Jennifer Hayden

Please complete and mail form to:
Jennifer Hayden Basketball Camp
1727 W. Alabama
Chickasha, OK 73018
AUTHORIZATION FOR MEDICAL TREATMENT AND
RELEASE OF RIGHTS/CLAIMS FOR ANY DAMAGES
About the
University
Participant Name: ___________________________________
Basketball Camp
Address: _________________________________________
City: _______
Jennifer
Hayden
State: _________ ZIP ________
Parent’s Name: _____________________________________
Home & Work Phone: _______________________________
Contact in “CASE OF EMERGENCY”
__________________________________________________
Home & Work Phone: ________________________________
Hospital Information: ________________________________
Please list pertinent medical information applicable to allergies, nervous disorder, heart trouble, diabetes, epilepsy, etc.
_________________________________________________________
_________________________________________________________
Please list any regular medication that the student is currently taking,
or medication necessary for any condition which he/she might have.
_________________________________________________________
_________________________________________________________
Every effort is made to contact the parent or guardian of the student prior
to any unusual medical treatment.
The undersigned parent or guardian of the participant named herein agree that camp staff
may render first aid in the event of emergency illness or accident or that a licensed M.D. and/
or Emergency Medical Technician shall be authorized to administer medical or surgical treatment deemed necessary for the participant. This authorization ___does/____ does not include
consent to provide him/her with blood and/or blood products. In applying for acceptance, I
waive and release all rights and claims for any damages against the camp and its representatives
and give my child permission to participate in this camp.
____________________________________________________________________________
Parent/Guardian’s Signature
NOTICE: THIS FORM MUST BE PRESENTED PRIOR TO ADMITTANCE TO THE CAMP.
IF ADDITIONAL ROOM IS REQUIRED TO PROVIDE NECESSARY INFORMATION ABOVE,
PLEASE ATTACH THIS FORM GIVING FULL DETAILS AND INSTRUCTIONS.
At the University of Science and Arts of Oklahoma,
we are proud of our student-athletes because we
know that they work hard to be great both on the
court and in the classroom and are often rewarded
with national honors as a result!
Our athletes and programs are top-notch — and
so is our education. USAO is a special kind of
university called a liberal arts school, which means
that every student here learns a little about everything – history, science, math, art, music and other
subjects.
Our students and graduates are really happy to
have learned this way when they get out into the
real world because they are able to look at problems and solutions in a lot of different ways and are
ready for any job that may come their way.
Our beautiful campus is small and students really get personal attention. Join us for our USAO
Basketball Camp and experience life as a Drover
for yourself!
Jordan Williams
USAO Senior
June 15-19
8:30 a.m.-11:30 a.m.: K-4th Grade Girls
8:30 a.m.-3:30 p.m.: 5th-8th Grade Girls
USAO Fieldhouse - Chickasha, Okla.
About the Camp
• Early registration will ensure each camper a place in
this year’s basketball camp.
• The registration fee is $75 for mini camp (morning
only) and $125 for day camp (all day). Day campers
should bring their own sack lunch.
• Each camper should provide the following:
1) T-shirt
2) playing shorts
3) socks
4) basketball shoes
• Campers will receive a camp T-shirt. Awards will
be given to players at each age level in a variety of
categories.
• The 2015 USAO Basketball Camp is directed by Jennifer
Hayden, USAO head women’s basketball coach, and
Leandra Johnson, assistant coach.
• In addition to the coaching staff, campers will receive
instruction and assistance from members of the USAO
basketball team.
• Participants in the morning camp will need to be
picked up by 11:30 a.m. and participants in the afternoon
camp will need to be picked up by 3:30 p.m.
Mini Camp
The Mini Camp is open to any girl in kindergarten
through fourth grade. The daily, three-hour sessions
will focus on the basic understandings of the sport and
strengthening player fundamentals.
Day Camp
Players in grades 5-8 will attend the Day Camp. Campers will receive additional instruction covering team
aspects and advanced skills.
Jennifer Hayden
Head Coach
Coach Jennifer Hayden is approaching her fourth season
with the Drovers and is eager
to show off in the tough Sooner
Athletic Conference.
With three seasons as the head
coach, she has four DaktronicsNAIA Scholar-Athletes and seven players named Academic AllConference athletes. Further,
she’s coached five All-Sooner
Athletic Conference players, including the third member to join USAO’s elite 1,000-Point
Club.
Under Hayden, the Drovers have been to three consecutive Sooner Athletic Conference tournaments.
Hayden came to USAO directly from Sul Ross State University in Alpine, Texas. There, she recruited and coached
the 2011-12 American Southwest Conference West Division Newcomer of the Year and had three NCAA ScholarAthletes.
Prior to joining the Lobo staff, Hayden spent two seasons starting a new program as the head women’s basketball coach at NAIA Division I University of the Southwest.
Leandra Johnson
Assistant Coach
When Leandra Johnson joined
the Drovers in 2011, she jumped
right into coaching and right
into life at USAO, taking on an
assistant coaching role with the
women’s basketball team and
serving as head cross country
coach for both the men’s and
women’s programs for three
seasons.
Johnson came to USAO after
two years as a graduate assistant
at Northwestern Oklahoma State.
Johnson graduated from NWOSU with a bachelor’s in
health and sports science in 2009 and her master’s degree
in 2014.
2015 Camp Registration Form
Name: ________________________ _______________
Address: _____________________________________
City: _______
State: _________ ZIP ______
Parent’s Name: ________________________________
Home & Work Phone: ____________________
Personal Information:
Date of Birth: _____________________ Age: _______
Grade in School Next Year: _______________________
Name of School: _______________________________
Select your T-shirt size: (circle one)
Youth sizes:
S
M
L
S
M
L
Adult sizes:
Type of Camp: (Select one)
8:30 a.m.-11:30 a.m. (K-4th Grade)
8:30 a.m.-3:30 p.m. (5th-8th Grade)
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Total Enclosed: $________________________________
❑ Check (payable to Jennifer Hayden Basketball Camp)
I grant USAO Communications & Marketing the unrestricted right to use photographs and video taken of my
child/me during camp for college publications, websites,
advertising and/or to send to media outlets to promote
the university or the athletics department.
Signed ________________________ Date ___________
(parent or guardian)
Please fill out reverse side for medical release and
waiver information, which must be turned in before
participation in camp activities.
If you have any questions, please contact Coach
Hayden at [email protected] or 405-574-1257.