Summer Camp Detailed Registration Form

Ray Hartsfield Presents Hoops at East

2019 Summer Basketball Camp

Rising 3rd - Rising 9th Graders

July 8th - 12th

CAMP TIMES
8:30AM - 4:30PM

Drop-off begins at 8:00AM

CAMP COST
$225

Our camps are designed to fit your young hoopster's athletic needs and
your working schedule. Our full day camp gives ample opportunity for
improvement of fundamental skills, and also creates a worry free day
for the working parent. We work hard all day, have fun and play a lot
of basketball.

We incorporate a teaching environment with daily/week-long contest and
two full games each day for every camper.

Campers will spend five full days focusing on drills, scrimmages,
tournament play, and lecture periods designed to challenge and
motivate. Our focus is to dramatically improve a player's knowledge,
footwork; shooting and dribbling skills... plus enhance his/her
all-around offensive and defensive skills!!!

Our campers improve and progress... because we spend more time
teaching and doing!

DAILY SCHEDULE

"A great teaching environment"

MORNING

10 Minutes Stretch
20 Minutes Fast Break Drills
20 Minutes 1st Teaching Station
20 Minutes 2nd Teaching Station
10 Minutes Break
20 Minutes 3rd Teaching Station
20 Minutes 4th Teaching Station
20 Minutes Team Offense Station
10 Minutes Break
20 Minutes Team Defense Station
20 Minutes Coach Hartsfield Time
15 Minutes Morning Contest
60 Minutes LUNCH

1 - 4:30 PM AFTERNOON SESSION

Every camper plays two games each day during our weeklong tournament.

Athlete Information

Athlete's Name

First Name Last Name

Birth Date

Month Day Year

Grade (In Fall '19)

Gender

Male Female

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

T-Shirt Size

Parent/Guardian Information

Name

First Name Last Name

Home Number

Area Code Phone Number

Cell Number

Area Code Phone Number

E-mail

Emergency Information

Emergency Contact's Name

First Name Last Name

Relationship

Phone Number

Area Code Phone Number

Alt. Phone Number

Area Code Phone Number

Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is the athlete prescribed an inhaler? If yes, please explain any instructions.

Registration Payment

*Full or remaining payments are due at check-in on July 8th, 2019.

*Registration payment may be made by check or paid by card during check-in.

*Checks may also be mailed-in prior to first day of camp.

*Please make checks payable to Ray Hartsfield.

Mailed to:
Hoops Basketball Academy
913 Summerstorm Dr.
Durham, NC 27704

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Hoops at East during the selected camp. In exchange for the acceptance of said child’s candidacy by Hoops at East. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Hoops at East and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Hoops at East. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

If you have any questions please contact Ray Hartsfield:

Phone: 919-308-1350

Email: coachray56@yahoo.com

Basketball Camp Registration