one great week!

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J.S.S.A.

2014 APPLICATION

JULY 21st-24th

www.j s s a . u s

SOUTHERN REGIONAL HIGH SCHOOL SOCCER FIELDS Manahawkin, NJ

o GOAL KEEPER CAMP: o BEGINNER o INTERMEDIATE o ADVANCED

ONE GREAT WEEK!

Parent Employed @ Southern Regional __________ (Please Check)

______________________________

Signature of Parent/Guardian

Please make checks payable to: Southern Regional 90 Cedar Bridge Road,. Manahawkin, NJ 08050 E-Mail: [email protected]



to ability and age

* Camper will be placed according

Method of Payment: oCheck# ________________ ACCEPTED ONLY UNTIL JUNE 28TH ***FEE FOR INSUFFICIENT FUNDS WILL BE $15.00*** ACCEPTED ONLY AFTER JUNE 28TH: o CASH o MONEY ORDER INFORMED CONSENT: Soccer is at times a physical, contact sport. Realizing that such activity involves the potential for injury which is inherent in all sports, I/we acknowledge that even with the best coaching, use of the most advanced protective equipment and strict observance of the rules, injuries are still a possibility. On a rare occasions, these injuries can be so severe as to result in total disability, paralysis, or even death. I/we acknowledge that give permission for my child to participate in Jersey Shore Soccer Academy Soccer Camps. I give permission to Southern Regional to use my child(ren)’s picture or likeness in promotion of Jersey Shore Soccer Academy Camps in printed or electronic media or other forms of advertisement. I renounce any and all claims upon Southern Regional & Jersey Shore Soccer Academy Camps for reimbursement for use of this material.

Emergency Contact: Name________________________________________Home or Cell Phone_________________________

Name _____________________________________Age______Adult T-Shirt(S, M, L, XL Circle one) Grade in Sept.___ E-Mail _______________@ _______________________ Please Call (609) 597-9481 Ext. 4254 if confirmation is requested Street _____________________________________________________State ______ Zip ________________________

o

J.S.S.A.

o FIELD PLAYER CAMP

Web-www.jssa.us/[email protected]

Evan Bronsiak 2009, 2004 Co ach of the Year T h e S tar Ledger & The Courier News!

Jersey Shore Soccer Academy Soccer Camp Attention: Evan Brosniak 90 Cedar Bridge Road Manahawkin, NJ 08050

SUMMER

DIRECTOR OF CAMPS

CAMP HIGHLIGHTS

Evan Brosniak

Dates: July 21st-24th Grades: 3-10 (Rain or Shine) Time: 9:00AM to 12:00PM Location: Southern Regional High School

Manahawkin, NJ Tuition: $95.00 (Call for Group Pricing) (AT SOUTHERN REGIONAL HIGH SCHOOL SOCCER FIELDS)

Evan Brosniak has been coaching top level soccer for over a decade. His love for the game of soccer has truly been shown through the children and adults that he has instructed over the years. Coach Brosniak is currently teaching Physical Education & Health Education at Southern Regional High School. In his second year as Head Coach at Group IV Southern Regional High School, he guided his 2009 team to an 11-9 record, an increase of 10 wins in his first year alone. Coach Brosniak was also named 2009 “Ocean County Coach of the Year” by the Star Ledger. He holds NSCAA Advanced National Diploma, NSCAA State Goalkeeping Diploma, & USSF “E.” Coach Brosniak’s young illustrious high school career has an impressive record of 126-91-16. Other honors include:

CAMP DAY 9:00 AM 9:10 9:30 10:00 10:15 10:45 11:15 PM 12:00

Greet Campers Warm Up & Stretching Skill Development/Instruction I Break Small Sided Games Soccer Instruction II Large Sided Games Pick Up WHAT TO BRING

Water • Soccer Shoes • Sunscreen • Hat •Indoor Shoes/Court Shoes • Ball • Extra socks

P L E A S E

C A L L

MEET THE COACHES

•Red Bull Development Academy Trainer •Javier Valesco-Current North Brunswick Twp. High •2006-2007 Raritan Valley Community School and former NJIT Mens Assistant Coach College Mens Head Soccer Coach •2004 Central State Championship •Les Lunsford-Atlantic Cape Community College •2004 “Coach of the Year.”- The Courier News Head Coach & Former Professional Player. •2004 “Somerset County Coach of the Year.” -The Star Ledger •Chuck Henriques-North Plainfield Boys Head Coach •2001 Mountain Valley Conference Mountain 2010 NJSIAA Group II Boys State Sectional Champion Division Championship •2003 he was inducted into the North Brunswick •Rob Munoz-Southern Regional Assistant Boys Coach High School Athletic Hall of Fame •1993 NJSIAA Boys Soccer State Champion •Joe Humenik-Lacey Head Boys Soccer Coach •Trained and played all across Europe; from 2011 Ocean County of the Year Italy, Austria, and Germany to Belgium, Holland, & Switzerland •Damien Irons-1st Team All Atlantic City Press, 2010 •Collegiately played at Division I Syracuse DeSales University University & Division III Curry College AND MANY MORE...

Coach Brosniak is well known for teaching and developing the proper mechanics of the aspiring young player.

•Camp T-Shirt •2 Games Daily-Small and Large Sided Games •Skill Development Stations Daily Shooting Ball Handling Passing Defense •Contest with Prizes Awarded Juggling Soccer Tennis 1 -vs- 1 Speed Shooting •Speed Training - Footwork •Small Group Training •Positive Environment

A B O U T

GOALKEEPING Goalkeepers- A special goalkeeping program is offered. Keeper training is also integrated with that of field players to provide immediate feedback and reinforcement of skill acquired. O U R

R E F E R R A L

I N C E N T I V E

P R O G R A M