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CAMP FEATURES:
Kermit Davis Basketball Camps
P.O. Box 456
Murfreesboro, TN 37132
Murphy Center
2015 KERMIT DAVIS
BASKETBALL CAMPS
2012 NIT & 2013 NCAA Tournament Appearances
2014 C-USA Champions
2015 CIT Appearance
•More than 80 teams from seven different
states last year
•Coaches hospitality social
•Regulation games
• Site of the TSSAA State Championships
•Competitive games for all levels of play
•Tour state-of-the-art Blue Raider locker
room, player lounge and team film room
•Newly renovated dorms and cafeteria
•Buffet-style cafeteria (all-you-can eat)
•T-shirts for all camp participants and staff
•Will schedule to meet your needs
•Certified MT athletic trainer (teams must
provide their own tape and training
equipment)
•Games officiated by certified high school
and college officials
Important Camp Registration information to remember:
1. Complete Team Camp Application
2. Each player needs to turn in an insurance questionnaire/medical release at registration.
3. Team Fee must accompany each application.
4. Camp fees must be paid in full prior to participation.
5. Make checks payable to Kermit Davis Basketball Camp.
TEAM CAMP
High School
Middle School
June 8-11
June 10-11
•Games will run 9 a.m.-9 p.m. Monday games begin at
noon.
•First meal for teams checking in on Monday is dinner.
Teams checking in on Tuesday, Wednesday or Thursday
the first meal is lunch. Last meal is lunch on check-out day
for overnight teams.
•Each boarding team allowed one coach to attend FREE.
Any extra individuals (assistants, managers, etc.) will be
charged one half regular player fee.
•Schools with multiple boarding teams are allowed one
coach per team to attend free.
•Each team must pay the team fee, which covers pay for officials.
•Each team must provide a roster which includes t-shirt
sizes.
•Each player needs a medical insurance form. Copy the
one in this brochure if necessary.
•Each participant should bring their own linens (towels,
pillows, sheets, blankets, etc. )
COMMUTING TEAMS
# Days
# Games
Team Fee Player Fee
1
3 $60$30
2
6 $120$45
3
9 $150$60
4
12$200$70
FEE STRUCTURE
BOARDING TEAMS
#Nights/Days
# Games
1 night/2 days
6
2 nights/3 days
9
3 nights/4 days
12
Team Fee
$140
$190
$220
Player Fee
$125
$155
$185
GoBlueRaiders.com
Zip: ___________ Home Phone: ________________________
r Overnight
r Thursday, June 11
_____________
Number of Teams: V ____JV ____FR ____MS ____
r Wednesday, June 10
Date:
State: ____
Detach this portion and return with team fee to:
Middle Tennessee Men’s Basketball Office
P.O. Box 456
Murfreesboro, TN 37132
Make checks payable to Kermit Davis Basketball Camp
For further information call (615) 898-5228
E-mail: ___________________________
Zip: _________
Top 10 in State
Top 20 in State
Top 50 in State
Team Competition Level (Circle One):
Number of coaches/chaperones: ___________________
Home Phone: _____________________
Number of players attending: ___________________
Cell Phone: _________________
State: ____
School Phone: ____________________________
City: ___________________
Zip: __________
Coach’s Home Address: ______________________________
City: ___________________________
School Address: ___________________________________________________________________________________________
Coach Name: _______________________________________________ School: ______________________________________
Select Registration Type: r Commuter
Select Camp Date: r Monday, June 8 r Tuesday, June 9
TEAM CAMP APPLICATION
Physician or Parent/Guardian Signature: ______________________________________________
I hereby authorize the staff of Kermit Davis Basketball Camp to act according to their best judgement in any emergency situation requiring medical treatment, and I state that the above applicant has been checked and is in sound physical condition to participate in
basketball camp.
State: ____
__________________________________________________________________________________________
City: ___________________________
Address:
_________________
Grade Entering: _______________________
In case of emergency, contact: ______________________________________ Emergency Number:
Camper’s Name: _______________________________________________
NOTES:
Telephone Number: _________________
for middle school, freshmen, JV
and varsity high school teams
Company: ________________________ Policy Number: ________________
For further information please contact Jarrod Lazarus at (615) 7138646, jarrod.lazarus@mtsu.edu or visit us online at GoBlueRaiders.
com.
INSURANCE QUESTIONNAIRE . MEDICAL RELEASE
TEAM CAMPS