FAMILY BASKETBALL CAMP
FAMILY BASKETBALL CAMP ENRICO MASTROIANNI, Men’s Basketball Coach For more information: 570-954-8252 or [email protected]
INFORMATION:
COST:
DATE/TIME: July 28, 2017; 5-10 p.m. & July 29, 2017; 9 a.m.-3 p.m.
COMMUTER PARENT/CHILD: $150 (Cost includes one parent and one child; $40 per additional child/$60 per additional parent) • Three meals (including barbecue dinner on Friday night) • Friday night pool party with certified lifeguard supervision • Camp t-shirt • Three sessions of instruction and competition • Photo and autograph opportunities with coaches and players
LOCATION: Center for Athletics and Wellness Marywood University, 2300 Adams Ave., Scranton, PA 18509 MINIMUM AGE: 5 Participants will receive instruction from the Marywood coaches, along with current players, through detailed skill work and competitions in the stateof-the-art Insalaco Arena at Marywood University. Parent-Child teams will participate with fellow campers of appropriate age groups (based on child’s age/grade level) in competitions that incorporate skills learned throughout the camp. The skill work is designed to give both parent and child useful drills and techniques to take home and continue working on together.
OVERNIGHT PARENT/CHILD: $190 (Cost includes one parent and one child; $40 per additional child/$60 per additional parent) Includes all the items listed above, plus the experience of staying in a residence hall on our beautiful campus.
REGISTRATION & PAYMENT: A limited number of spots are available and are based on a first-come, first-served basis. Online registration recommended as the fastest and most efficient form of registering campers: www.marywood.edu/camps. Please mail check, made payable to Marywood Men’s Basketball, along with the completed registration form, to: Enrico Mastroianni, Head Men’s Basketball Coach, Marywood University, 2300 Adams Ave. Scranton, PA 18509.
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FAMILY BASKETBALL CAMP R E G I S T R A T I O N F O R M PARENT’S NAME(S):________________________________________ CHILD’S NAME(S):__________________________________________ SCHOOL:__________________________________________________________
INSURANCE PROVIDER & POLICY #: _________________________________________________________________ _________________________________________________________________
SCHOOL:__________________________________________________________
EMERGENCY CONTACT & PHONE: _________________________________________________________________
AGE(S): ___________________________________________________________
_________________________________________________________________
ADDRESS:_________________________________________________________
ALLERGIES & OTHER MEDICAL CONDITIONS: _________________________________________________________________
CITY: ___________________ STATE:_______ ZIP:__________________________ SHIRT SIZE(S): _____________POSITION(S):______________________________ E-MAIL:___________________________________________________________
_________________________________________________________________ AMOUNT ENCLOSED:_______________
I understand that I am financially responsible for any and all medical expenses that may be incurred by my child due to any injuries sustained while he/she is a participant of the camp. In case of emergency treatment, I grant permission for my child to be given emergency treatment by appropriate medical personnel. In consideration of the use of the premises and facilities owned or operated by Marywood University and its agents, and/or in consideration of permitting to participate in the activities listed on the registration form, on behalf of myself, my heirs, executors, administrators, successors, or assigns, I hereby release and forever discharge Marywood University, their agents, servants, and its employees of and from any and all manner of actions, causes of actions, suits, damages, claims, and demands on account of personal injury, including death, or any other cause whatsoever, which I may have against them by reason of or arising in this activity and participation. I verify that my child has received a physical examination during the present year and is able to participate in this camp. I also verify that my child is covered under a current health insurance policy.
SIGNATURE OF PARENT OR GUARDIAN (IF UNDER 18)
DATE
INFORMATION:
COST:
DATE/TIME: July 28, 2017; 5-10 p.m. & July 29, 2017; 9 a.m.-3 p.m.
COMMUTER PARENT/CHILD: $150 (Cost includes one parent and one child; $40 per additional child/$60 per additional parent) • Three meals (including barbecue dinner on Friday night) • Friday night pool party with certified lifeguard supervision • Camp t-shirt • Three sessions of instruction and competition • Photo and autograph opportunities with coaches and players
LOCATION: Center for Athletics and Wellness Marywood University, 2300 Adams Ave., Scranton, PA 18509 MINIMUM AGE: 5 Participants will receive instruction from the Marywood coaches, along with current players, through detailed skill work and competitions in the stateof-the-art Insalaco Arena at Marywood University. Parent-Child teams will participate with fellow campers of appropriate age groups (based on child’s age/grade level) in competitions that incorporate skills learned throughout the camp. The skill work is designed to give both parent and child useful drills and techniques to take home and continue working on together.
OVERNIGHT PARENT/CHILD: $190 (Cost includes one parent and one child; $40 per additional child/$60 per additional parent) Includes all the items listed above, plus the experience of staying in a residence hall on our beautiful campus.
REGISTRATION & PAYMENT: A limited number of spots are available and are based on a first-come, first-served basis. Online registration recommended as the fastest and most efficient form of registering campers: www.marywood.edu/camps. Please mail check, made payable to Marywood Men’s Basketball, along with the completed registration form, to: Enrico Mastroianni, Head Men’s Basketball Coach, Marywood University, 2300 Adams Ave. Scranton, PA 18509.
,
FAMILY BASKETBALL CAMP R E G I S T R A T I O N F O R M PARENT’S NAME(S):________________________________________ CHILD’S NAME(S):__________________________________________ SCHOOL:__________________________________________________________
INSURANCE PROVIDER & POLICY #: _________________________________________________________________ _________________________________________________________________
SCHOOL:__________________________________________________________
EMERGENCY CONTACT & PHONE: _________________________________________________________________
AGE(S): ___________________________________________________________
_________________________________________________________________
ADDRESS:_________________________________________________________
ALLERGIES & OTHER MEDICAL CONDITIONS: _________________________________________________________________
CITY: ___________________ STATE:_______ ZIP:__________________________ SHIRT SIZE(S): _____________POSITION(S):______________________________ E-MAIL:___________________________________________________________
_________________________________________________________________ AMOUNT ENCLOSED:_______________
I understand that I am financially responsible for any and all medical expenses that may be incurred by my child due to any injuries sustained while he/she is a participant of the camp. In case of emergency treatment, I grant permission for my child to be given emergency treatment by appropriate medical personnel. In consideration of the use of the premises and facilities owned or operated by Marywood University and its agents, and/or in consideration of permitting to participate in the activities listed on the registration form, on behalf of myself, my heirs, executors, administrators, successors, or assigns, I hereby release and forever discharge Marywood University, their agents, servants, and its employees of and from any and all manner of actions, causes of actions, suits, damages, claims, and demands on account of personal injury, including death, or any other cause whatsoever, which I may have against them by reason of or arising in this activity and participation. I verify that my child has received a physical examination during the present year and is able to participate in this camp. I also verify that my child is covered under a current health insurance policy.
SIGNATURE OF PARENT OR GUARDIAN (IF UNDER 18)
DATE
