Minnesota's Coach Koz 2017 Fundamental
Basketball Camp

St. Olaf College in Northfield, Top ten  College Cafeteria..best food by the campers....
Best
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REGISTRATION: JULY 16-20
1 "BIG WEEK"
Boys overnight camp St-Olaf Sunday thru Thursday


DAY CAMPER @ St-Olaf Sunday thru Thursday 

GRADES 4-12 High Instructional Camp 



       ***** We encourage basketball players from all grades to experience this competitive and intense session of instruction
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REGISTRATION OVERNIGHT:
GRADES 4-12




DAY CAMPERS:



WHAT TO BRING:


MEDICAL CARE
     AND INSURANCE:
 

 

 

 

 




OVERNIGHT CAMP:  COLLEGE OF  ST. OLAF






CONTACT
COACH KOZ:



* APPLICATION INFORMATION FORM:
PRINT & FAX to
:507-786-3572
SCAN email
:kosmoski@stolaf.edu

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PARENTAL CONSENT FORM:
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DOCTOR'S STATEMENT OF
HEALTH OR COPY OF SCHOOL OR ATHLETIC PHYSICAL FORM:

   ***PRESENT UPON ARRIVAL.



 

 

 

 

 

 

    Overnight Camp registration will begin on Sunday between 1:30-3:30 p.m.  If you will be late, please call ahead and let us know when you will be arriving.  Camp will begin at 4:00 p.m. in the Main Gym.
   Overnight check-out will take place on Thursday at 2:00 p.m. before the Camp Demonstrations and Awards Ceremony which will begin at approximately          3:00 p.m.  (Family, friends, we encourage you to join us!)
   
   Day Camp Registration: If you are interested in coming a day camper, the price will be lower, lunch & dinner are included.   DAY HOURS: 8:30 a.m.- 9:00 p.m.  

Any other information on what to bring, mail, locations, & directions will be mailed directly to you upon receipt of your camp application and enrollment.  Pillow, bedding, towel & face cloth are provided. 

MEDICAL CARE & INSURANCE:
   Partial Medical Care Insurance will be supplemented by camp, included in your tuition fee.  We have a professional trainer on duty with medical facilities nearby. 
   Because of the rigorous daily schedule, each camper is encouraged to come to camp in top physical condition.  Every effort is made to protect the health and safety of the camper through the training staff, supervised warmup periods, and responsible instruction.  This is an experience for those seeking a more competitive session of basketball.  All grades are welcome to enroll.


CAMP SESSIONS:  (PLEASE CHECK)  PRINT & SCAN (kosmoski@stolaf.edu)

BOYS OVERNIGHT CAMP-ST.OLAF                      
OVERNIGHT COSTS:
SUNDAY THROUGH THURSDAY                          $485 ($470 IF 5 OF MORE MAILED TOGETHER)
_____  July 16-20                                            $225 DEPOSIT REQUIRED 
(FEE INCLUDES ROOM,
 
1- BIG WEEK                                          MEALS & PARTIAL MEDICAL INSURANCE)
HIGH INSTRUCTIONAL CAMP
                       
$460 EACH 10 OR MORE
                                                                      $380 DAY CAMPER-
INCLUDES LUNCH & DINNER)
                                                  
                                                        (CHECK ) ______RETURNING CAMPER  $10 DISCOUNT

Email: kosmoski@stolaf.edu        
CAMP/OFFICE PHONE: 507-786-3252         
CAMP CELL (During Camp) 507-304-1831     
WEBSITE: www.coachkozbasketballcamp.com

Camper's Name______________________________________________________
                                            (Last)                                                  (First)                                              (Middle Initial)
Camper's Nickname or name preferred to be addressed: ___________________
Street Address:_______________________________________________________
City:________________________________________State:__________Zip:_____
Cell Phone:_______________________ Email:_____________________________
Grade (as of 9/17)_____________________Age_____Height_____Weight______
Name of School (as of 9/17)____________________________________________
Parent's or Guardian Name:____________________________________________
Room-mate Preference________________________________________________
Boy-T Shirt Size________________                  Boys Short Size:____________
Mens-T Shirt Size_______________                  Mens Short Size:____________


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                      PARENTAL CONSENT FORM:

I hereby grant permission for my son to attend the 2017 Coach Koz Fundamental Basketball Camp Inc.  I also grant permission to the Coach Koz Fundamental Basketball Camp to act for me according to their best judgment in any emergency requiring medical attention and hereby waive and release the camp from any all liability for any injuries incurred while at camp.
Parents or Guardian's Signature______________________________________Date:__________________

Coach Koz Fundamental Camp Inc.  Attention: Camp Director: Coach Koz Kosmoski
13040 Hamburg Court, Apple Valley, MN 55124    Camp 2016

For Further Information call: 507-786-3252
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I HAVE EXAMINED _______________________AND FOUND HIM TO BE HEALTHY AND ABLE TO COMPETE IN BASKETBALL AND GENERAL RECREATIONAL ACTIVITIES (OF HIS CHOOSING) DURING THE COACH KOZ FUNDAMENTAL BASKETBALL CAMP, INC.

PLEASE LIST ANY ALLERGIES TO MEDICATIONS:____________________________________________________
LAST TETANUS SHOT__________________________________________________________________________
PERTINENT INFORMATION (DIABETES, EPILEPTIC, PREVIOUS FRACTURES, ETC)__________________________________________________________________________________________
DATE EXAMINED:_____________________________PHYSICIAN'S SIGNATURE:___________________________
PRESENT DOCTOR'S STATEMENT AT REGISTRATION ONLY.

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