Camp Registration Form Name ________________________________________ Address ______________________________________ City __________________ State _____ Zip__________ Telephone (H)_ ________________ (c) ____________ Age ____ Grade in 2011-12______ Ht _____ Wt _____ Parent(s) Name(s) ______________________________ Parent Contact Number (c) ________________________ School Attending in 2012-13 ______________________ AAU Team ____________________________________ T-Shirt Size ___________________________________ Please check the camp(s) you will be attending: ____July 16—20 Day Camp I ____July 23—27 Day Camp II $25.00 discount for Centenary Employees & Multiple Campers ***Discounts may not apply for students in grades 9-12*** Parent’s Signature ______________________________
email address:_______________________________ Deposit: $50.00 *REGISTRATION DEADLINE:2 weeks prior to start date
*Please make checks payable to: Centenary College Men’s Basketball Deposit is non-refundable * Please return application & other fees to: Centenary College Men’s Basketball Camp 400 Jefferson Street Hackettstown, NJ 07840 *FINAL PAYMENT MUST BE CHECK, OR CASH.
COACH MASTROIANNI Coach Enrico Mastroianni has built a winning tradition at Centenary College. The Men’s Basketball program has been to the conference playoffs 2 out of 3 seasons, and have accumulated 45 wins during a four year span ranking Mastroianni as the program’s all-time leader in wins. Throughout the first three seasons he has coached 3 All-Conference Players including 1 first-team, 2 second-team and 1 honorable mention awards. He has also coached two 1000 pt. scorers during that same time. Prior to joining Centenary, Mastroianni served as the Associate Head Coach at Misericordia University for four seasons. During his final season at Misericordia, the Cougars tallied 19 wins, a 2nd place finish in the conference, ranked 8th nationally in scoring defense, 11th in FG percentage defense and were awarded an ECAC Tournament Berth. “Camp should be a fun experience for all! Moreover, it should be a learning experience - I can assure you that everyone will be able to learn at least one additional skill that they did not know before camp started. They will have a greater opportunity to improve their game and contribute more to their respective teams! I look forward to working with you!
Coach Enrico Mastroianni
2012 Boys Basketball Camp
Because champions are made, not born. Day Camp I July 16—20 Day Camp II July 23—27
General Camp Information
MEDICAL RELEASE FORM
Camp begins each day at 9:00am sharp and ends promptly at 4pm—it is important that camp begins on time in order to complete an extensive daily schedule. It is also imperative that campers are picked up in a timely fashion once the camp day ends. Campers may arrive at 8:45 am to shoot around
Cyclone Basketball Camp is designed for boys between the ages of 7—15 years old. Camp will be held in the Gymnasium at the Reeves Student Recreation Center on the Centenary College campus.
There will be free swim time available from 3pm—4pm daily
Lunch will be provided, however campers may bring in their own lunch—especially if there are food allergy concerns.
Coaches and players of the Cyclone Men’s Basketball team along with other experienced High School and College coaches will make up an energetic staff that will be sure to provide instruction that is second to none and an experience that your child will always remember.
Each Camper will receive a T-shirt and a Basketball at the end of the week
A Camp Photo will be taken and offered at an additional fee to have a memory keepsake of your camp experience.
There will be a Camp Store where campers can purchase drinks, snacks and apparel throughout the day during breaks.
2012 BASKETBALL CAMPS DAY CAMP I Mon.-Fri. – July 16-20 9:00am—4:00pm $195 DAY CAMP II Mon.-Fri. – July 23-27 9:00am – 4:00pm; $195 *Centenary employees ask about the camp discount.* *Campers should ask about multiple camper discount.*
Throughout the week there will be awards for Camper of the Day and a Final Camper of the week award will be issued on the last day. There will be fun within a framework of discipline and a positive, encouraging environment for your child to excel. Call: 908-852-1400 ext. 2199 or E-mail: mastroiannie@centenarycollege.edu
Detach Here
I herby give permission for _____________to participate in the 2012 Centenary College Boys Basketball Camp. I certify that my son is in good physical condition, has been examined within the last 12 months and no medical reason has been found that he can not participate in this camp. Records show that all immunizations are up to date. I understand that he will be participating in rigorous play and activity. Centenary College Personnel have also been informed of any physical limitations, medications or prior conditions. The camp will safeguard the health of my child but will not be responsible for accidents, injuries or sickness on the way to camp, during camp or on the way home. I agree that in the case of an accident involving my child while attending camp, and with full awareness that basketball is an activity that may involve risk or injury, I release Enrico Mastroianni and Centenary College from any and all liability. I herby request that my child be granted admittance into the 2012 Centenary College Boys Basketball Camp and authorize the directors to act on my behalf in the event of an emergency requiring medical attention. I will assume responsibility for payment for any such attention and have provided current insurance information as requested. Camper Name __________________________Age_____ Parent(s) Name(s) ______________________________ Parent(s) Daytime Phone ________________________ Home Phone ____________________________________ Emergency Contact ______________________________ Relationship __________Contact Phone# ____________ Insurance Carrier_______________________________ Policy #_______________________________________ Previous Medical Conditions _______________________ By Signing below, I agree to all the terms detailed above
***Discounts may not apply for students in grades 9-12***
Parent/Guardian Signature _________________________
www.centenarycyclones.com
Date_______________