2015 wbb registra tion form - sidearm.sites.s3.amazonaws.com
SFU Summer Sports Camps Stokes Athletics Center 140 Lakeview Drive Loretto, Pa. 15940-0600
2015 WBB REGISTRATION FORM (Please Print)
T-Shirt (Adult Size):
S
M
L
XL
Name____________________________________________________ Height:______________ Age: __________ (Summer 2015) Home Address________________________________________________ City____________________ State__________ Zip________________ Home Phone( )______________________ Parents’ Phone( )______________________ E-mail Address________________________________________________ Grade (September 2015)__________ School________________________________ Roommate Preference_____________________________________ AAU Team ______________ AAU Coach _________________ AAU Coach Phone #_____________ A check for 50% of the cost of the camp should accompany this application. Make check payable to Saint Francis University and send to SFU Summer Camps, Stokes Athletics Center, P.O. Box 600, Loretto, Pa. 15940-0600. Balance due on arrival. Please return this application with check by June 1, 2015. Please Check One: ____ June 26-28 (Overnight) ____ June 26-28 (Commuter) I, ______________ the undersigned, am the parent or legal guardian with the authority to execute this Agreement and Release on behalf of ________________________. My son/daughter has permission to attend and participate in the Saint Francis University ________________. I agree that all participants must have their own health insurance coverage. As a parent or guardian, I also agree that I or my insurance carrier will bear the financial responsibility for any medical treatments administered which might be over the insured level of the camp plan. The camp does not assume responsibility for illness or injuries sustained during camp. I affirm that my child had a physical examination within the last calendar year and is physically fit to participate in all camp activities. In the event of illness or injury requiring medical attention and I cannot be contacted at the phone number(s) listed, I hereby authorize the camp directors to act for me according to their best judgment. I relieve the camp of any responsibility for any illness or any injuries that may occur. The camp is not responsible for lost valuables or money. Now, therefore, in consideration for my son/daughter being allowed to participate in this activity, I agree for myself and my son/daughter to indemnify and hold the supervisor(s) and coordinator(s) of this activity, Saint Francis University, its Board of Trustees, agents, officers, and employees, and student volunteers harmless for any and all direct, indirect, special or consequential damages, or costs, legal and otherwise, which they may incur as a result of my son/daughter’s participation in this activity(ies), even if due to the negligence of Saint Francis University or any person serving in the above-identified capacities even if the claim is brought by my son/ daughter on their own behalf. I have read the above terms of this agreement/release, and I understand and voluntarily agree to the terms and conditions. This agreement/release shall be binding upon the heirs, executors, and assigns of the undersigned. “ Signature of parent or guardian: ___________________________________ Date: _____________________ Medical Conditions: __________________________________________________________________________ Known Allergies: ____________________________________________________________________________ Medications: ________________________________________________________________________________ Health Insurance Co. _________________________________________________________________________ Name: _____________________________________________________ Policy #: __________________________________________
A Tradition of Excellence
Camp Information
Team Roster
The Saint Francis University women’s basketball program has established itself as the most dominant in Northeast Conference history based on FUNDAMENTALS. Three of the top five NEC all-time scorers played at SFU. The Red Flash have played in 16 of the last 22 conference championships, which is second best nationally. Saint Francis has won their conference tournament and appeared in the NCAA Tournament 11 times, including 2010 and 2011. You will experience life in the dorms, eating in the dining hall, interacting with Division I basketball players and coaches, and most importantly, building your own program to compete and win championships.
Camp is designed for varsity, junior varsity, and/or club teams entering grades 8-12 next fall.
This form must accompany individual applications. Coaches- If you are bringing more than one team, complete this team roster for each team.
Camp Facilities
The Saint Francis Red Flash team camp will be held at the Maurice Stokes Athletics Center. The 3,500-seat DeGol Arena houses three courts, with two more available in the Stokes Auxiliary Gym. Campers will be lodged in one of SFU’s newly renovated dorms and also have the chance to enjoy swimming in the Stokes Natatorium.
Full Court Games: 5-6 games guaranteed, two 20 minute running halves Coach’s room and board included (OVERNIGHT ONLY) Half court practice sessions available Coaching Round Table: One night where all coaches meet, have appetizers, and talk hoops 4 Camp Counselors will supervise your team in the morning and at night, and officiate some of the games 4 PIAA certified referees for most games 4 All campers and coaches will receive a t-shirt 4 4 4 4
4 We will make every effort to accommodate scheduling/competition requests 4 For more information contact: Assistant Coach Kayla Oxenrider at 570-590-4252 or email [email protected] 4 You can also contact: Director of Operations Sarah Pastorek (814-471-1181) or [email protected]
Friday, June 26, 2015 2:30-3:30 p.m. Check-in 3:30 p.m. Camp meeting in Stokes Athletic Center 4-8 p.m. Games 4-6 p.m. Dinner 8-9 p.m. Instructional Session
Options (five or six games) Overnight
$150 per team, plus $125 per camper
Commuter
$250 per team
One Day Option
$150 per team
Includes Room, Board, T-Shirt, 1 Coach Room/Board No meals included
No meals included
Check-in & Pick-up Camp check-in will be at approximately 2:30-3:30 p.m. on Friday, June 26th. We will begin camp at approximately 3:30 p.m. on June 26th. Campers must be picked up on Sunday, June 28th after the final game.
Last Name First Name M.I. Home address City State ZIP Coach’s e-mail School/club name Coach’s phone
Team Roster 1. Name ______________________________________________________ 2. Name ______________________________________________________
Sample Itinerary
Camp Options & Fees
Coach
S aturday, June 27, 2015 7:30-8:30 a.m. Breakfast 9 a.m.-9 p.m. Games 11 a.m.-1 p.m. Lunch 4-6 p.m. Dinner 9 p.m. Coaches Roundtable Sunday, June 28, 2015 7:30-8:30 a.m. Breakfast 9 a.m.-4 p.m. Games 11 a.m.-1 p.m. Lunch 4 p.m. Camp Ends *Schedule is tentative and subject to change
3. Name ______________________________________________________ 4. Name ______________________________________________________ 5. Name ______________________________________________________ 6. Name ______________________________________________________ 7. Name ______________________________________________________ 8. Name ______________________________________________________ 9. Name ______________________________________________________ 10. Name _____________________________________________________
Your Team’s Level of Play Freshmen ___
Junior Varsity___
Varsity___
Other___
Registration Instructions Coaches must collect all completed applications and mail them, along with team/roommate preferences, as one package. Please make sure that the parents or guardians have signed all necessary areas on the registration forms. Head coaches of overnight teams will receive a room and meals.
2015 WBB REGISTRATION FORM (Please Print)
T-Shirt (Adult Size):
S
M
L
XL
Name____________________________________________________ Height:______________ Age: __________ (Summer 2015) Home Address________________________________________________ City____________________ State__________ Zip________________ Home Phone( )______________________ Parents’ Phone( )______________________ E-mail Address________________________________________________ Grade (September 2015)__________ School________________________________ Roommate Preference_____________________________________ AAU Team ______________ AAU Coach _________________ AAU Coach Phone #_____________ A check for 50% of the cost of the camp should accompany this application. Make check payable to Saint Francis University and send to SFU Summer Camps, Stokes Athletics Center, P.O. Box 600, Loretto, Pa. 15940-0600. Balance due on arrival. Please return this application with check by June 1, 2015. Please Check One: ____ June 26-28 (Overnight) ____ June 26-28 (Commuter) I, ______________ the undersigned, am the parent or legal guardian with the authority to execute this Agreement and Release on behalf of ________________________. My son/daughter has permission to attend and participate in the Saint Francis University ________________. I agree that all participants must have their own health insurance coverage. As a parent or guardian, I also agree that I or my insurance carrier will bear the financial responsibility for any medical treatments administered which might be over the insured level of the camp plan. The camp does not assume responsibility for illness or injuries sustained during camp. I affirm that my child had a physical examination within the last calendar year and is physically fit to participate in all camp activities. In the event of illness or injury requiring medical attention and I cannot be contacted at the phone number(s) listed, I hereby authorize the camp directors to act for me according to their best judgment. I relieve the camp of any responsibility for any illness or any injuries that may occur. The camp is not responsible for lost valuables or money. Now, therefore, in consideration for my son/daughter being allowed to participate in this activity, I agree for myself and my son/daughter to indemnify and hold the supervisor(s) and coordinator(s) of this activity, Saint Francis University, its Board of Trustees, agents, officers, and employees, and student volunteers harmless for any and all direct, indirect, special or consequential damages, or costs, legal and otherwise, which they may incur as a result of my son/daughter’s participation in this activity(ies), even if due to the negligence of Saint Francis University or any person serving in the above-identified capacities even if the claim is brought by my son/ daughter on their own behalf. I have read the above terms of this agreement/release, and I understand and voluntarily agree to the terms and conditions. This agreement/release shall be binding upon the heirs, executors, and assigns of the undersigned. “ Signature of parent or guardian: ___________________________________ Date: _____________________ Medical Conditions: __________________________________________________________________________ Known Allergies: ____________________________________________________________________________ Medications: ________________________________________________________________________________ Health Insurance Co. _________________________________________________________________________ Name: _____________________________________________________ Policy #: __________________________________________
A Tradition of Excellence
Camp Information
Team Roster
The Saint Francis University women’s basketball program has established itself as the most dominant in Northeast Conference history based on FUNDAMENTALS. Three of the top five NEC all-time scorers played at SFU. The Red Flash have played in 16 of the last 22 conference championships, which is second best nationally. Saint Francis has won their conference tournament and appeared in the NCAA Tournament 11 times, including 2010 and 2011. You will experience life in the dorms, eating in the dining hall, interacting with Division I basketball players and coaches, and most importantly, building your own program to compete and win championships.
Camp is designed for varsity, junior varsity, and/or club teams entering grades 8-12 next fall.
This form must accompany individual applications. Coaches- If you are bringing more than one team, complete this team roster for each team.
Camp Facilities
The Saint Francis Red Flash team camp will be held at the Maurice Stokes Athletics Center. The 3,500-seat DeGol Arena houses three courts, with two more available in the Stokes Auxiliary Gym. Campers will be lodged in one of SFU’s newly renovated dorms and also have the chance to enjoy swimming in the Stokes Natatorium.
Full Court Games: 5-6 games guaranteed, two 20 minute running halves Coach’s room and board included (OVERNIGHT ONLY) Half court practice sessions available Coaching Round Table: One night where all coaches meet, have appetizers, and talk hoops 4 Camp Counselors will supervise your team in the morning and at night, and officiate some of the games 4 PIAA certified referees for most games 4 All campers and coaches will receive a t-shirt 4 4 4 4
4 We will make every effort to accommodate scheduling/competition requests 4 For more information contact: Assistant Coach Kayla Oxenrider at 570-590-4252 or email [email protected] 4 You can also contact: Director of Operations Sarah Pastorek (814-471-1181) or [email protected]
Friday, June 26, 2015 2:30-3:30 p.m. Check-in 3:30 p.m. Camp meeting in Stokes Athletic Center 4-8 p.m. Games 4-6 p.m. Dinner 8-9 p.m. Instructional Session
Options (five or six games) Overnight
$150 per team, plus $125 per camper
Commuter
$250 per team
One Day Option
$150 per team
Includes Room, Board, T-Shirt, 1 Coach Room/Board No meals included
No meals included
Check-in & Pick-up Camp check-in will be at approximately 2:30-3:30 p.m. on Friday, June 26th. We will begin camp at approximately 3:30 p.m. on June 26th. Campers must be picked up on Sunday, June 28th after the final game.
Last Name First Name M.I. Home address City State ZIP Coach’s e-mail School/club name Coach’s phone
Team Roster 1. Name ______________________________________________________ 2. Name ______________________________________________________
Sample Itinerary
Camp Options & Fees
Coach
S aturday, June 27, 2015 7:30-8:30 a.m. Breakfast 9 a.m.-9 p.m. Games 11 a.m.-1 p.m. Lunch 4-6 p.m. Dinner 9 p.m. Coaches Roundtable Sunday, June 28, 2015 7:30-8:30 a.m. Breakfast 9 a.m.-4 p.m. Games 11 a.m.-1 p.m. Lunch 4 p.m. Camp Ends *Schedule is tentative and subject to change
3. Name ______________________________________________________ 4. Name ______________________________________________________ 5. Name ______________________________________________________ 6. Name ______________________________________________________ 7. Name ______________________________________________________ 8. Name ______________________________________________________ 9. Name ______________________________________________________ 10. Name _____________________________________________________
Your Team’s Level of Play Freshmen ___
Junior Varsity___
Varsity___
Other___
Registration Instructions Coaches must collect all completed applications and mail them, along with team/roommate preferences, as one package. Please make sure that the parents or guardians have signed all necessary areas on the registration forms. Head coaches of overnight teams will receive a room and meals.
