REGISTRATION Name:__________________________________________________________________ Address:_______________________________________________________________ City:_________________________________ST:______Zip:_____________________ Phone: _________________________________________________________________ Email:__________________________________________________________________ Age: _______ Grade Fall 2018:_________ Pos:___________Height: _______ School:________________________________________________________________ HS Coach:______________________________________________________________ Phone: _________________________________________________________________ AAU Team: ____________________________________________________________ AAU Coach:____________________________________________________________ Phone: _________________________________________________________________ Camp Shirt Size: YS YM YL S M L XL XXL Check The Camp That You Will Be Attending Skills Camp | June 19-20 $100 | Grades 1 – 8 | 9:00 AM – 3:00 PM Team Camp | June 23 $250 per team | AAU, JV, & Varsity Elite Camp | August 25 th $60 | Grades 9-12th | 10:00 AM – 5:00PM Make Checks Payable To: Mail Form & Payment To: Coach G Skill Academy, LLC Bradley Women’s Basketball Coach G Skill Academy 1501 W. Bradley Ave. Peoria, IL 61625 This certifies that ___________________________________ has had a physical examination by a licensed physician in the past year and is free from any illness or injury that would prevent her from participating in activities at the 2018 Coach G Skill Academy. I understand that basketball is an active physical sport and injuries can take place during camp activities. I authorize any medical treatment that may be advised by physicians or trainers available at the Coach G Skill Academy while my daughter is at camp. Signed:_____________________________________________________________________ Date:___________________________________________________________________ * Camp is open to any and all entrants. Limited only by number, age, grade level and gender and is independently owned and operated and is in no way administered or associated with Bradley University. Questions Contact Dustyn Yung: [email protected] 309-677-4134 www.coachgskillacademy.com SKILLS CAMP: June 19 - 20 9:00 AM – 3:00 PM $100 per camper (Grades 1 st –8 th ) This camp is designed to build the love and passion for the game of basketball and to develop fundamental skills. We will emphasize shooting, ball handling, passing, and footwork. Each camper will receive a camp T-shirt. TEAM CAMP: June 23 $250 per team (AAU, JV, & Varsity High School Teams) • 3 game guarantee. • Games officiated by registered officials. • All campers receive a T-shirt. • Instructional component included. • Teams must be paid in full & rosters received by June 9 th . Contact Dustyn Yung to register your team. Office #: 309-677-4134 Email: [email protected] ELITE CAMP: August 25 10:00 AM – 5:00 PM $60 per camper (Grades 9 th – 12 th ) This intense and competitive camp is designed for the ELITE player. Each camper will be taken through college level drills with the goal to provide an understanding of what it takes to be a successful high school and college player. Lunch will be provided and each camper will receive a camp T-shirt. CAMP INFORMATION Locations: Renaissance Coliseum (Main Location) 1601 W. Main St. Peoria, IL 61625 Markin Recreation Center 1308 W. Bradley Ave. Peoria, IL 61625 Check –In: Check-in will be located at Renaissance Coliseum. Doors open 1 hour prior to camp. What To Bring: Water Bottle, basketball shoes, and energy. 2018 Coach G Skill Academy Skills Camp June 19-20 Team Camp June 23 Elite Camp August 25 #BradleyBuilt

2018 SKILLS CAMP: June 19 - 20 REGISTRATION … Yung: [email protected] 309-677-4134 #BradleyBuilt SKILLS CAMP: June 19 - 20 9:00 AM –3:00 PM $100 per camper (Grades 1st – 8th)

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REGISTRATION

Name:__________________________________________________________________Address:_______________________________________________________________City:_________________________________ST:______Zip:_____________________Phone:_________________________________________________________________Email:__________________________________________________________________Age:_______GradeFall2018:_________Pos:___________Height:_______School:________________________________________________________________HSCoach:______________________________________________________________Phone:_________________________________________________________________AAUTeam:____________________________________________________________AAUCoach:____________________________________________________________Phone:_________________________________________________________________CampShirtSize:YSYMYLSMLXLXXL

CheckTheCampThatYouWillBeAttending

SkillsCamp|June19-20$100|Grades1–8|9:00AM–3:00PM

TeamCamp|June23$250perteam|AAU,JV,&Varsity

EliteCamp|August25th$60|Grades9-12th|10:00AM–5:00PMMakeChecksPayableTo:MailForm&PaymentTo:CoachGSkillAcademy,LLCBradleyWomen’sBasketball CoachGSkillAcademy

1501W.BradleyAve.Peoria,IL61625

Thiscertifiesthat___________________________________hashadaphysicalexaminationbyalicensedphysicianinthepastyearandisfreefromanyillnessorinjurythatwouldpreventherfromparticipatinginactivitiesatthe2018CoachGSkillAcademy.Iunderstandthatbasketballisanactivephysicalsportandinjuriescantakeplaceduringcampactivities.IauthorizeanymedicaltreatmentthatmaybeadvisedbyphysiciansortrainersavailableattheCoachGSkillAcademywhilemydaughterisatcamp.

Signed:_____________________________________________________________________

Date:___________________________________________________________________

*Campisopentoanyandallentrants.Limitedonlybynumber,age,gradelevel,andgenderandisindependentlyownedandoperatedandisinnowayadministeredorassociatedwithBradleyUniversity.

QuestionsContactDustynYung:[email protected]

309-677-4134www.coachgskillacademy.com

SKILLS CAMP: June 19 - 20 9:00AM–3:00PM$100percamper(Grades1st–8th)Thiscampisdesignedtobuildtheloveandpassionforthegameofbasketballandtodevelopfundamentalskills.Wewillemphasizeshooting,ballhandling,passing,andfootwork.EachcamperwillreceiveacampT-shirt.

TEAM CAMP: June 23 $250perteam(AAU,JV,&VarsityHighSchoolTeams)• 3gameguarantee.• Gamesofficiatedbyregisteredofficials.• AllcampersreceiveaT-shirt.• Instructionalcomponentincluded.• Teamsmustbepaidinfull&rostersreceivedbyJune9th.ContactDustynYungtoregisteryourteam.Office#:309-677-4134Email:[email protected]

ELITE CAMP: August 25 10:00AM–5:00PM$60percamper(Grades9th–12th)ThisintenseandcompetitivecampisdesignedfortheELITEplayer.Eachcamperwillbetakenthroughcollegeleveldrillswiththegoaltoprovideanunderstandingofwhatittakestobeasuccessfulhighschoolandcollegeplayer.LunchwillbeprovidedandeachcamperwillreceiveacampT-shirt.

CAMP INFORMATION Locations:RenaissanceColiseum(MainLocation)1601W.MainSt.Peoria,IL61625MarkinRecreationCenter1308W.BradleyAve.Peoria,IL61625

Check–In:Check-inwillbelocatedatRenaissanceColiseum.Doorsopen1hourpriortocamp.

WhatToBring:WaterBottle,basketballshoes,andenergy.

2018CoachG

SkillAcademy

SkillsCampJune19-20

TeamCampJune23

EliteCampAugust25

#BradleyBuilt