A Typical Day at Supercamp

Lights out

3 SESSIONS PER DAY7:00 - 8:00am

Breakfast for Live-in campers

Morning Session9:00 - 11:30am

Skills training - passing,shootIng, ball handling,

rebounding etc...

12:00 noonLunch - Freetime

Afternoon Session1:30 - 4:30pm

Competition Games1-on-1, 2-on-2, 5-on-5

4:30 - 5:00pmSwimming

5:30 - 6:15pmDinner

Evening Session(NOT COMPULSORY FOR

9 YEARS AND UNDER PLAYERS)

6:30 - 7:30pmCompetition Games

10:00pm

DON’T MISS THE EARLY BIRD DISCOUNT!

Toowoomba Supercamp - January 12th to 16th, 2020Salo Centre, St. Ursula’s College

For Boys and Girls, Ages 6 - 18 years, ALL SKILLS LEVELSAccommodation at St. Ursula’s College

SINCE 1988

Thalo GreenPlayed for the Melbourne Tigers (NBL)Played for University of WashingtonPlayed for Sydney Kings (NBL)Top Junior Coach

Andre MoorePlayed for the Denver Nuggets (NBA)Played for Brisbane Bullets (NBL)Played for Cairns Tiapans (NBL)Top Junior Coach

BASKETBALL CAMP COACHES:Clarence ‘POP’DickersonFormer Head Coach Toowoomba Mountaineers (QBL)Former Head Coach Gold Coast Warriors (ABA)ABA Nth Conference All-Time Leading Scorer - 10 seasons, 30pts/per game Former NBA Draftee Washington Wizards SUPERCAMP DIRECTOR

SOUTHWEST QUEENSLANDSPORT & REC. ASSOC.

Current Toowoomba MountaineersPlayer - Queensland Basketball League

Despena Dickerson

Marty NolenPlayer- Queensland Basketball LeagueFormer Toowoomba Mountaineer QBL - current Logan Thunder Player SBL

Brian Kerle2 time NBL Coach of the YearWon 4 NBL Championships as Head coachFormer Head Coach Brisbane Bullets (NBL)Former Head Coach St Kilda (NBL)Former Australian Asst. Coach Men’s Olympic teamCurrent director of BasketballTek Academy

Syd HumeToowoomba Mountaineers QBL 2018

Top Junior coachToowoomba U/21 Coach

SUPERCAMP AUSTRALIA @SUPERCAMP4

Go to supercamp.com.au for registration or phone 0417 196 151

- Great Fun! Great Sprit!

Shorts,Singlets,T-shirts

the Salo Centre , Rome Street

2020

SUPERCAMP Basketball Registration Form

Mob: 0417 196 151 Email: supercamp@bigpond.com

Name………………………………………………………………….. Male…………. Female……………………………………

Address…………………………………………………………………..………………......................................P/C …………......

Age at Camp ………….. Date of Birth ……….…. Ph ………………………………. Mob.………………………………………

Email ………………………………………………………….………………………………………………………………………….

TOOWOOMBA SUPERCAMP REGISTRATION FEES

Salo Centre, St. Ursula’s College, Toowoomba QueenslandToowoomba Supercamp - January 12th to 16th, 2020

Accomodation at St. Ursula’s College

Please post me ........................ additional forms for my friends

I will be attending as a : Live-In Camper OR Live-Out Camper

Preferred Playing Age: 6/7/8yrs 9/10yrs 11/12yrs 13/14yrs 15/16yrs 17/18yrs

T-Shirt Size: 8 10 12 14 sm med lge xlge

I will be travelling to the camp by: Private Vehicle Bus Airline TrainI would like to be collected and dropped off at terminal: Yes NoPlease provide arrival and departure details to Supercamp in writing or in Special Request section.

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

I will be attending as a : Live-In Camper OR Live-Out Camper

6/7/8yrs 9/10yrs 11/12yrs 13/14yrs 15/16yrs 17/18yrs 6/7/8yrs 9/10yrs 11/12yrs 13/14yrs 15/16yrs 17/18yrs 6/7/8yrs 9/10yrs 11/12yrs 13/14yrs 15/16yrs 17/18yrs 6/7/8yrs 9/10yrs 11/12yrs 13/14yrs 15/16yrs 17/18yrs 6/7/8yrs 9/10yrs 11/12yrs 13/14yrs 15/16yrs 17/18yrs 6/7/8yrs 9/10yrs 11/12yrs 13/14yrs 15/16yrs 17/18yrs

8 10 12 14 sm med lge xlge 8 10 12 14 sm med lge xlge 8 10 12 14 sm med lge xlge 8 10 12 14 sm med lge xlge 8 10 12 14 sm med lge xlge 8 10 12 14 sm med lge xlge 8 10 12 14 sm med lge xlge 8 10 12 14 sm med lge xlge

: Private Vehicle Bus Airline Train: Private Vehicle Bus Airline Train: Private Vehicle Bus Airline Train: Private Vehicle Bus Airline Train Yes No Yes No

promotions: Yes Nopromotions: Yes No

Special Request:......................................................................................................................................................................................................................................................................................................................................................................................

5 DAY LIVE-OUT CAMP(Evening training sessions are NOT COMPULSORY for 10 years and under campers)

+ 4 DAY LIVE-OUT BREAKFAST PACKAGE (optional)

+ 5 DAY LIVE-OUT LUNCH PACKAGE (optional)

+ 4 DAY LIVE-OUT DINNER PACKAGE (optional)

5 DAY LIVE-IN CAMP (Includes 3 meals per day & 24 hr supervision)

5 DAY PARENTAL LIVE-IN CAMP(Includes all meals and accomodation. Parents housed separtely from campers)

+ EXTRA NIGHT/S ACCOMMODATION(Before and/or after camp. Does not include meals)

$195

$50$50$50

$495$495

$50/NIGHT

$

$$$$$

$

Please make cheques or money orders payable to Basketball Supercamp and forward toPO Box 183 Toowoomba, Queensland, Australia 4350 or email registration form to supercamp@bigpond.com

PLEASE CONTACT SUPERCAMP HEADQUARTERS FOR GROUP BOOKING DISCOUNTS

I am paying by: Mastercard Visa EFT AMOUNT PAYING $

CARD # - - - EXPIRY: /CARDHOLDER’S NAME : SIGNATURE:

EFT BSB: 064-433 A/C #: 00415197 A/C name: Basket Supercamp Bank: Commonwealth EFT REFERENCE: Participant’s Name

SUPERCAMP MEDICAL FORM Name:............................................................................................................................. ............................................Address:............................................................................................................................ ..........................................Age: ................... DOB: ................................. Male / Female

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

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: ......................................................

All cancella ons must be made in wri ng 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% cancella on levy, alternately your posi on can be held over for the

next Supercamp of your choice regardless of loca on.

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 supercamp@bigpond.com

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 me .Should a camp be cancelled all monies will be refunded. While par cipa ng in physical ac vi es

each par cipant are assumed to be voluntarily performing these ac vi es for which he/she assumes all risk, consequences and poten al liability. Supercamp reserves the right to search rooms and bags and con scate any items which do not conform to camp rules. The Supercamp and its sta shall not be held responsible by reason of accident, illness, injury,

death and other consequences arising or resul ng directly for par cipa ng in Supercamp. The Supercamp and its sta shall not be held responsible for any medical cost by reason of accident, illness, injury, death

and other consequences arising or resul ng directly from par cipa on 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. Some mes due to unforeseen circumstances coach(s) promoted to a end the Supercamp may be unable to do so; however, Supercamp will always provide a high quality coaching sta

Release & Waiver of Liability

Cancellations

Toowoomba Basketball Supercamp Toowoomba Basketball Supercamp

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