbling and Ball-Handling
                                                                                                                    each session.                                                                                                 Shooting
MAKE CHECKS PAYABLE TO:                           WARRIORS BASKETBALL CAMP
                                                  1011 BROADWAY                                                     Sibling Discount – Sign up multiple siblings and each child receives $20 off each                             Rebounding and Positioning
                                                  OAKLAND, CA 94607                                                                                                                                                               Passing and Receiving
                                                                                                                    session.
                                                                                                                                                                                                                                  One-on-One Moves/Perimeter Footwork
                                                                                                                    Cancellation Policy: Camp credits will be issued for all cancellations including injuries                     Big Man Moves/Post Footwork
WAIVER AND RELEASE OF LIABILITY:
I hereby authorize the staff of the Golden State Warriors to act for me according to their best judgment in         and/or sickness. Camp staff must be notified to issue credit. No refunds, no exceptions.                      Moving without the Ball/Getting Open
any emergency requiring medical attention, and I hereby waive and release the National Basketball
Association, the Golden State Warriors, the Camp, and all those affiliated with the Camp from any and all                                                                                                                         Defense-Individual and Team
liability for any injuries or accidents while at camp. I also understand the Camp retains the right to use
photographs of campers taken at camp for marketing purposes. In additional, I understand that any camper                CAMP PRICE INCLUDES TWO (2) TICKETS TO A                                                                  Listening Skills
                                                                                                                                                                                                                                  Daily Competition
who does not abide by the rules and regulations of the camp may be subject to dismissal without
reimbursement. For all cancellations, including injuries and/or sickness, I understand that only camp credits             GOLDEN STATE WARRIORS HOME GAME!
can be issued.
                                                                                                                                                                                                                             ONLINE REGISTRATION AVAILABLE
PARENT SIGNATURE
                                         Register online at warriors.com                                                                               (510) 986-5310                                                         warriors.com