basketball camp - Fairfield University

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The Sydney Johnson Basketball Camp

Application Form

The Sydney Johnson

Boys 6 years old (at time of camp) or older who have NOT entered into the 9th grade

BASKETBALL CAMP

(Please print clearly)

NAME

AGE/GRADE entering in Fall

SUMMER 2016 DAY CAMP

Typical Camp Daily Schedule

STREET ADDRESS

CITY



STATE

TELEPHONE



EMERGENCY TELEPHONE #



9 a.m............... Camp begins 9:15 a.m............... Stations



10:15 a.m............... Games

Noon.............. Lunch

E-MAIL



INSURANCE CARRIER

INSURANCE I.D. NUMBER

Check applicable weeks:

o June 27 – July 1.....................................................$340 o July 4 – 8................................................................$340 o August 1 – 5...........................................................$340 • Groups of 5 or more registering together - $310 per person • Early Bird Special: Register before April 1 - $325 per person

T-shirt — Check applicable size (adult sizes): o Large

o Extra Large

please detach to mail !

Tuition (Includes insurance, t-shirt)

o Medium

12:30 p.m............... Lecture

1:30 p.m............... Stations

2:30 p.m............... Games



PARENT’S SIGNATURE

o Small

8:45 a.m............... Drop off

ZIP CODE

3 p.m............... Dismissal/Pick-up (This is a tentative schedule for weekday day camp.) Note: Friday 9 a.m. – Noon *NO SUPERVISION WILL BE PROVIDED PRIOR TO 8:30 A.M. OR AFTER 3 P.M. THIS CAMP IS IN COMPLIANCE WITH THE REGULATIONS OF THE STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH AND IS LICENSED BY THE BOARD OF HEALTH.

Sydney Johnson, Head Men’s Basketball Coach at Fairfield University

BACKGROUND CHECKS AND THREE POSITIVE REFERENCES HAVE BEEN PROVIDED FOR ALL CAMP STAFF.

June 27 – July 1 (Grades 1-8) July 4 – 8 (Grades 3-8) August 1 – 5 (Grades 1-8)

Please make check payable to “The Sydney Johnson Basketball Camp”, sign application, and mail to:

A non-refundable deposit of $100 is required with application. Full balance due no later than 3 days prior to the start of camp. Any balance not paid 3 days prior to the start of camp must be paid in cash on the first day of camp.

Monday – Thursday 9 a.m. – 3 p.m. Friday 9 a.m. – Noon

1073 North Benson Road Fairfield, CT 06824 fairfieldstags.com For more information, please call K. Koncz 203-254-4000, ext. 2791 or e-mail [email protected]

41147_3.16

Men’s Basketball Office Fairfield University Walsh Athletic Center (WAC 224B) 1073 North Benson Road Fairfield, CT 06824-5195

The Sydney Johnson BASKETBALL CAMP at Fairfield University About the Camp

Camp Details

Registration and Facilities

Sydney Johnson

Lunch

Registration

In Sydney Johnson’s fifth year as the Stags head coach Fairfield has seen an offensive output never before seen in the program’s history. During the 2015/16 season the Stags have reached the 100 point mark twice, with both scoring outbursts coming on the road. In both of those games the Stags hit Head Coach, Sydney Johnson a school record 17 three pointers. Fairfield has consistently ranked in the top 50 in the nation in many offensive categories during the 15/16 season (pace of play, points per game, total 3PT field goals made, and assists per game).

Campers can bring their own lunch or soft drinks; pizza and snacks will be sold daily at the canteen.

Submit one application per child and a non-refundable, non-transferable deposit of $100 per week. Final payment and completed Youth Camp Health Exam/Record Form must be received prior to check-in.

Prior to coming to Fairfield, Coach Johnson, led Princeton University to the 2010-11 Ivy League Championship, and an automatic berth to the NCAA tournament. Princeton took the University of Kentucky to the final seconds before dropping a 59-57 decision.

The Camp • Coach Johnson and his staff of professional educators teach basic fundamentals to advanced theory. • The staff-student ratio ranges from 1:8 to 1:10. • Teams are coached by college coaches, high school coaches, and college players. • Each student plays on a team with players of his own age and ability.

What to Bring • T-shirt • Shorts • Socks • Lunch • Basketball sneakers • Sunscreen The camp will not be responsible for any items of value that campers bring to camp (i.e., clothing, jewelry, backpacks, money, etc.).

Medical Information The Youth Camp Health Exam/Record Form must be completed and signed by the camper’s physician, APRN, or PA and returned before the start of camp. Campers must submit a new form each year. Campers with allergies must also have the Authorization for the Administration of Medication form completed and signed.

Registration will be held on the first morning of each session beginning at 8:45 a.m. at Fairfield University’s Alumni Hall. Any balance not paid 3 days prior to the start of camp must be paid on the first day of camp.

Fairfield University Alumni Hall and Recreational Complex The camp is conducted on Fairfield University’s 200-acre campus. All games and activities take place in Alumni Hall and the Leslie C. Quick Jr. Recreation Complex (RecPlex). The facilities are adjacent to each other and located about one quarter mile on the left from the main entrance to campus. • Six full indoor basketball courts • Two full outdoor courts • Completely equipped training facility

• Students play at least half of every game.

• Full-time trainer on premises

• Students work on skills like ball handling, balance, defense, dribbling, rebounding, passing, and shooting.

• Camp supervision and security at all times

• Students are taught conditioning exercises and drills used by college and pro players, as well as challenge and motivation techniques for the off-season.

• Camp counselors include current Fairfield University student-athletes

• One of the fastest growing camps in the area.

Other Features • Stations for individual instruction • Certificates and awards • Individual competition events • Camp t-shirts (one per camper) • Basketball

NO SUPERVISION WILL BE PROVIDED PRIOR TO 8:30 A.M. OR AFTER 3 P.M.