METRO HOOPS BASKETBALL ASSOCIATION

                           2008 SUMMER CAMP REGISTRATION FORM

At Rutgers University in Piscataway – Busch Campus

Please check below and send the completed form and amount indicated to:

Metro Hoops Basketball Association                               Phone: (908)  753-7777

2519 Waverly Place                                                            Fax:     CALL FOR FAX #  

Scotch Plains, NJ 07076

Please Check WEEKS camper will attend:  

_____   Week 1             June 30^th – July 3rd   

_____   Week 2            July 7^th -  11th

_____   Week 3            July 14^th – 18th

_____   Week 4            July 21^st – 25^th

_____   Week 5            July 28^th – August 1^st

_____   Week 6            August 4^th – 8^th

_____   Week 7            August 11^th – 15^th

_____   $30 Per Week –Early Drop Off  (7:30am) /  Late Pickup (6:00pm)

Please Print Carefully! 

LAST NAME___________________FIRST NAME___________________Boy____Girl______

ADDRESS____________________________________ ___APT#__________________

CITY___________________________  STATE________  ZIP _____________________

Home Phone_________________________Cell  _______________________________

Parent’s Name_______________________WORK PHONE (___) ____________________

Emergency Contact_______________________PHONE (___) ____________________

AGE____________BIRTHDATE _______________ EMAIL ________________________

HEALTH INSURANCE CARRIER_______________________________________________

POLICY NUMBER _____________________________  GROUP NUMBER ____________

Payment (circle)        Check    MasterCard   Visa     Cash    Money Order

Card Number____________________________Expiration Date:_______________________

Name on Card________________________Signature:_______________________________

Zip Code of Card Holder:_______________

Circle Current Grade Level:   K   1^st  2^nd  3^rd  4^th   5^th   6^th   7^th   8^th 9^th 

Adult Size Jersey        S       M       L        XL     2XL

Activities: Basketball, Outdoor/Indoor Volleyball, Racquetball, Badminton, Outdoor/Indoor , Safe-T Swimming Pool

Price List

_________   Super Special – All 7 weeks for $900 if paid by June 10^th,2008

                      Free Early Drop Off  (7:30am) /  Late Pickup (6:00pm)

_________   Half Time Special  --  Four weeks for $600 if paid by June 10^th, 2008

                      Free Early Drop Off  (7:30am) /  Late Pickup (6:00pm)

_________   $150 per week.  Funds must be received 30 days in advance.

(Full payment must be received at least 30 days prior to camp week attended.)

_________   $175   IN ADVANCE / $200 SAME DAY REGISTRATION

_________   $30 Early Drop Off  (7:30am) /  Late Pickup (6:00pm) per week

HEALTH AND BEHAVIOR GUIDELINES:

I, the undersigned, submit my son is physically fit to participate in strenuous athletic activity and waive Metro Hoops Basketball Association and Rutgers University of any and all responsibility for injury or illness.  I hereby authorize the directors of Metro Hoops/Edison Job Corp Academy/Rutgers University to act for me according to their best judgment in any emergency requiring medical attention.  I understand that I am solely responsible for the payment of any such medical expenses and must provide Metro Hoops with proof of medical and accident insurance.  I also understand that my payments are non-refundable and non-transferable under any circumstances.  I understand that any camper who does not abide by camp facility rules or regulations is subject to dismissal without refund or recourse:

SIGNATURE OF PARENT/GUARDIAN ________________________________________DATE:

FOR OFFICE USE ONLY: Total Fee ____________

Amt. Pd/Date ________  Check # _________  Balance Due _______

Amt. Pd/Date ________  Check # _________  Balance Due _______

Since 2001, MH Summer Day Camp has strived to offer an inclusive environment where all children are encouraged to participate and learn new skills. Our programs are designed to ensure each camper a safe and enjoyable experience. We hire only highly qualified individuals with tremendous experience working with children and knowledge in a broad spectrum of recreational activities.

Diversity

MH Summer Day Camp embraces the numerous cultural and personal differences of campers and their families. Our staff actively promotes respect and appreciation for diversity of our campers' races, ethnicities, cultures, family structures, and other personal characteristics.

Objectives for Developing Life Skills

MH Summer Day Camp is committed to the development of campers' life skills through group activities and exposure to diverse athletic and educational experiences. Our emphasis on safety promotes an atmosphere of respect and trust that encourages children to enhance additional personal and situational skills through new challenges, while having fun. A qualified staff, wide range of events, and a state-of-the-art athletic and recreational environment enrich the camp experience and provide the necessary developmental structure for children of all ages.

Development of Social Skills

• The social development of campers is nurtured through interactive activities that emphasize teamwork, which includes sportsmanship, adaptability, self-control, and cooperation.

• Communication between campers and peers and campers and counselors is vital to the successful development of interpersonal skills.

• Within the various group activities, counselors seek out leadership opportunities for each individual camper, which will build confidence, foster responsibility and initiate, and reinforce particular strengths for that camper while setting positive examples for other campers..

Development of Physical Skills

• The physical development of campers is nurtured by providing campers with consistent opportunities to participate in athletics and creative arts.

• Each child is supported in his/her effort to enhance skills, such as coordination, balance and agility, endurance, creativity, observation, and active listening.

Development of Personal Skills

• The personal development of campers is nurtured by dedicated counselors who seek opportunities to build self-confidence, self-reliance, and independence in individual campers by praising effort and positive attitude as well as accomplishments in specific skills.

• The emphasis is placed on trying new things, learning by doing, and enjoying the process of discovery.