Day Camp I June 27 - 30 Day Camp II July 11-14 2016
Camp Registration Form
Camp Directors
Name ______________________________________________ Address _____________________________________________ City _________________________ State _____ Zip__________ Telephone (H)_ ________________ (w) ___________________ Age ______ Gender _____ Grade ______ Ht ______ Wt ______
Tim Fusina Head Men’s Basketball Coach 4th Season
Parent(s) Name(s) _____________________________________ Parent Contact Number (c) _____________________________ School Attending in Fall 2016____________________________
Tim Fusina completed his third season as head coach of the Centenary College men's basketball team in 2015-2016.
AAU Team ___________________________________________ T-Shirt Size (Adult Sizes) _______________________________
Please check the camp(s) you will be attending: ____June 27-30 Day Camp I, $200
Fusina's teams at Centenary have set records that the program has never achieved. They have set the program record for wins, highest conference finish and back to back postseason appearances.
____July 11-14 Day Camp II, $200 Parent’s Signature ___________________________
_
Email Address:_______________________________
Deposit: $50.00 *Please make checks payable to: Centenary College Basketball
Deposit is non-refundable * Please return application & other fees to: Centenary College Basketball Camp 400 Jefferson Street Hackettstown, NJ 07840 *FINAL PAYMENT MUST BE CHECK, OR CASH.
Andrea Kendall Head Women’s Basketball Coach 2nd Season
Andrea Kendall completed her first season as head coach of the Centenary College women's basketball team in 2015-2016. Kendall’s team compiled a 14-13 record in her first season and earned a bid into the ECAC Metro/Upstate Regional Tournament. This was the first winning record for the women’s program since the 2011 season.
2016 Basketball Skills Camp Day Camp I June 27 - 30 Day Camp II July 11-14
Coaches and players of the Cyclone Basketball teams along with other experienced high school and college coaches will make up an energetic staff that will be sure to provide instruction that is second to none and an experience that your child will always remember.
2016 BASKETBALL CAMPS DAY CAMP I Monday June 27— Thursday June 30 9am—3pm $200
MEDICAL RELEASE FORM
Camp begins each day at 9am sharp and ends promptly at 3pm—it is important that camp begins on time in order to complete an extensive daily schedule. It is also imperative that campers are picked up in a timely fashion once the camp day ends.
I herby give permission for _______________________to participate in the 2016 Centenary College Basketball Camp. I certify that my son/daughter is in good physical condition, has been examined within the last 12 months and no medical reason has been found that he or she cannot participate in this camp. Records show that all immunizations are up to date. I understand that he or 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.
Campers may arrive at 8:30 am to shoot around
Campers are responsible for bringing their own lunch each day to camp. Lunch will NOT be provided.
Each Camper will receive a T-shirt
There will be a Camp Store where campers can purchase drinks, snacks and apparel throughout the day during breaks.
Throughout the week there will be awards for Camper of the Day and Camper of the week award will be issued on the last day.
There will be fun within a framework of discipline in a positive, encouraging environment for your child to excel. Call: Tim Fusina, Head Basketball Coach at 908-852-1400 ext. 2199 or e-mail at [email protected]
Detach Here
Cyclone Basketball Camp is designed for boys and girls between the ages of 6—15 years old. Camp will be held in the Gymnasium at the Reeves Student Recreation Center on the Centenary College campus.
General Camp Information
I agree that in the case of an accident involving my child while attending camp, and with full awareness that basketball is an activity that may involve risk or injury, I release Centenary College and the staff of Centenary College Basketball Camp from any and all liability. I hereby request that my child be granted admittance into the 2016 Centenary College Basketball Camp 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. Camper Name __________________________Age_____ Parent(s) Name(s) ______________________________ Parent(s) Daytime Phone ________________________ Home Phone ____________________________________
Emergency Contact ______________________________
DAY CAMP II Monday July 11— Thursday July 14 9am – 3pm $200
Relationship __________Contact Phone# ____________ Insurance Carrier_______________________________ Policy #_______________________________________ Previous Medical Conditions _______________________ By Signing below, I agree to all the terms detailed above
*Centenary employees ask about the camp discount.* *Campers should ask about multiple camper discount.*
www.centenarycyclones.com
Parent/Guardian Signature _________________________
Camp Directors
Name ______________________________________________ Address _____________________________________________ City _________________________ State _____ Zip__________ Telephone (H)_ ________________ (w) ___________________ Age ______ Gender _____ Grade ______ Ht ______ Wt ______
Tim Fusina Head Men’s Basketball Coach 4th Season
Parent(s) Name(s) _____________________________________ Parent Contact Number (c) _____________________________ School Attending in Fall 2016____________________________
Tim Fusina completed his third season as head coach of the Centenary College men's basketball team in 2015-2016.
AAU Team ___________________________________________ T-Shirt Size (Adult Sizes) _______________________________
Please check the camp(s) you will be attending: ____June 27-30 Day Camp I, $200
Fusina's teams at Centenary have set records that the program has never achieved. They have set the program record for wins, highest conference finish and back to back postseason appearances.
____July 11-14 Day Camp II, $200 Parent’s Signature ___________________________
_
Email Address:_______________________________
Deposit: $50.00 *Please make checks payable to: Centenary College Basketball
Deposit is non-refundable * Please return application & other fees to: Centenary College Basketball Camp 400 Jefferson Street Hackettstown, NJ 07840 *FINAL PAYMENT MUST BE CHECK, OR CASH.
Andrea Kendall Head Women’s Basketball Coach 2nd Season
Andrea Kendall completed her first season as head coach of the Centenary College women's basketball team in 2015-2016. Kendall’s team compiled a 14-13 record in her first season and earned a bid into the ECAC Metro/Upstate Regional Tournament. This was the first winning record for the women’s program since the 2011 season.
2016 Basketball Skills Camp Day Camp I June 27 - 30 Day Camp II July 11-14
Coaches and players of the Cyclone Basketball teams along with other experienced high school and college coaches will make up an energetic staff that will be sure to provide instruction that is second to none and an experience that your child will always remember.
2016 BASKETBALL CAMPS DAY CAMP I Monday June 27— Thursday June 30 9am—3pm $200
MEDICAL RELEASE FORM
Camp begins each day at 9am sharp and ends promptly at 3pm—it is important that camp begins on time in order to complete an extensive daily schedule. It is also imperative that campers are picked up in a timely fashion once the camp day ends.
I herby give permission for _______________________to participate in the 2016 Centenary College Basketball Camp. I certify that my son/daughter is in good physical condition, has been examined within the last 12 months and no medical reason has been found that he or she cannot participate in this camp. Records show that all immunizations are up to date. I understand that he or 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.
Campers may arrive at 8:30 am to shoot around
Campers are responsible for bringing their own lunch each day to camp. Lunch will NOT be provided.
Each Camper will receive a T-shirt
There will be a Camp Store where campers can purchase drinks, snacks and apparel throughout the day during breaks.
Throughout the week there will be awards for Camper of the Day and Camper of the week award will be issued on the last day.
There will be fun within a framework of discipline in a positive, encouraging environment for your child to excel. Call: Tim Fusina, Head Basketball Coach at 908-852-1400 ext. 2199 or e-mail at [email protected]
Detach Here
Cyclone Basketball Camp is designed for boys and girls between the ages of 6—15 years old. Camp will be held in the Gymnasium at the Reeves Student Recreation Center on the Centenary College campus.
General Camp Information
I agree that in the case of an accident involving my child while attending camp, and with full awareness that basketball is an activity that may involve risk or injury, I release Centenary College and the staff of Centenary College Basketball Camp from any and all liability. I hereby request that my child be granted admittance into the 2016 Centenary College Basketball Camp 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. Camper Name __________________________Age_____ Parent(s) Name(s) ______________________________ Parent(s) Daytime Phone ________________________ Home Phone ____________________________________
Emergency Contact ______________________________
DAY CAMP II Monday July 11— Thursday July 14 9am – 3pm $200
Relationship __________Contact Phone# ____________ Insurance Carrier_______________________________ Policy #_______________________________________ Previous Medical Conditions _______________________ By Signing below, I agree to all the terms detailed above
*Centenary employees ask about the camp discount.* *Campers should ask about multiple camper discount.*
www.centenarycyclones.com
Parent/Guardian Signature _________________________
