SIGN ME UP! a $50 non-refundable deposit is due with your registration name ______staff address ______city ______state ___ zip ______e-mail ______grade (fall 2018) ______school ______age______date of birth______Adam Emmenecker In 2008, former Bulldog walk-on waukee youth league ______$125.00 emerged as the most unlikely sports story in college t-shirt size (youth) ____S ____M ____L basketball. Earning a scholarship one day before the t-shirt size (adult) ____S ____M ____L ____XL ____XXL 2007-08 school year, Emmenecker became the catalyst in Drake’s climb to a Missouri Valley Conference (MVC) championship and onward to the NCAA Tournament. emergency contact person: Adam was named ESPN The Magazine Academic name______All-American Basketball Player of the Year, as well as, home phone______cell phone______Larry Bird Player of the Year for the MVC. One year later, Emmenecker followed his dreams and began a medical conditions we should be aware of: ______professional career playing Basketball for the Deutsche ______Bank Skyliners in Frankfurt, Germany. Adam is currently an Assistant Director - Data and Metrics at the youth waiver agreement Principal Financial Group, as well as a television color I grant permission to the staff of the Waukee Youth Basketball to analyst for . basketball act on my behalf for my child in granting permission for evaluation/ treatment of minor medical problems. I understand that should Jason Bauer program a major medical problem arise, an attempt will be made to notify Jason Bauer was a starter for the Iowa Hawkeyes when 2nd 5th grade boys me by telephone. In event I cannot be reached, I hereby give - they advanced to the “Sweet 16” of the 1999 NCAA my consent to such medical treatment as deemed necessary by Tournament. A three-year letterman, Bauer also was a a licensed physician. In addition, I hereby release the Waukee recipient of the Chris Street Award. Jason spent three Youth Basketball, its employees and agents from all claims on years working with the Drake program under legendary account of any injuries which may be sustained by my child while coach Dr. Tom Davis and is currently the Associate VP traveling to, participating in and returning from the camp. I also for Student Affairs at Grand View University. agree to indemnify the Waukee Youth Basketball, its employees and agents from any claim which may hereafter be presented by my minor child as a result of illness or accident while my child is at Waukee Youth Basketball.

______parent/guardian signature date

TO REGISTER ONLINE please return this form with your deposit or full payment to: WWW.WAUKEEACTIVITIES.ORG Waukee Youth Basketball Go to http://waukee.revtrak.net c/o Waukee High School Athletics > Camps/Clinics > Youth Basketball Camp 555 SE University Ave. Waukee, IA 50263

*please make checks payable to: “Waukee Youth Basketball” TRAINING CAMP DETAILS PRACTICE/GAME SCHEDULE a message from date: Saturday, December 8th & December 15th location: SOUTH MIDDLE SCHOOL the waukee boys’ 2350 LA Grant Pkwy basketball head coach, location: SOUTH MIDDLE SCHOOL justin ohl 2350 LA Grant Pkwy

The goal for the Waukee Youth Basketball training camp schedule week 1 december 30 – january 5th nd League is to develop the skills of young th th Practice #1 – Wednesday, Jan. 2 saturday, december 8 & 15 Game – Saturday, Jan. 5th boys by teaching them important life 7:45 – 8:00 am Check – In 4th & 5th Graders “lessons through the game of basketball. 8:00 – 8:10 Welcome – Introductions th 8:10 – 8:35 Fundamental Stations week 2 january 6 – january 12 The league offers strong fundamental th 8:35 – 8:45 Teach/Demonstration Practice #2 – Monday, Jan. 7 basketball instruction in a culture where Game – Saturday, Jan. 12th 8:45 – 9:10 Drill Stations participation and learning are encouraged. 9:10 – 9:15 Conclusion – Dismiss In addition, fun is required! week 3 january 13 – january 19th 9:15 – 9:30 am Check – In 2nd & 3rd Graders Practice #3 – Wednesday, Jan. 16th We look forward to seeing you this winter! 9:30 – 9:40 Welcome Introduction Game – Saturday, Jan. 19th 9:40 – 10:05 Fundamental Stations -Justin Ohl 10:05 –10:15 Teach/Demonstration week 4 january 20 – january 26th waukee boy’s basketball head coach 10:15 –10:40 Drill Stations Practice #4 - Wednesday, Jan. 23rd [email protected] ” 10:40 –10:45 Conclusion – Dismiss Game – Saturday, Jan. 26th

special features of waukee youth basketball league: practice/game features: Coaching staff will include current Waukee High School basketball staff and players Each team will be allotted one hour for practice each week at South Middle Small group personal instruction school Camp t-shirt included! One game each weekend – played at South Game jersey included! Middle school Pizza Party Pizza Party & Player Recognition: Jan. 25th - Waukee Varsity Boys’ Recognition prior to a Waukee Boys’ Basketball Game vs. Mason City Varsity Home Basketball game.