JOE WHALEN’S BASKETBALL
SKILLS CAMP
Sponsored by the West Long Branch Sports Association
COACH JOE WHALEN
§ Head Coach: Long Branch High School (Present); Central Jersey Group III Champions (2005)
§ Assistant Coach St. Anthony High School; consensus National Champions (2007-2008) - With Hall of Fame Coach Bob Hurley
§ 2004-2005 Shore Conference Coach of the Year
§ 2006 JSBL Coach of the Year
§ Head Coach: Cohen’s Optical; JSBL Champions (2006)
§ Head Coach: Team Izod 17 yr old (Present) - National Boys AAU Program
§ Head Coach: Central Jersey Hawks (Present) - National AAU Program
§ Head Coach: Jersey City Boys Club - National Boys AAU Program
§ Head Coach Jersey Shore Wildcats - National Girls AAU Program
COACH RYAN WHALEN
§ Assistant Coach Seton Hall University (Present)
§ Assistant Coach Iona College (2009-2010)
§ Assistant Coach Towson University (2008–2009)
§ Student Assistant Coach: Saint Joseph’s University (2005-2008)
§ Intern with the Philadelphia 76ers (2007)
§ Assistant Coach Central Jersey Hawks AAU Team (2007)
§ Member of Nationally Ranked Jersey City Boys Club AAU Basketball Team
BOYS GIRLS
August 15th – 18th August 15th – 18th
8:30 am- 12:30 pm 1 pm- 5 pm
TUITION: $175 per session GUEST SPEAKERS:
($50 deposit due with application) (Division I Coaches)
Checks payable to: West Long Branch Sports Association
FACILITY: Frank Antonides School Gymnasium
Locust Avenue, West Long Branch
ANY QUESTIONS: Joe Whalen
ENJOY QUALITY INSTRUCTION IN A SMALL SETTING!!!
SPACE IS LIMITED!!! DON’T GET SHUT OUT!!!
Please return by August 4th to ensure enrollment
JOE WHALEN’S BASKETBALL
SKILLS CAMP
Sponsored by the West Long Branch Sports Association
Name
Address
City State
Zip
Home Phone
Emergency / Cell Phone
Date of Birth
Entering Grade (September 2010)
Height Weight
T-Shirt Size (Adult Size)
PARENTAL CONSENT FORM
The undersigned, being a parent or legal guardian of the child requesting participation in the camp, does hereby affirm that the applicant is in good health and suffers from no illness, disability or condition that requires the taking of medication on a regular basis unless that condition is disclosed and approved. Furthermore, the undersigned has no knowledge of any reason the applicant cannot participate in vigorous physical activity.
The undersigned hereby expressly agrees to be responsible for any medical bills incurred in the treatment of any illness or accident. In the event of any such injury, I hereby consent to allowing any of the camp supervisors to procure any medical treatment deemed advisable on behalf of my child or ward without prior consent. No medical insurance is provided by Joe Whalen’s Basketball Skills Camp.
I understand that as a condition of admittance to Joe Whalen’s Basketball Skills Camp sponsored by the West Long Branch Sports Association , the undersigned, on behalf of all parents and guardians of the applicant, hereby releases Joe Whalen’s Basketball Skills Camp, West long Branch Board of Education, Frank Antonides School, and all employees or agents of the camp or schools from any and all liability from injury or illness, mental or physical, suffered by the camper during or related to camp.
MEDICAL/ HEALTH INSURANCE CO.
POLICY #
Signature of Parent / Guardian Date Signed
A non-refundable deposit of $50 is to accompany the application. Balance and medical forms must be received before the start of the first session of camp.
Each participant is subject to immediate dismissal if he or she does not comply with the rules and regulations of the camp or if the student is found to be detrimental to the interest of the program.
Please return this registration form to your West Long Branch Basketball Coach by August 4th or
mail this form and your deposit by August 4th to:
West Long Branch Sports Association
Attn: Joe Whalen Basketball Camp
P.O Box 239
West Long Branch, NJ 07764