Name _________________________________ Address _________________________________ City ________________________ State _____ Zip_________ Age _____ Height _______ Weight ______ DOB _____________________ Home Phone:_________________________ Parent/Guardian Phone ___________________ Parent Name(s) ____________________________ School__________________________________ Grade (Fall 2012) ______ Coach ______________________ T-Shirt Size (circle): S
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*** LUNCH IS INCLUDED. PLEASE PROVIDE YOUR CHILD W/ CANTEEN MONEY, AS SNACKS, DRINKS, AND CANDY WILL BE FOR SALE Please check all that apply: Week 1 - June 25—29 — $200 Week 2 - July 30—August 3 — $200
Centenary College named Justin Phoenix it’s head women’s basketball coach on September 1, 2011. Phoenix comes to Centenary after spending three seasons at Kean University, where he was an assistant for the women’s basketball team. During his tenure at KU, the team went 75-15 with one New Jersey Athletic Conference (NJAC) Championship, three NCAA Tournament appearances and two Sweet Sixteen runs. He helped develop three AllAmericans, two NJAC Players of the Year, one NJAC Defensive Player of the Year and one player playing Professional Basketball in Puerto Rico.
Both Camps — $350 Early Registration: (Deadline - April 24th) — $180 Group Discount: (8 or more: Deadline - April 30th) $175
Phone:: 908-852-1400 ext. 2194 E-mail: phoenixj@centenarycollege.edu
Only ONE discount can be applied to a camper or group of campers. (*Discounts may not apply for students entering grades 9-12)
2012 Girls Basketball Day Camp Entering Grades 4-12
Personal Checks and cash will only be accepted at registration for the remaining balance. Enclosed is my check for ___________ (full payment) Enclosed is my check for $100 (*non-refundable deposit to ensure my daughter’s enrollment in the camp) *Non-refundable deposit is $100 per week of camp attended
Week 1: June 25 - June 29
Please make checks payable to: Centenary College Please detach application and mail with check to: Centenary College Women’s Basketball Camp 400 Jefferson Street Hackettstown, NJ 07840
www.centenarycyclones.com
Chelsea Wolf Assistant Coach Co-Camp Director
Erin Geary Assistant Coach Co-Camp Director
Week 2: July 30 - August 3