Queensland’s Premier Basketball Camp SINCE 1988 Toowoomba Supercamp - January 11th - 15th, 2015 For Boys and Girls Harristown High School, Ages 6 - 18 years Toowoomba, Qld. ALL SKILLS LEVELS Accommodation at St. Ursula’s College

A Typical Day at Supercamp 2015 BASKETBALL CAMP COACHES: 3 SESSIONS PER DAY Clarence ‘POP’ Dickerson Former Head Coach Toowoomba Mountaineers (QBL) 7:00 - 8:00am Former Head Coach Gold Coast Warriors (ABA) ABA Nth Conference All-Time Leading Scorer - 10 seasons, 30pts/per game Breakfast for Live-in campers Former NBA Draftee Washington Wizards SUPERCAMP DIRECTOR Morning Session Andre Moore 9:00 - 11:30am Played for the Denver Nuggets (NBA) Played for Brisbane Bullets (NBL) Skills training - passing, Played for Cairns Tiapans (NBL) shootIng, ball handling, Top Junior Coach rebounding etc... Thalo Green 12:00 noon Played for the Melbourne Tigers (NBL) Lunch - Freetime Played for University of Washington PLUS OTHER Played for Sydney Kings (NBL) Top Junior Coach COACHES TO BE Afternoon Session 1:30 - 4:30pm Michael McDaniel ANNOUNCED!! Former draftee Dallas Maverick NBA Competition Games Forrmer Queensland Basketball League player 1-on-1, 2-on-2, 5-on-5 NAIA Champion player w/ Hawaii-Pacific College USA 4:30 - 5:00pm Swimming Charles Dickerson Current Queensland Basketball League Player Toowoomba Mountaineers Former QLD U/20 representative 5:30 - 6:15pm Outstanding Junior Coach Dinner Coach at Toowoomba Grammar School

Shane Davis Evening Session Played for the Brisbane Bullets (NBL) (NOT COMPULSORY FOR 3 time Queensland Basketball League All-Star Headcoach “Oz Intensity” Basketball 9 YEARS AND UNDER PLAYERS) 6:30 - 7:30pm Competition Games Despena Dickerson Current Queensland Basketball League Player Toowoomba Mountaineers 10:00pm Coach at St Ursula’s College Lights out

HAVE HEAPS OF FUN & LEARN FROM THE PROS! For a Registration Form go to www.supercamp.com.au or ph. 07 4637 9244 DON’T MISS THE EARLY BIRD DISCOUNT! TOOWOOMBA SUPERCAMP Parental Supervisor Opportunity-sŽůƵŶƚĞĞƌƚŽƐƵƉĞƌǀŝƐĞĂŶĚLJŽƵƌ ĐŚŝůĚĐĂŶĐŽŵĞƚŽ^ƵƉĞƌĐĂŵƉĨŽƌĨƌĞĞ͘^ƵƉĞƌĐĂŵƉŝƐĂůǁĂLJƐƐĞĂƌĐŚŝŶŐ BASKETBALL GENERAL INFORMATION ĨŽƌ ƋƵĂůŝƚLJ ƐƵƉĞƌǀŝƐŽƌƐ ŽŶůLJ Ă ůŝŵŝƚĞĚ ŶƵŵďĞƌ ŽĨ ƚŚĞƐĞ ƐƵƉĞƌǀŝƐŽƌƐ ǁŝůů ďĞ ĂĐĐĞƉƚĞĚ͘ zŽƵ ŵƵƐƚ ƉŽƐƐĞƐƐ Ă ŚŝůĚ WƌŽƚĞĐƟŽŶ ĂƌĚ ͘/Ĩ Supercamp Special Features: LJŽƵ ĂƌĞ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ƐƵƉĞƌǀŝƐŝŶŐ Ăƚ ^ƵƉĞƌĐĂŵƉ ƐĞŶĚ ƌĞƐƵŵĞ ƚŽ͗ ^ƵƉĞƌĐĂŵƉΛďŝŐƉŽŶĚ͘ĐŽŵŽƌW͘K͘ŽdžϭϴϯdŽŽǁŽŽŵďĂ͕YƵĞĞŶƐůĂŶĚ • Professional coaching ϰϯϱϬ͘ • ,ƵŶĚƌĞĚƐŽĨ:ƵŶŝŽƌƐĂƩĞŶĚ^ƵƉĞƌĐĂŵƉĞĂĐŚLJĞĂƌ Supercamp DeadlineͲZĞŐŝƐƚƌĂƟŽŶĚƵĞďLJϬϭͬϬϭͬϮϬϭϱ • ϭͲŽŶϭ͕ϮͲŽŶϮĂŶĚϱͲŽŶͲϱĐŽŵƉĞƟƟŽŶƐ Extended Deadline –ĂŵƉĞƌƐĐĂŶĞŶƌŽůƵƉƵŶƟůƚŚĞĮƌƐƚĚĂLJŽĨĐĂŵƉ • 'ƌĞĂƚƉůĂĐĞƚŽŵĂŬĞŶĞǁĨƌŝĞŶĚƐŚŝƉƐ ĂƐůŽŶŐĂƐƐƉĂƌĞƉŽƐŝƟŽŶƐĂƌĞĂǀĂŝůĂďůĞ͘^ƵƉĞƌĐĂŵƉĐĂŶŶŽƚŐƵĂƌĂŶƩĞĞ • ŽĂĐŚĞƐǀƐ͘ĂŵƉĞƌƐůůͲ^ƚĂƌ'ĂŵĞ ĂdͲ^ŚŝƌƚŝĨLJŽƵƌĞŐŝƐƚĞƌĂŌĞƌƚŚĞĮƌƐƚĚĞĂĚůŝŶĞͲϬϭͬϬϭͬϮϬϭϱ͘ • dƌŽƉŚLJĂŶĚĂǁĂƌĚƉƌĞƐĞŶƚĂƟŽŶƐ ĂŶĐĞůůĂƟŽŶƐʹůůĐĂŶĐĞůůĂƟŽŶƐŵƵƐƚďĞŵĂĚĞŝŶǁƌŝƟŶŐĂŶĚƉŽƐƚ ŵĂƌŬĞĚŽƌĞͲŵĂŝůĞĚŽƌĨĂdžĞĚϯϬĚĂLJƐƉƌŝŽƌƚŽƚŚĞϭƐƚĚĂLJŽĨƚŚĞĐĂŵƉ • ϮϰŚŽƵƌƐƐƵƉĞƌǀŝƐŝŽŶ ĂŶĚ LJŽƵ ǁŝůů ďĞ ƌĞĨƵŶĚĞĚ Ăůů ŵŽŶŝĞƐ͘ ^ŚŽƵůĚ LJŽƵ ĐĂŶĐĞů ǁŝƚŚŝŶ ϯϬ • ^ǁŝŵŵŝŶŐďƌĞĂŬƐ ĚĂLJƐŽĨƚŚĞĐĂŵƉLJŽƵǁŝůůŝŶĐƵƌĂϱϬйĐĂŶĐĞůůĂƟŽŶůĞǀLJ͕ĂůƚĞƌŶĂƚĞůLJ͕ LJŽƵƌƉŽƐŝƟŽŶĐĂŶďĞŚĞůĚŽǀĞƌĨŽƌƚŚĞŶĞdžƚ^ƵƉĞƌĐĂŵƉŽĨLJŽƵƌĐŚŽŝĐĞ • ĂŵƉƐŽĐŝĂů ƌĞŐĂƌĚůĞƐƐŽĨůŽĐĂƟŽŶ͘KŶĐĞƚŚĞĐĂŵƉŚĂƐƐƚĂƌƚĞĚŶŽƌĞĨƵŶĚǁŝůůďĞ Toowoomba Supercamp Check-in & address ͲǁŝůůďĞŐŝŶĂƚϵĂŵŽŶƚŚĞ given. ĮƌƐƚĚĂLJĂƚ,ĞŶŶĞƐƐĞLJ^ƚƌĞĞƚ,ĂƌƌŝƐƚŽǁŶ͕dŽŽǁŽŽŵďĂYƵĞĞŶƐůĂŶĚ͘ • What to Bring Toowoomba Supercamp Check -outʹǁŝůůďĞĂƚƚŚĞĐŽŵƉůĞƟŽŶŽĨ ƚŚĞǁĂƌĚƐWƌĞƐĞŶƚĂƟŽŶŽŶƚŚĞůĂƐƚĚĂLJŽĨĐĂŵƉ͘WĂƌĞŶƚƐĂƌĞŝŶǀŝƚĞĚ • ĂƐŬĞƚďĂůů ƚŽĂƩĞŶĚĂǁĂƌĚƐƉƌĞƐĞŶƚĂƟŽŶĂƚϭƉŵŽŶƚŚĞůĂƐƚĚĂLJŽĨĐĂŵƉ͘ • ĂƐŬĞƚďĂůůƐŚŽĞƐ >ŝǀĞͲŽƵƚƌŽƉͲŽīƟŵĞͲ&ŽƌLJŽƵƌĐŽŶǀĞŶŝĞŶĐĞ>ŝǀĞͲŽƵƚĐĂŵƉĞƌƐĐĂŶ • ,ĂƚĂŶĚ^ƵŶƐĐƌĞĞŶ ďĞĚƌŽƉƉĞĚŽīĂƚĐĂŵƉƐŝƚĞĨƌŽŵϳĂŵĞĂĐŚŵŽƌŶŝŶŐ͘ • ^ŚŽƌƚƐΘƐŝŶŐůĞƚƐŽƌdͲƐŚŝƌƚƐ Roll CallͲǁŝůůďĞĚĂŝůLJĂƚϴ͗ϰϱĂŵʹĂŝůLJƚƌĂŝŶŝŶŐƐĞƐƐŝŽŶƐƐƚĂƌƚĂƚϵĂŵ • tĂƚĞƌďŽƩůĞ dŚƌĞĞƚƌĂŝŶŝŶŐƐĞƐƐŝŽŶƐƉĞƌĚĂLJ͕ĨƌŽŵϵĂŵƚŽϭϭ͗ϯϬĂŵ͕ϭ͗ϯϬƚŽϰ͗ϬϬƉŵ ĂŶĚϲ͗ϭϱƚŽϳ͗ϰϱƉŵ͘>ŝǀĞͲŽƵƚĐĂŵƉĞƌƐĐĂŶĚĞƉĂƌƚĂƚƚŚĞĞŶĚŽĨƚŚĞ • dŽŝůĞƚƌŝĞƐ;ůŝǀĞͲŝŶĐĂŵƉĞƌƐŽŶůLJͿ ĂŌĞƌŶŽŽŶƐĞƐƐŝŽŶ;ϰ͗ϬϬƉŵͿƐŚŽƵůĚƚŚĞLJĚĞƐŝƌĞ͘>ŝǀĞͲŽƵƚƉůĂLJĞƌƐŵƵƐƚ • WŽĐŬĞƚDŽŶĞLJĨŽƌĐĂŶƚĞĞŶ ĂůǁĂLJƐƐŝŐŶͲŽƵƚďĞĨŽƌĞĚĞƉĂƌƟŶŐĐĂŵƉ͘ • ůŽƚŚĞƐƉĞŐƐ;ůŝǀĞͲŝŶĐĂŵƉĞƌƐŽŶůLJͿ ĐĐŽŵŵŽĚĂƟŽŶͲ^ƚhƌƐƵůĂ͛ƐŽůůĞŐĞͲƐĞĞƌŽŽŵƐĂƚ ǁǁǁ͘ƐƵƉĞƌĐĂŵƉ͘ĐŽŵ͘ĂƵ • WŝůůŽǁΘWŝůůŽǁĐĂƐĞ;>ŝǀĞͲŝŶĐĂŵƉĞƌƐŽŶůLJͿ ŽLJƐĂŶĚŐŝƌůƐǁŝůůďĞŚŽƵƐĞĚƐĞƉĂƌĂƚĞůLJǁŝƚŚϮϰŚƌƐƵƉĞƌǀŝƐŝŽŶ • dŽǁĞůƐĨŽƌƐǁŝŵŵŝŶŐƉŽŽůΘƐŚŽǁĞƌ Meals –dŚĞĮƌƐƚŵĞĂůǁŝůůďĞƐĞƌǀĞĚŽŶƚŚĞϭƐƚĚĂLJĂƚϭϮŶŽŽŶ͘>ŝǀĞͲŝŶ • ůĂŶŬĞƚƐΘƐŚĞĞƚƐŽƌƐůĞĞƉŝŶŐďĂŐ;ůŝǀĞͲŝŶĂŵƉĞƌƐŽŶůLJͿ ĐĂŵƉĞƌƐǁŝůůƌĞĐĞŝǀĞƚŚƌĞĞŵĞĂůƐƉĞƌĚĂLJĂŌĞƌƚŚĞĮƌƐƚĚĂLJ͘>ŝǀĞʹŽƵƚ ĐĂŵƉĞƌƐĐĂŶƉƵƌĐŚĂƐĞƌĞĂŬĨĂƐƚ͕ůƵŶĐŚŽƌĚŝŶŶĞƌƉĂĐŬĂŐĞ;ƐͿŽƌďƌŝŶŐ • Casual clothes ƚŚĞŝƌŽǁŶŵĞĂůƐ͘ • /ŶĐĂƐĞŽĨŬŶŽǁŶďĞĚͲǁĞƫŶŐ͕ƉůĞĂƐĞƐƵƉƉůLJƉůĂƐƟĐƐŚĞĞƚƐ Travel- DŽƐƚ ĐĂŵƉĞƌƐ ƚƌĂǀĞů ƚŽ ƚŚĞ ĐĂŵƉ ǀŝĂ ƉƌŝǀĂƚĞ ǀĞŚŝĐůĞ͘ ;ůŝǀĞͲŝŶĐĂŵƉĞƌƐŽŶůLJͿ ^ƵƉĞƌĐĂŵƉ ĐĂŶ ĐŽůůĞĐƚ ĂŶĚ ƌĞƚƵƌŶ ĐĂŵƉĞƌƐ ƚŽ dŽŽǁŽŽŵďĂ ƚƌĂǀĞů ƚĞƌŵŝŶĂůƐ ƐŚŽƵůĚ ƉƌŝŽƌ ŶŽƟĮĐĂƟŽŶ ďĞ ŐŝǀĞŶ͘ ^ĞŶĚ ĂƌƌŝǀĂů ĂŶĚ ĚĞƉĂƌƚƵƌĞƟŵĞƐǁŝƚŚůŽĐĂƟŽŶƚŽ^ƵƉĞƌĐĂŵƉŝŶǁƌŝƟŶŐƚŽ͗ƐƵƉĞƌĐĂŵƉ ΛďŝŐƉŽŶĚ͘ĐŽŵŽƌW͘K͘ŽdžϭϴϯdŽŽǁŽŽŵďĂ͕YƵĞĞŶƐůĂŶĚϰϯϱϬ͘ Flying into Brisbane –ŝĨŇLJŝŶŐŝŶƚŽƌŝƐďĂŶĞŝƌƉŽƌƚ͕^ƵƉĞƌĐĂŵƉ ƌĞĐŽŵŵĞŶĚƐŬŝŶŐƚŚĞŝƌƉŽƌƚ&ůLJĞƌ;ƵƐͿĨŽƌƚƌĂŶƐƉŽƌƚƚŽĂŶĚ ĨƌŽŵƚŚĞĐĂŵƉ͘ ŽŶƚĂĐƚ͗ǁǁǁ͘ƚŚĞĂŝƌƉŽƌƞůLJĞƌ͘ĐŽŵ͘ĂƵŽƌϬϳϰϲϯϬϭϰϰ͘ Supercamp Social –ŽŶƚŚĞůĂƐƚĞǀĞŶŝŶŐŽĨ^ƵƉĞƌĐĂŵƉĂƐŽĐŝĂůǁŝůůďĞ ŚĞůĚƚŽĐĞůĞďƌĂƚĞƚŚĞǁĞĞŬŽĨŚĂƌĚǁŽƌŬ͘dŚĞĞǀĞŶŝŶŐǁŝůůĐŽŶƐŝƐƚŽƌ ŵƵƐŝĐĂŶĚĨƵŶƚŽďĞŚĂĚďLJĂůů͘ Campers v Coaches All – Star gameͲƐĞǀĞƌĂůĐĂŵƉĞƌƐǁŝůůĐŽŵƉĞƚĞ ĂŐĂŝŶƐƚƚŚĞĐŽĂĐŚĞƐŝŶƚŚŝƐĨƵŶŐĂŵĞ͕ƚŚĞŐĂŵĞǁŝůůďĞƉůĂLJĞĚŽŶƚŚĞ ůĂƐƚĂŌĞƌŶŽŽŶŽĨ^ƵƉĞƌĐĂŵƉĂŶĚƉĂƌĞŶƚƐĂƌĞŝŶǀŝƚĞĚƚŽĂƩĞŶĚ͘ ^ƵƉĞƌĐĂŵƉ ǁĂƌĚƐ WƌĞƐĞŶƚĂƟŽŶ ʹ ǁŝůů ďĞŐŝŶ Ăƚ ϭƉŵ ŽŶ ƚŚĞ ůĂƐƚ ĚĂLJ ĂŶĚ ƉĂƌĞŶƚƐ ĂƌĞ ŝŶǀŝƚĞĚ ƚŽ ĂƩĞŶĚ͘ dŚĞ ƉƌĞƐĞŶƚĂƟŽŶ ƚĂŬĞƐ ĂƉƉƌŽdžŝŵĂƚĞůLJϵϬŵŝŶƵƚĞƐ͘ Parental Coaching opportunity – sŽůƵŶƚĞĞƌƚŽĐŽĂĐŚĂŶĚLJŽƵƌĐŚŝůĚ ĐĂŶ ĐŽŵĞ ƚŽ ^ƵƉĞƌĐĂŵƉ ĨŽƌ ĨƌĞĞ͘ ^ƵƉĞƌĐĂŵƉ ŝƐ ĂůǁĂLJƐ ƐĞĂƌĐŚŝŶŐ ĨŽƌ ƋƵĂůŝƚLJ ĐŽĂĐŚĞƐ ŽŶůLJ Ă ůŝŵŝƚĞĚ ŶƵŵďĞƌ ŽĨ ƚŚĞƐĞ ĐŽĂĐŚĞƐ ǁŝůů ďĞ ĂĐĐĞƉƚĞĚ͘ zŽƵŵƵƐƚ ƉŽƐƐĞƐƐ Ă ŚŝůĚ WƌŽƚĞĐƟŽŶ ĂƌĚ ͘/Ĩ LJŽƵ ĂƌĞ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ǀŽůƵŶƚĞĞƌ ĐŽĂĐŚŝŶŐ Ăƚ ^ƵƉĞƌĐĂŵƉ ƐĞŶĚ ƌĞƐƵŵĞ ƚŽ͗ ^ƵƉĞƌĐĂŵƉΛďŝŐƉŽŶĚ͘ĐŽŵŽƌW͘K͘ŽdžϭϴϯdŽŽǁŽŽŵďĂ͕YƵĞĞŶƐůĂŶĚ ϰϯϱϬ͘ SUPERCAMP Basketball Registration Form Toowoomba Supercamp - January 11th - 15th, 2015 Harristown High School, Toowoomba Queensland

Accomodation at St. Ursula’s College

Name………………………………………………………………….. Male…………. Female…………… ……………………… Address…………………………………………………………… ……..……………… P/C ……….… …………………………… Age at Camp …… …….. Date of Birth ……….… . Ph ………………………… ……. Mob.……………………………………… Email ………………………………………………………….………………………………………… ………………………………. I will be attending as a: Live-in camper OR Live-out camper

I give permission for photographs/film that may include my child to be taken by Supercamp staff for use in Supercamp promotions. No Yes

T-shirt (tick) 8 10 12 14 sml med lge xl

Preferred playing age group (tick) 6/7/8 9/10 11/12 13/14 15/16 17/18

I will be travelling from the camp via Private Vehicle Bus Train Airline

I would like to be collected and dropped off at terminal No Yes Please provide ARRIVAL & DEPARTURE details to Supercamp in writing……. P lease post me ………………………………. additional forms for my friends.

EARLYBIRD DISCOUNT - Pay in full or deposit by 01/09/2014 (strictly) and receive a $50 discount.

TOOWOOMBA SUPERCAMP REGISTRATION FEES

*5 day Live-out camp ………………………….……….… $195.00 inc. gst…………………….. $ ______(Evening training sessions are NOT COMPULSORY for 10 years and under campers) *Add 4 day live-out Breakfast package (optional)……… $50.00 incl. gst……………………… $ ______*Add 5 day live-out Lunch package (optional) …….….… $50.00 incl. gst……………………… $ ______*Add 4 day live-out Dinner package (optional) …….…... $50.00 incl. gst……………………… $ ______

*5 day Live-in camp (3 meals per day & 24 hr supervision) $475.00 incl. gst …………………… $ ______*Less Early Bird Discount -$50.00 incl. gst… ………………… - $ ______*Include - Registration Deposit of $75.00 or Pay -In –Full ………………………………………… $ ______

I understand my balance owing to be ……………………………………………………..…. $ ______

Please contact SUPERCAMP Headquarters for GROUP BOOKING DISCOUNTS

I am paying by: Mastercard Visa EFT AMOUNT PAYING $

Card #...... Expiry ...... Cardholder’s Name...... Signature...... Please make cheques or money orders payable to Basketball Supercamp and forward to P O Box 183 Toowoomba Queensland Australia 4350 or scan registration form to [email protected] E FT- B SB - 0 64433 A/C # 00415197 A/C name: Basket Supercamp Bank: Commonwealth Bank EFT Reference: Participant’s Name Ph: 07 4637 9244 Mob: 0417 196 151

Email: [email protected] SUPERCAMP MEDICAL FORM

Name:...... Address:...... Age: ...... DOB: ...... Male / Female

Which camp(s) attending?...... Home Ph: ...... Work Ph: ...... Email Address:...... Mothers Name: ...... Fathers Name: ...... Guardian......

Toowoomba Basketball Supercamp Toowoomba Football Supercamp

Medical Details Medicare No: ...... Do you have current ambulance cover? Yes / No (circle) Do you have current private health insurance? Yes / No (circle) Are you on a special diet? Yes / No If yes, please give details ...... Do you have any medical condition(s) or disabilities we need to know about? Yes / No If yes, please give details ......

Emergency Contacts Name:...... Mobile Phone No: ...... Work Phone No: ...... Name of your Doctor: ...... Your Doctor Phone: ......

Release & Waiver of Liability Should a camper leave the camp because of injury or illness no refund will be given. Supercamp reserves the right to cancel the camp at any Ɵme .Should a camp be cancelled all monies will be refunded. While parƟcipaƟng in physical acƟviƟes each parƟcipant are assumed to be voluntarily performing these acƟviƟes for which he/she assumes all risk, consequences and potenƟal liability. Supercamp reserves the right to search rooms and bags and conĮscate any items which do not conform to camp rules. The Supercamp and its staī shall not be held responsible by reason of accident, illness, injury, death and other consequences arising or resulƟng directly for parƟcipaƟng in Supercamp. The Supercamp and its staī shall not be held responsible for any medical cost by reason of accident, illness, injury, death and other consequences arising or resulƟng directly from parƟcipaƟon in Supercamp. Should a camper become ill or injured Supercamp will transport camper to local base hospital or call an ambulance. Lost key will incur a $25.00 penalty. SomeƟmes due to unforeseen circumstances coach(s) promoted to aƩend the Supercamp may be unable to do so; however, Supercamp will always provide a high quality coaching staī Cancellations All cancellaƟons must be made in wriƟng and post marked or e-mailed 30 days prior to the 1st day of the camp. Should you cancel within 30 days of the camp you will incur a 50% cancellaƟon levy, alternately your posiƟon can be held over for the next Supercamp of your choice regardless of locaƟon. ĂŵƉĞƌƐĐĂŶŶŽƚďĞŐƵĂƌĂŶƚĞĞĚĂƚͲƐŚŝƌƚŝĨƚŚĞLJƌĞŐŝƐƚĞƌĂĨƚĞƌƚŚĞϭƐƚĚĞĂĚůŝŶĞŽĨϬϭͬϬϭͬϭϱ͘ I have read and understood the above Release and Waiver of Liability Parent or guardian Signature: ______date / /

Return to: P.O. Box 183 Toowoomba Q. 4350 or [email protected]