Spring Break Basketball Camp Boys and girls grades 3rd to 8th (as of Sept. 2015) with 2-Time NBA Champion WES MATTHEWS, Sr. @ Derby Veterans Community Center 35 Fifth St. Derby, CT 06418 April 13th – 17th M – F 9am – 12pm April 13th – 17th M – F 1pm – 4pm Come learn, have fun and be coached by the best! Groups: Players grouped by JJV (3rd/4th g), JV (5th/6th g) and Varsity (7th/8th g) Schedule: Lecture; Stations; Team concepts/practice; Games Stations: includes customized skills development drills based on grade with individualized evaluation and instruction on all aspects of the game including leadership, team work, emotional preparation. discipline, work ethic and core conditioning Team concepts: Development of: knowledge, rules, language of the game, high basketball IQ, team offenses and defenses Games: Competitive scrimmages and games using indoor and outdoor courts $195 per player per session (includes camp shirt; discounts for siblings and double session registration) To register please visit: dribbledrivebasketball.net or complete this form Contact: Dennis Kelly 203-926-1365 phone Email: [email protected] Wes Matthews, Sr. Summary 2x NBA champion with the Lakers (1987 and 1988) Drafted 14th overall by the Washington Bullets in the 1980 NBA Draft Played with NBA standouts Michael Jordan, Kareem Abdul-Jabbar and Magic Johnson among others Best Import Award winner for the Ginebra San Miguel of the PBA (1991) Father of current NBA shooting guard Wes Matthews Jr. Bio Wes Matthews Sr. is a retired NBA guard who has played for six different NBA teams and in five professional basketball leagues throughout his career. The highlight of Wes’ career in the NBA came when he helped lead the Los Angeles Lakers to two NBA championship wins in 1987 and 1988. After being selected by the Washington Bullets with the 14th pick of the 1980 NBA Draft, Wes played nine seasons total in the NBA with the Bullets, Atlanta Hawks, Philadelphia 76ers, Chicago Bulls, San Antonio Spurs and the Lakers, scoring 3,654 career points. While with the Lakers, Wes shared the court with Magic Johnson, Byron Scott and Kareem Abdul-Jabbar, Julius Erving, Charles Barkley, George Gervin, Michael Jordan, Moses Malone, Wes Unseld, James Worthy and Elvin Hayes. Wes was coached throughout his career by Hall of Famers Jerry West, GM of the Lakers, Billy Cunningham with the 76ers, Gene Shue in Washington, Hubie Brown in Atlanta, and Pat Riley with the Lakers. The 6’1” guard from Warren Harding High School in Bridgeport, CT, played collegiately at the University of Wisconsin–Madison. Wes retired from the game in 1996 Dribble Drive Basketball Camp Registration Form Player Name: ___________________________________Address:__________________________________________ City:__________________________________________________ State: _________ Zip Code:___________________ Age (During Camp) ____________________ Gender _____________________________________________________ Parent(s)/Guardian(s):______________________________________________________________________________ Home Phone:____________________________________ Work Phone(s): ____________________________________ Cell Phone(s): ___________________________________ Email(s): _________________________________________ Camp location: Derby Veteran's Community Center, 35 Fifth Street, Derby, CT 06148 For 2 sessions or Place "x" in session siblings (discounted rate Registration choices of $175) Time 9am to 12pm Session Dates: th Session 1: 9am to 12pm Mon thru Fri April 13 -17th th th Session 2: 1pm to 4pm Mon thru Fri April 13 – 17 SUB Total: # of Sessions. Place # in box to right → Multiply by $195 or $175 per session fee. → x $195 x $175 Total Camp Price. Place $ in box to right → Full Payment Total: $________________ (sales tax included) Make checks payable to Dribble Drive Basketball, LLC. In the memo section please write: Wes Matthews Basketball Workouts. Mail checks and registration form to: o Dribble Drive Basketball, LLC: o 71 Willoughby Road Shelton, CT 06484 Contact: Dennis Kelly 203-926-1365 Email: [email protected] For on-line registration and payment please visit dribbledrivebasketball.net Parental Consent If a participant has a specific medical condition (i.e. asthma) a letter in writing must be submitted along with this registration form indicating the participant’s special needs. A staff trainer will not be present throughout the workout to treat minor injuries, however, if a serious injury or illness occurs, the participant will be transported to the nearest hospital and the parent(s)/guardian(s) will be immediately notified. I hereby agree that Dribble Drive Basketball, LLC and / or Mr. Wes Matthews are not responsible for any previous injury or recurrences of any injury of my child prior to the first day he/she registers or occurring after the dismissal of players from daily activities. Dribble Drive Basketball, LLC nor Wes Matthews will also not assume responsibility for injuries that occur while the child is participating in workout activities. Players will be supervised by a Dribble Drive Basketball, LLC staff member at all times. I hereby agree to assume full financial responsibility for any personal injury or property damage incurred as a result of a willful or negligent act of my child while he/she is a participant at the Wes Matthews Basketball Camps or on the grounds of the St. Lawrence facility. Parent Signature:______________________________________________________________ Date:_______________________ BASKETBALL CAMP RULES 1. Dribble Drive Basketball Camps are designed to help the participants reach their full potential in life, not just athletics. Therefore, it is expected that the staff and participants will be in accordance with the highest standards possible. 2. The following are prohibited from being in or on the property of the Derby facility: No chewing gum Anything that would be considered a distraction to other participants of the camp. 3. Food and drinks are allowed in designated areas only. 4. No one is allowed to leave the property without permission from his or her parent(s)/guardian(s) and camp staff. 5. Willful violation of any policies or rules could lead to the loss of camp participation, without a refund of the camp fee. 6. Violation of rules will result in a warning, notification of parents and/or the suspension of the camper. 7. The use of the gym and all equipment will be at the risk of the participant. Dribble Drive Basketball, LLC does not assume liability or responsibility for any participant. Dribble Drive Basketball, LLC does not make any expressed or implied warranty of the premises, equipment, machinery, fixtures or furniture. 9. All participants are expected to maintain good sportsmanship and HAVE FUN!!!! Parental Consent for Treatment This form must be completed for any person under the age of 18. The form must be complete and signed by either parent or guardian only. I/we the undersigned, do hereby authorize that Dribble Drive Basketball, LLC staff members and medical center/hospitals are given the authority to render necessary medical services to my/our children which result, directly or indirectly, from his/her participation in programs, events and activities sponsored by Dribble Drive Basketball, LLC. I/we the undersigned also hereby agree to be responsible for such charges made by such medical center/hospital, doctor, etc. in providing such medical services as we are referred to above. Child’s name: __________________________________________________________________________ Age: ____ Gender: ____ Date of Birth: ____________ Address _______________________________ City __________________Zip______________ Grade: ___________ School Attending: _____________________________________________ Your relationship to child: ________________________________________________________ Date of last tetanus booster (lockjaw shot): ___________________________________________ Is your child allergic to any mediation? (i.e. causes itching, rashes, or trouble)? No__ Yes__ (Describe)____________________________________________________ Who is your child’s regular physician? Name:_______________________ Phone: ____________ Emergency Contact (other than immediate family member): Name: ______________________________________Phone:____________________________ Does your child have any chronic illnesses? No _____ Yes (Type)________________________ I/We certify that I/we have hospitalization insurance with: Company ________________________ Policy Number _______________________________ Parent/Guardian Name _________________________________________________________ .