Emergency Contact

APPLICATION

NAME: ______

ADDRESS: ______

CITY: ______STATE: _____

ZIP CODE: ______

PHONE NUMBER: ______

AGE: ______GRADE: ______

EMERGENCY CONTACT:

NAME: ______

PHONE NUMBER: ______

WAIVER: I give my consent and approval to the participation of my son/daughter in the Petersburg High School Basketball Camp and hereby release the camp and staff from any and all liability for injuries and illness incurred while at camp.

I pledge his/her compliance to any and all camp rules and agree that should my child be dismissed from the camp for any conduct not in the best interests of camp, or leave camp before the completion of camp for any reason, no part of the fee will be refunded.

PARENT/GUARDIAN NAME:

______

PARENT/GUARDIAN SIGNATURE:

______

CAMPFEATURES:

*Free CampT-shirt

*Daily & Weekly Awards

*Guest Lectures

*Team Awards

*Fundamentals/Drills

*Special Lectures on Academics/Wellness

For Additional Information:

Contact:

Coach Bill Lawson, III

PetersburgHigh School

3101 Johnson Road

Petersburg, VA23803

(804) 862-7095

Website:

2008

Basketball Camp

July 14-July 17

Monday thru Thursday

Bill Lawson, III

Petersburg Basketball Camp

DATES:July 14 – July 17, 2008Monday thru Thursday

TIME:10:00 a.m. – 4:00 p.m.

PLACE:William W. Lawson, Jr.

Gymnasium

PetersburgHigh School

Cost: $ 75.00 per person

AGE:Boys and Girls

Ages 8 – 18

* Make Checks or Money Orders Payable to:

PetersburgHigh School

Attn. Basketball Camp

3101 Johnson Road

Petersburg, VA23805

* A fee of $30.00 will be charged for any returned checks.

PURPOSE:

The camp is designed to provide each camper with an enjoyable and rewarding experience with the game. They will receive approximately four hours per day of basketball instruction. Instruction stressing the basic fundamentals of the game and the finer points of the game based on the camper’s current level of experience. An MVP will be selected at the conclusion of the camp.

GUEST SPEAKERS

(Subject to Change)

Vernon Lee - Assistant Coach

FreedomHigh School

Charles Payton – Head Coach

MatoacaHigh School

Corey Gibson – Assistant Coach

VirginiaStateUniversity

Avis Wyatt – Player

VirginiaStateUniversity

Harold Deane, Jr. – 1993 – 1997 Guard University of Virginia

Robert Claiborne –Head Coach

PetersburgHigh School

John Thomas – Head Coach

Colonial HeightsHigh School

FormerPetersburgHigh School players

CAMPSTAFF

Bill Lawson, III

Varsity Boys Basketball Coach

Tytrail White

Assistant Varsity Boys Basketball Coach

Robert Hill

J.V. Head Boys Basketball Coach

Ryan Massenburg

Head Ninth Grade Boys Basketball Coach

David Johnson

VernonJohnsMiddle School

John Walker

Petersburg Elite AAU Basketball

Mike Blackwell

Assistant Coach – Matoaca H. S.

Past, Present Players, and other area coaches

DAILY SCHEDULE

Roll Call / Registration / CampAnnouncements

Lecture and Demonstration / Refreshment Break

Teaching Stations / Basketball Films / Three on Three / Free Throw Shooting / Special Events for the day