plea

se d

etac

h to

mai

l !

The Sydney Johnson The Sydney Johnson Basketball Camp

Application FormBoys 6 years old (at time of camp) or older who

have NOT entered into the 9th grade(Please print clearly)

NAME AGE/GRADE entering in Fall

STREET ADDRESS

CITY STATE ZIP CODE

TELEPHONE EMERGENCY TELEPHONE #

E-MAIL

INSURANCE CARRIER

INSURANCE I.D. NUMBER

PARENT’S SIGNATURE

Tuition (Includes insurance, t-shirt)Check applicable weeks:

o June 27 – July 1 ....................................................$340

o July 4 – 8 ...............................................................$340

o August 1 – 5 ..........................................................$340

• Groups of 5 or more registering together - $310 per person• Early Bird Special: Register before April 1 - $325 per person

T-shirt — Check applicable size (adult sizes):

o Small o Medium o Large o Extra Large

Please make check payable to “The Sydney Johnson Basketball Camp”, sign application, and mail to:

Men’s Basketball OfficeFairfield University

Walsh Athletic Center (WAC 224B)1073 North Benson RoadFairfield, CT 06824-5195

A non-refundable deposit of $100 is required with application. Full balance due no later than 3 days prior to the start of camp. Any balance not paid 3 days prior to the start of camp must be paid in cash on the first day of camp.

BASKETBALL CAMP

Sydney Johnson, Head Men’s Basketball Coach at Fairfield University

June 27 – July 1 (Grades 1-8)July 4 – 8 (Grades 3-8)

August 1 – 5 (Grades 1-8)

Monday – Thursday 9 a.m. – 3 p.m.Friday 9 a.m. – Noon

Typical Camp Daily Schedule 8:45 a.m. ............. Drop off

9 a.m. ............. Camp begins

9:15 a.m. ............. Stations

10:15 a.m. ............. Games

Noon ............. Lunch

12:30 p.m. ............. Lecture

1:30 p.m. ............. Stations

2:30 p.m. ............. Games

3 p.m. ............. Dismissal/Pick-up

(This is a tentative schedule for weekday day camp.)

Note: Friday 9 a.m. – Noon

*NO SUPERVISION WILL BE PROVIDED PRIOR TO 8:30 A.M. OR AFTER 3 P.M.

THIS CAMP IS IN COMPLIANCE WITH THE REGULATIONS OF THE STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH AND IS LICENSED BY THE BOARD OF HEALTH.

BACKGROUND CHECKS AND THREE POSITIVE REFERENCES HAVE BEEN PROVIDED FOR ALL CAMP STAFF.

SUMMER 2016 DAY CAMP

1073 North Benson RoadFairfield, CT 06824fairfieldstags.com

For more information, please call K. Koncz 203-254-4000, ext. 2791 or e-mail kkoncz@fairfield.edu

41147_

3.16

The Sydney Johnson BASKETBALL CAMP at Fairfield University

RegistrationSubmit one application per child and a non-refundable, non-trans-ferable deposit of $100 per week. Final payment and completed Youth Camp Health Exam/Record Form must be received prior to check-in.

Registration will be held on the first morning of each session beginning at 8:45 a.m. at Fairfield University’s Alumni Hall. Any balance not paid 3 days prior to the start of camp must be paid on the first day of camp.

Fairfield University Alumni Hall and Recreational Complex

The camp is conducted on Fairfield University’s 200-acre campus. All games and activities take place in Alumni Hall and the Leslie C. Quick Jr. Recreation Complex (RecPlex). The facilities are adjacent to

each other and located about one quarter mile on the left from the main entrance to campus.

• Six full indoor basketball courts

• Two full outdoor courts

• Completely equipped training facility

• Full-time trainer on premises

• Camp supervision and security at all times

• Camp counselors include current Fairfield University student-athletes

NO SUPERVISION WILL BE PROVIDED PRIOR TO 8:30 A.M. OR AFTER 3 P.M.

LunchCampers can bring their own lunch or soft drinks; pizza and snacks will be sold daily at the canteen.

What to Bring• T-shirt

• Shorts

• Socks

• Lunch

• Basketball sneakers

• Sunscreen

The camp will not be responsible for any items of value that campers bring to camp (i.e., clothing, jewelry, backpacks, money, etc.).

Medical InformationThe Youth Camp Health Exam/Record Form must be completed and signed by the camper’s physician, APRN, or PA and returned before the start of camp. Campers must submit a new form each year. Campers with allergies must also have the Authorization for the Administration of Medication form completed and signed.

Sydney JohnsonIn Sydney Johnson’s fifth year as the Stags head coach Fairfield has seen an offensive output never before seen in the program’s history. During the 2015/16 season the Stags have reached the 100 point mark twice, with both scoring outbursts coming on the road. In both of those games the Stags hit a school record 17 three pointers.

Fairfield has consistently ranked in the top 50 in the nation in many offensive categories during the 15/16 season (pace of play, points per game, total 3PT field goals made, and assists per game).

Prior to coming to Fairfield, Coach Johnson, led Princeton University to the 2010-11 Ivy League Championship, and an automatic berth to the NCAA tournament. Princeton took the University of Kentucky to the final seconds before dropping a 59-57 decision.

The Camp• Coach Johnson and his staff of professional educators teach

basic fundamentals to advanced theory.

• The staff-student ratio ranges from 1:8 to 1:10.

• Teams are coached by college coaches, high school coaches, and college players.

• Each student plays on a team with players of his own age and ability.

• Students play at least half of every game.

• Students work on skills like ball handling, balance, defense, dribbling, rebounding, passing, and shooting.

• Students are taught conditioning exercises and drills used by college and pro players, as well as challenge and motivation techniques for the off-season.

• One of the fastest growing camps in the area.

Other Features• Stations for individual instruction

• Certificates and awards

• Individual competition events

• Camp t-shirts (one per camper)

• Basketball

Head Coach, Sydney Johnson

About the Camp Camp Details Registration and Facilities