cyclones soccer academy
CYCLONES SOCCER ACADEMY
Keith O’Connor - Director Skyline Conference Coach of the Year 2006 Colonial States Athletic Conference Coach of the Year 2013
Centenary College Director of Athletics/Head Men’s Soccer Coach Lead Cyclones to eight conference tournament appearances in his twelve seasons Captured Centenary Men’s Soccer first ever conference championship Earned Centenary Men’s Soccer first ever NCAA Tournament Berth Former Assistant Coach at the University of Delaware Member of the Ridgewood High School Athletic Hall of Fame (Boys Soccer) Holds a USSF “B” license and an Advanced National Diploma from the NSCAA
Josh Spivack - Assistant Director
Has been both a Graduate Assistant and Assistant Coach with the Centenary Men’s Team The former captain of the Cyclones still ranks among the programs leaders in assists Owner of TacTekks Soccer Training Member of the Mt. Olive Premier Soccer Club Has coached with the NJ Dynamo Soccer Club as the head coach for the Boys U-16 and U-18 teams Currently a Head Trainer for Pre-K-Kickers, providing soccer education for 3-6 year olds Holds an NJYSA “E” license and a National Diploma from the NSCAA
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The Cyclones Soccer Academy Day Camp at Centenary College is for the male soccer player who wants to improve both his fundamental knowledge and skills of the game, while having fun. The week will use a positive atmosphere to encourage creativity and expression in the young developing player. A focus on techniques and small-sided games are the backbone of the curriculum. Players will be grouped according to age and ability levels in order to enhance the training environment.
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CAMP PHILOSOPHY
MEDICAL INFORMATION REGISTRATION FORM RELEASE FORM Mother’s Name ___________________________________ Day Phone ____________________Cell________________ Father’s Name Day Phone ____________________Cell________________ If Parents/Guardian cannot be reached, call __________________________ Phone _______________ __________________________ Phone _______________ Family Physician Name ___________________________________ Phone Number __________________________________ Please attach and explain any serious medical conditions and list the names of any medications the camper is presently taking and for what medical conditions. Allergic to Penicillin Aspirin Other ______________ Medical Insurance Co. _____________________________ Policy Number ___________________________________ Are you insured by any other health benefit plan such as an HMO, ETC. (Specify Plan) ________________________________________________ I hereby give permission for to participate in the Centenary College Cyclones Soccer Academy. I certify that my son is in good physical condition, has been examined within the last 12 months and no medical reason has been found that he cannot participate in this camp. Records show that all immunizations are up to date. I understand that he 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 soccer is an activity that may involve risk or injury, I release Centenary College and the staff of the Centenary College Cyclones Soccer Academy from any and all liability. I hereby request that my child be granted admittance into the Centenary College Cyclones Soccer Academy and authorize the directors to act on my behalf in the event of an emergency requiring medical attention. I will assume responsibility for payment for any such attention and have provided current insurance information as requested. By signing below, I agree to all the terms detailed above.
_________________________________________________ Parent/Guardian Signature Date
ALL REQUIRED INFORMATION MUST BE PROVIDED.
APPLICATIONS WITHOUT SIGNATURES WILL NOT BE PROCESSED. THIS BROCHURE MAY BE COPIED FOR ADDITIONAL CAMPERS. Camper Name______________________________________________ Address____________________________________________________ City ________________________ State __________ Zip ___________ Age ________ DOB _____________ Grade (Fall ‘16) _____________ Phone ______________________________________________ E-Mail _____________________________________________________ How did you hear of us? ____________________________________ T-Shirt Sizes (adult) YM
YL
S
DAILY SCHEDULE DAILY SCHEDULE 9:00 am 9:00 am 9:15 am 9:15 am 9:45 am 9:45 am 10:45 am 10:45 am 12:00 pm 12:00 pm 1:00 pm 1:00 pm 2:00 pm 2:00 pm 2:30 pm 2:30 pm 3:00 pm 3:00 pm
Warm Up Warm Up Technical Session Technical Session Main Activity Main Activity Small Sided Games Small Sided Games Lunch Lunch Pool Pool Fun Soccer Competitions Fun Soccer Competitions Full Sided Games Full Sided Games Campers Depart Campers Depart
M
L
CAMP INFORMATION When:
July 5 - 8, 2016
Site:
Reeves Turf Field at Centenary College
Who:
Boys Grades 3-8
Time:
9:00 am - 3:00 pm
Cost:
$175 per camper
Centenary College Men’s Soccer
**Sibling Discount - $10 off each camper ** Full team discount (8 or more) $15 off each camper
What to Bring: Soccer ball, Shin guards, Soccer
Please make checks payable to: Centenary College A non-refundable deposit of $75.00 must be enclosed with the camp registration form. Full payment is due by July 1, 2016. Any registration received after July 1, 2016 will require full payment. Please send check with registration/medical info to: Cyclones Soccer Academy Day Camp Men’s Soccer Office 400 Jefferson Street Hackettstown, NJ 07840
CYCLONES SOCCER ACADEMY 2016 Men’s Soccer Office 400 Jefferson Street Hackettstown, NJ 07840
Shoes (indoor and outdoor), Full Water Bottle, Lunch, Bathing Suit, Towel, Sunscreen/Lotion
cer c o S s e n o l c Cy Academy Day Camp
2016 July 5-8
Keith O’Connor - Director Skyline Conference Coach of the Year 2006 Colonial States Athletic Conference Coach of the Year 2013
Centenary College Director of Athletics/Head Men’s Soccer Coach Lead Cyclones to eight conference tournament appearances in his twelve seasons Captured Centenary Men’s Soccer first ever conference championship Earned Centenary Men’s Soccer first ever NCAA Tournament Berth Former Assistant Coach at the University of Delaware Member of the Ridgewood High School Athletic Hall of Fame (Boys Soccer) Holds a USSF “B” license and an Advanced National Diploma from the NSCAA
Josh Spivack - Assistant Director
Has been both a Graduate Assistant and Assistant Coach with the Centenary Men’s Team The former captain of the Cyclones still ranks among the programs leaders in assists Owner of TacTekks Soccer Training Member of the Mt. Olive Premier Soccer Club Has coached with the NJ Dynamo Soccer Club as the head coach for the Boys U-16 and U-18 teams Currently a Head Trainer for Pre-K-Kickers, providing soccer education for 3-6 year olds Holds an NJYSA “E” license and a National Diploma from the NSCAA
----------------------------------------------------------------------------------------------------------------------------- ---------------------------------------
The Cyclones Soccer Academy Day Camp at Centenary College is for the male soccer player who wants to improve both his fundamental knowledge and skills of the game, while having fun. The week will use a positive atmosphere to encourage creativity and expression in the young developing player. A focus on techniques and small-sided games are the backbone of the curriculum. Players will be grouped according to age and ability levels in order to enhance the training environment.
----------------------------------------------------------------------------------------------------------------------------- ---------------------------------------
CAMP PHILOSOPHY
MEDICAL INFORMATION REGISTRATION FORM RELEASE FORM Mother’s Name ___________________________________ Day Phone ____________________Cell________________ Father’s Name Day Phone ____________________Cell________________ If Parents/Guardian cannot be reached, call __________________________ Phone _______________ __________________________ Phone _______________ Family Physician Name ___________________________________ Phone Number __________________________________ Please attach and explain any serious medical conditions and list the names of any medications the camper is presently taking and for what medical conditions. Allergic to Penicillin Aspirin Other ______________ Medical Insurance Co. _____________________________ Policy Number ___________________________________ Are you insured by any other health benefit plan such as an HMO, ETC. (Specify Plan) ________________________________________________ I hereby give permission for to participate in the Centenary College Cyclones Soccer Academy. I certify that my son is in good physical condition, has been examined within the last 12 months and no medical reason has been found that he cannot participate in this camp. Records show that all immunizations are up to date. I understand that he 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 soccer is an activity that may involve risk or injury, I release Centenary College and the staff of the Centenary College Cyclones Soccer Academy from any and all liability. I hereby request that my child be granted admittance into the Centenary College Cyclones Soccer Academy and authorize the directors to act on my behalf in the event of an emergency requiring medical attention. I will assume responsibility for payment for any such attention and have provided current insurance information as requested. By signing below, I agree to all the terms detailed above.
_________________________________________________ Parent/Guardian Signature Date
ALL REQUIRED INFORMATION MUST BE PROVIDED.
APPLICATIONS WITHOUT SIGNATURES WILL NOT BE PROCESSED. THIS BROCHURE MAY BE COPIED FOR ADDITIONAL CAMPERS. Camper Name______________________________________________ Address____________________________________________________ City ________________________ State __________ Zip ___________ Age ________ DOB _____________ Grade (Fall ‘16) _____________ Phone ______________________________________________ E-Mail _____________________________________________________ How did you hear of us? ____________________________________ T-Shirt Sizes (adult) YM
YL
S
DAILY SCHEDULE DAILY SCHEDULE 9:00 am 9:00 am 9:15 am 9:15 am 9:45 am 9:45 am 10:45 am 10:45 am 12:00 pm 12:00 pm 1:00 pm 1:00 pm 2:00 pm 2:00 pm 2:30 pm 2:30 pm 3:00 pm 3:00 pm
Warm Up Warm Up Technical Session Technical Session Main Activity Main Activity Small Sided Games Small Sided Games Lunch Lunch Pool Pool Fun Soccer Competitions Fun Soccer Competitions Full Sided Games Full Sided Games Campers Depart Campers Depart
M
L
CAMP INFORMATION When:
July 5 - 8, 2016
Site:
Reeves Turf Field at Centenary College
Who:
Boys Grades 3-8
Time:
9:00 am - 3:00 pm
Cost:
$175 per camper
Centenary College Men’s Soccer
**Sibling Discount - $10 off each camper ** Full team discount (8 or more) $15 off each camper
What to Bring: Soccer ball, Shin guards, Soccer
Please make checks payable to: Centenary College A non-refundable deposit of $75.00 must be enclosed with the camp registration form. Full payment is due by July 1, 2016. Any registration received after July 1, 2016 will require full payment. Please send check with registration/medical info to: Cyclones Soccer Academy Day Camp Men’s Soccer Office 400 Jefferson Street Hackettstown, NJ 07840
CYCLONES SOCCER ACADEMY 2016 Men’s Soccer Office 400 Jefferson Street Hackettstown, NJ 07840
Shoes (indoor and outdoor), Full Water Bottle, Lunch, Bathing Suit, Towel, Sunscreen/Lotion
cer c o S s e n o l c Cy Academy Day Camp
2016 July 5-8
