Day Camp 1 Day Camp 2 Day Camp 1 Day Camp 2
MEDICAL RELEASE FORM I hereby give permission for ________________ to participate in the 2018 Centenary University Girl's Basketball 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 tha t she will be participating in rigourous play and activitiy. Centenary University personnel have been informed of any physical limitations, medications ,and/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 the full awareness that sports involve injury and risk. I release Centenary University and the Staff of the Basketball camp from any and all liability. I authorize the directors to act on my behalf in the event of an emergency requiring medical attention. I will assume all responsibility fo r any such attention and have provided current insurance information as requested Camper Name____________________________ Grade Entering in Fall _____________ Parent(s) Name(s) __________________________ Parent Phone # ___________________________ Emergency Contact _______________________ Relationship: Ƙ ____________________________ Insurance Carrier ___________________________ Policy # _________________________________
GENERAL CAMP INFORMATION
CENTENARY UNIVERSITY
Camp begins each day at 9:00 am and ends promptly at 3:00 * Campers may arrive at 8:30 am * Campers are responsible for bringing their own lunch each day to camp. * Each camper will receive a t-shirt * There will be a camp store where campers can purchase drinks, snacks and apparel. Parents are welcome to put money in their child's account in the beginning of the week. Leftover money will be refunded at the close of camp * There will be a demonstration of learning followed by an awards ceremony on Thursday at 2:00. Parents and relatives are encouraged to attend.
QUESTIONS? Call: Rose Haller Head Women's Basketball Coach 908-852-1400 X2194 [email protected] Follow us on Facebook @cuwomensbball Follow us on Twitter @ CyclonesWBB
List Medical Conditions
Allergies ____________________________ By signing below, I agree to all terms Parent Signature ____________________________
2018 Girls Basketball Camps
Day Camp 1 July 16-19
Day Camp 2 August 6-10
CAMP REGISTRATION FORM
CAMP DIRECTOR
Name ______________________ Address _____________________ City _______________________ State _____________ Zip______ Parent(s) Name________________ Parent Phone______________ Grade Entering in Fall____________ T-shirt Size (Adult) S M
The Cyclone Basketball Camp is designed for girl grades 3 to 9. Camp will be held in the Gymnasium at the Reeves Student Recreation Center on the Centenary University Campus Coaches and players of the Cyclone Basketball team will work to teach the fundamentals of the game. The camp week will consist of daily drills and skills, games, ,and individual and team competitions. The campers especially look forward to competing against the staff in our lunch time crazy kickball games. The week is culminated with a team survivor competitio Parents are invited to attend a demonstration of learning followed by the camp awards ceremony on the final day of camp
2018 BASKETBALL CAMPS DAY CAMP 1 Monday July 16-Thursday July 19 9am-3pm $200 DAY CAMP 2 Monday Augsut 6-Thursday Aug 10 9a-3pm $200 *Centenary Employees and multiple sibblings ask about camp discount
A veteran coach, Haller was named the head coach of Centenary University Women's Basketball at the start of the 2016 season. During the 17-18 season, Haller guided the Cyclones to their second straight appearance in the CSAC playoffs. During her first season, Haller led the Cyclones to a 20-7 mark and was named Centenary University Coach of the Year Haller was the Head Coach of East Stroudsburg University for seven seasons She led the warriors to three straight PSAC East championships. Haller and the Warriors won the PSAC tournament in 1994. Haller was a two time PSAC Coach of the year and the Division II, District II College Coach of the year in 1994. In addition to her college experience, Haller has over 16 years of High school coaching experience winning multiple championships Haller was a point guard during her collegiate playing career at East Stroudsburg University. She scored 1050 career points and dished out 365 career assists. She holds single season records for both points and assists. Her team won the PSAC East Championship in 1985. Haller was named the team MVP and Female Athlete of the year in 1985 Haller has been inducted into the Lebanon Catholic, Lebanon County and East Stroudburg University Hall of Fame and was recently awardde, "The spirit of Basketball Award by the Perryman/Keglovits Foundation.
L XL
Please Check Camp(s) you will Attend __________ July 16-19 _________ Aug 6-9 Parent Signature _______________ Email Address _________________ Deposit $50.00 *Please make checks payable to: Centenary University Women's Basketball Deposit is non-refundable
Please return application and other fees to: Rose Haller Women's Basketball 400 Jefferson Street Hackettsown NJ 07840 Final Payment must be cash or check
GENERAL CAMP INFORMATION
CENTENARY UNIVERSITY
Camp begins each day at 9:00 am and ends promptly at 3:00 * Campers may arrive at 8:30 am * Campers are responsible for bringing their own lunch each day to camp. * Each camper will receive a t-shirt * There will be a camp store where campers can purchase drinks, snacks and apparel. Parents are welcome to put money in their child's account in the beginning of the week. Leftover money will be refunded at the close of camp * There will be a demonstration of learning followed by an awards ceremony on Thursday at 2:00. Parents and relatives are encouraged to attend.
QUESTIONS? Call: Rose Haller Head Women's Basketball Coach 908-852-1400 X2194 [email protected] Follow us on Facebook @cuwomensbball Follow us on Twitter @ CyclonesWBB
List Medical Conditions
Allergies ____________________________ By signing below, I agree to all terms Parent Signature ____________________________
2018 Girls Basketball Camps
Day Camp 1 July 16-19
Day Camp 2 August 6-10
CAMP REGISTRATION FORM
CAMP DIRECTOR
Name ______________________ Address _____________________ City _______________________ State _____________ Zip______ Parent(s) Name________________ Parent Phone______________ Grade Entering in Fall____________ T-shirt Size (Adult) S M
The Cyclone Basketball Camp is designed for girl grades 3 to 9. Camp will be held in the Gymnasium at the Reeves Student Recreation Center on the Centenary University Campus Coaches and players of the Cyclone Basketball team will work to teach the fundamentals of the game. The camp week will consist of daily drills and skills, games, ,and individual and team competitions. The campers especially look forward to competing against the staff in our lunch time crazy kickball games. The week is culminated with a team survivor competitio Parents are invited to attend a demonstration of learning followed by the camp awards ceremony on the final day of camp
2018 BASKETBALL CAMPS DAY CAMP 1 Monday July 16-Thursday July 19 9am-3pm $200 DAY CAMP 2 Monday Augsut 6-Thursday Aug 10 9a-3pm $200 *Centenary Employees and multiple sibblings ask about camp discount
A veteran coach, Haller was named the head coach of Centenary University Women's Basketball at the start of the 2016 season. During the 17-18 season, Haller guided the Cyclones to their second straight appearance in the CSAC playoffs. During her first season, Haller led the Cyclones to a 20-7 mark and was named Centenary University Coach of the Year Haller was the Head Coach of East Stroudsburg University for seven seasons She led the warriors to three straight PSAC East championships. Haller and the Warriors won the PSAC tournament in 1994. Haller was a two time PSAC Coach of the year and the Division II, District II College Coach of the year in 1994. In addition to her college experience, Haller has over 16 years of High school coaching experience winning multiple championships Haller was a point guard during her collegiate playing career at East Stroudsburg University. She scored 1050 career points and dished out 365 career assists. She holds single season records for both points and assists. Her team won the PSAC East Championship in 1985. Haller was named the team MVP and Female Athlete of the year in 1985 Haller has been inducted into the Lebanon Catholic, Lebanon County and East Stroudburg University Hall of Fame and was recently awardde, "The spirit of Basketball Award by the Perryman/Keglovits Foundation.
L XL
Please Check Camp(s) you will Attend __________ July 16-19 _________ Aug 6-9 Parent Signature _______________ Email Address _________________ Deposit $50.00 *Please make checks payable to: Centenary University Women's Basketball Deposit is non-refundable
Please return application and other fees to: Rose Haller Women's Basketball 400 Jefferson Street Hackettsown NJ 07840 Final Payment must be cash or check
