Stevens Institute of Technology
Please Circle your 2014 Basketball Camp Session 1
Session 2
Total Cost $_________________________ Amount Enclosed $ ___________________ Make checks or money orders payable to Get Ahead Sports. Mail to: Bobby Hurley Get Ahead Sports 234 Swathmore Drive Nutley, NJ 07110 I certify that _____________________(print applicant name) is in good physical condition and can participate in the Camp Program. Participation in any athletic program includes a risk of injury which may range in severity from minor to long-term catastrophic, even death. Although serious injuries are not common in supervised school athletic programs, it is impossible to eliminate this risk. Get Ahead Sports does not screen applicants of these programs for illness, injuries, allergies or other medical conditions, which would prevent or limit participation in any athletic or outdoor program. It is the responsibility of the parent or guardian to evaluate the applicant’s ability to participate in any Get Ahead Sports Camp/Clinic/Program. I, ____________________(print parent/guardian name), authorize Get Ahead Sports to administer treatment in any emergency situation requiring medical attention. I also understand that such treatment becomes my sole financial responsibility. I hereby waive and release Get Ahead Sports and its Instructors and Employees, from responsibility for any injury or illness occurring while attending the Camp. This includes any transportation and emergency treatment. Signed this ______________ day of____________2014
Parent/Guardian signature_______________________
Get Ahead Sports and all staff, including medical staff, will not administer any medication, either prescription or nonprescription, without notification on this application or a separate note by a parent or guardian.
Coaches:
2014 Boys and Girls Summer Basketball Camp
Director: Bobby Hurley Bobby Hurley joined the men's basketball staff at Stevens Institute of Technology as a full-time assistant coach in August of 2003. On June 24, 2008, Director of Athletics Russell Rogers announced the hiring of Bobby Hurley as the new head men’s basketball coach at Stevens Institute of Technology. A 2001 graduate of Rensselaer Polytechnic Institute, Hurley was a four-year starter for the Red Hawks. Since graduating from Rensselaer, Hurley has worked with Hoop Group, one of the largest basketball instructional organizations in the country. He served as the director of the Pocono Invitational Basketball Camp in East Stroudsburg, Pa. During the summer of 2007 and once again in 2008, Hurley directed the Get Ahead Sports men’s summer basketball league in Hoboken. Director: Waleed Farid Waleed Farid ‘08 was promoted to top men's basketball assistant coach in October of 2012. Farid was a volunteer assistant with the Ducks two seasons ago before being promoted to top assistant. Farid is also one of the most decorated players in Stevens men’s basketball history, guiding the Ducks to the “Sweet 16” of the National Collegiate Athletic Association (NCAA) Tournament in 2007 and the program’s first-ever ECAC Metro title in 2008. He was a part of the first two 20-win campaigns in program history, and graduated from Stevens as the career leader in points, rebounds and steals. He is currently second all-time in points and rebounds, first in steals and near the top in a variety of other categories.
Session 1 June 23-26 Session 2 June 30-July 3
Basketball Camp Application
Dates: Session 1: June 23-26 (Mon – Thurs) Session 2: June 30-July 3 (Mon – Thurs)
Age Requirements: Ages: 8-14 (Must be 8 years old by start of camp)
Cost: $300/child (includes camp basketball)
Registration: Session 1: Monday, June 23, 8:00am – 9:00am Session 2: Monday, June 30, 8:00am – 9:00am
Contact Information: Email: [email protected] [email protected] Office: 201-216-5690
Make Checks Payable to Get Ahead Sports
Typical Day of Camp:
Camper’s Last Name _____________________________
9:00-9:15am
Greeting & Attendance
Address________________________________________
9:15-9:30am
Stretch & Warm-Up
City ____________________________ State__________
9:30-11:30am
Stations(Shooting, Defense, Passing)
Zip _____________
11:30-12:00pm
Competitions/Team Games
Telephone: Daytime _____________________________
11:30-12:00pm
Individual Instruction/Free Time
Evening/Cell___________________________________
12:00-1:00pm
Lunch(Bring Your Own)
Health Insurance Provider_________________________
1:00-1:30pm
Lecture/Movie/Free Time
Plan # ________________________________________
1:30-2:30pm
Basketball Competitions
Local Agent Telephone___________________________
2:30-3:45pm
Team Games
Allergies to Medication___________________________
4:00pm
Dismissal
Camper’s First Name _____________________________
Age _______________ Gender ____________________
Email Address__________________________________
Required Medication _____________________________ Other Medical Problems __________________________
Reminders: Boys and Girls Ages 8-14 Lunch NOT Provided – Must bring your own Sneakers Immunizations must be sent in prior to first day of camp! If your son/daughter is going to walk home we must have a letter from a parent prior to first day of camp.
Immunization information required for Summer Camps: Immunization
Date Received
Diphtheria
_____________
Pertussis
_____________
Tetanus
_____________
Mumps
_____________
Poliomyelitis
_____________
Rubella
_____________
Measles
_____________
Session 2
Total Cost $_________________________ Amount Enclosed $ ___________________ Make checks or money orders payable to Get Ahead Sports. Mail to: Bobby Hurley Get Ahead Sports 234 Swathmore Drive Nutley, NJ 07110 I certify that _____________________(print applicant name) is in good physical condition and can participate in the Camp Program. Participation in any athletic program includes a risk of injury which may range in severity from minor to long-term catastrophic, even death. Although serious injuries are not common in supervised school athletic programs, it is impossible to eliminate this risk. Get Ahead Sports does not screen applicants of these programs for illness, injuries, allergies or other medical conditions, which would prevent or limit participation in any athletic or outdoor program. It is the responsibility of the parent or guardian to evaluate the applicant’s ability to participate in any Get Ahead Sports Camp/Clinic/Program. I, ____________________(print parent/guardian name), authorize Get Ahead Sports to administer treatment in any emergency situation requiring medical attention. I also understand that such treatment becomes my sole financial responsibility. I hereby waive and release Get Ahead Sports and its Instructors and Employees, from responsibility for any injury or illness occurring while attending the Camp. This includes any transportation and emergency treatment. Signed this ______________ day of____________2014
Parent/Guardian signature_______________________
Get Ahead Sports and all staff, including medical staff, will not administer any medication, either prescription or nonprescription, without notification on this application or a separate note by a parent or guardian.
Coaches:
2014 Boys and Girls Summer Basketball Camp
Director: Bobby Hurley Bobby Hurley joined the men's basketball staff at Stevens Institute of Technology as a full-time assistant coach in August of 2003. On June 24, 2008, Director of Athletics Russell Rogers announced the hiring of Bobby Hurley as the new head men’s basketball coach at Stevens Institute of Technology. A 2001 graduate of Rensselaer Polytechnic Institute, Hurley was a four-year starter for the Red Hawks. Since graduating from Rensselaer, Hurley has worked with Hoop Group, one of the largest basketball instructional organizations in the country. He served as the director of the Pocono Invitational Basketball Camp in East Stroudsburg, Pa. During the summer of 2007 and once again in 2008, Hurley directed the Get Ahead Sports men’s summer basketball league in Hoboken. Director: Waleed Farid Waleed Farid ‘08 was promoted to top men's basketball assistant coach in October of 2012. Farid was a volunteer assistant with the Ducks two seasons ago before being promoted to top assistant. Farid is also one of the most decorated players in Stevens men’s basketball history, guiding the Ducks to the “Sweet 16” of the National Collegiate Athletic Association (NCAA) Tournament in 2007 and the program’s first-ever ECAC Metro title in 2008. He was a part of the first two 20-win campaigns in program history, and graduated from Stevens as the career leader in points, rebounds and steals. He is currently second all-time in points and rebounds, first in steals and near the top in a variety of other categories.
Session 1 June 23-26 Session 2 June 30-July 3
Basketball Camp Application
Dates: Session 1: June 23-26 (Mon – Thurs) Session 2: June 30-July 3 (Mon – Thurs)
Age Requirements: Ages: 8-14 (Must be 8 years old by start of camp)
Cost: $300/child (includes camp basketball)
Registration: Session 1: Monday, June 23, 8:00am – 9:00am Session 2: Monday, June 30, 8:00am – 9:00am
Contact Information: Email: [email protected] [email protected] Office: 201-216-5690
Make Checks Payable to Get Ahead Sports
Typical Day of Camp:
Camper’s Last Name _____________________________
9:00-9:15am
Greeting & Attendance
Address________________________________________
9:15-9:30am
Stretch & Warm-Up
City ____________________________ State__________
9:30-11:30am
Stations(Shooting, Defense, Passing)
Zip _____________
11:30-12:00pm
Competitions/Team Games
Telephone: Daytime _____________________________
11:30-12:00pm
Individual Instruction/Free Time
Evening/Cell___________________________________
12:00-1:00pm
Lunch(Bring Your Own)
Health Insurance Provider_________________________
1:00-1:30pm
Lecture/Movie/Free Time
Plan # ________________________________________
1:30-2:30pm
Basketball Competitions
Local Agent Telephone___________________________
2:30-3:45pm
Team Games
Allergies to Medication___________________________
4:00pm
Dismissal
Camper’s First Name _____________________________
Age _______________ Gender ____________________
Email Address__________________________________
Required Medication _____________________________ Other Medical Problems __________________________
Reminders: Boys and Girls Ages 8-14 Lunch NOT Provided – Must bring your own Sneakers Immunizations must be sent in prior to first day of camp! If your son/daughter is going to walk home we must have a letter from a parent prior to first day of camp.
Immunization information required for Summer Camps: Immunization
Date Received
Diphtheria
_____________
Pertussis
_____________
Tetanus
_____________
Mumps
_____________
Poliomyelitis
_____________
Rubella
_____________
Measles
_____________
