REGISTRATION:
Ages– 10-17
Camper Name:
Groups will be divided by age and skill
Address:
Instruction will be based on skill level.
City:
State:
POWER HOUR–
Zip:
Each day will consist of one hour of speed/ agility and strength training
Telephone: Email:
PITCHERS -
DOB:
Age:
Monday– Fastball/Change Ups– Drills to increase fastball speed & accuracy. Multiple change up styles will be reviewed.
School: Grade (Fall 2015): T-Shirt Size: (Adult Sizes)
S
M
L
XL
Please check which applies:
Monday, June 29 Thru Wednesday July 1
Tuesday– Curve and Screwball– Grips and releases will be covered for these pitches. Wednesday– Riseball and Drop-
Girls Day Camp ($150.00)
Grips and techniques for both pitches will be reviewed.
Early Registration ($ 125.00) (must be received by June 1, 2015) * Please ask about Centenary College Employee Discount. ** Please ask about multi-child family discount. ***Discounts may not apply for students in grades 9-12 Personal Checks and Cash will only be accepted at registration for the remaining balance. Enclosed is my check for:
Centenary College Softball Summer Skills Camp
(full payment)
Enclosed is my $100.00 deposit *Non-refundable deposit is $100.00 to attend camp.
Catchers– Blocking/POP/ Throws
Please contact Coach Broking with any questions via email at:
[email protected] Please make checks payable to: Centenary College Detach application and mail with check to: Attn: Kim Broking Head Softball Coach Centenary College 400 Jefferson Street Hackettstown, NJ 07840
Centenary College 400 Jefferson Street Hackettstown, NJ 07840 Kim Broking Office: (908) 852—1400 ext: 2906 Fax: (908) 813—8295
[email protected] @ TANNERY FIELD 715 GRAND AVENUE adjacent to college parking lot 9a-3p RAIN DATE : July 2
Centenary College Softball Summer Skills Camp
Centenary College Softball
The Centenary Softball Skills Camp is designed to combine learning softball skills and having fun. The camp is open to all girls ages 10-17. Each camper will have the chance to interact and learn from Centenary College Coaches and members of the Cyclone Softball team.
Camp Information:
Campers will need:
Camp will run 9:00 am—3:00 pm.
Glove
Bat
Helmet
POOL TIME– the campers will have an hour in our indoor pool from 2-3pm everyday.
Sneakers
Pants/Sliding Pads
Appropriate athletic
In the event of inclement weather July 2nd will be a rain makeup date. Emails will be sent to notify of the change.
apparel (NO JEANS)
LUNCH
Drinks / water bottle
* Catchers should provide their own catching gear.
MEDICAL RELEASE FORM: I herby give permission for ______________ __ to participate in the 2015 Centenary College Softball Summer Skills Camp. I certify that my daughter is in good physical condition, has been examined within the last 12 months and no medical reason has been found that she cannot participate in this camp. Records show that all immunizations are up to date. I understand that she will be participating in rigorous play and activity. Centenary College Personnel have also been informed of any physical limitations, medications or prior conditions. The camp will safeguard the health of my child but will not be responsible for accidents, injuries or sickness on the way to camp, during camp or on the way home. I agree that in the case of an accident involving my child while attending camp, and with full awareness that softball is an activity that may involve risk or injury, I release Centenary College and the staff of the Centenary College Softball Summer Skills Camp from any and all liability. I herby request that my child be granted admittance into the 2014 Centenary College Softball Summer Skills Camp and authorize the directors to act on my behalf in the event of an emergency requiring medical such attention and have provided current insurance information as requested. Camper Name: Parent (s) Name (s):
BATHING SUIT/TOWEL
Monday through Wednesday.
Centenary College Softball
Campers are responsible for bringing their own lunch each day to camp.
Parent (s) Daytime Phone: Emergency Contact:
Relationship:
Snacks and drinks will be available to purchase at the campus store. Appropriate attire is necessary If instructors feel that a campers safety is at risk because of inappropriate clothing they may be required to sit out of situational drills.
Insurance Carrier: Policy #: Previous Medical Conditions ________________________________________________________________ By Signing below, I agree to all the terms detailed above.
Parent/ Guardian Signature:
Date: