Sign-up Form
Please visit the website if you wish to register online:
http://www.ayer.ma.us/parks-recreation
Sign up for:
Price

Boys’ Clinic * (June 21-23)
$20.00

Girls’ Clinic * (June 26-28)
$20.00

Boys’ Camp (July 10-13)
$125.00

Girls’ Camp (July 24-27)
$125.00

Boys’ Camp and Clinic *
$125.00

Girls’ Camp and Clinic *
$125.00
* Participation in the Clinics is limited to 2016-17
registered AYB, SYB or ASYB players. Clinic fee is waived
for those who participate in both the Clinic and Camp.
Name
Address
About the Coaches
Justin Carlson, Coordinator
Panthers Boys’ Basketball Camp and Clinic
Coach Carlson has over 13 years of experience
coaching varsity teams and is in his sixth year as the
ASRHS Varsity boys’ head basketball coach. He is a
graduate from Springfield College, and has a Master’s
Degree in Education from Emporia State. In the fall
he also coaches the ASRHS Varsity girls’ soccer team,
which has made four straight district appearances.
Coach Carlson has been instrumental in the
development of the local recreational programs. He
excels at player development, knowledge of game,
and most of all having FUN!!!! Coach Carlson will be
accompanied by his Varsity Assistant Coach Mark
Giusto, former player and coach for the Fitchburg
State University basketball team and current JV Coach
for the ASRSD boys’ basketball team. Both Coach
Carlson and Coach Giusto are physical education
teachers for the ASRSD.
6th Annual
Panthers Basketball
Camp and Clinic
Sponsored by the Ayer
Parks Department
Grade entering (fall of 2016)
Shirt size (YS, YM, YL, AS, AM, AL, XL, XXL)
Allergies, health issues
Emergency Phone Number
E-mail
Injury Waiver: As parent/guardian of the above named
individual, I hear by absolve all coaches, administrators,
referees, or other participants in this program from all
liability and will not hold them responsible for injury
incurred during practices or games. I also understand
coaches have the authority to limit playing time and may
suspend or remove any player from the program for
detrimental behavior at their discretion.
Signature
Pete Page, Coordinator
Panthers Girls’ Basketball Camp and Clinic
Coach Page is in his 7th year as the head coach for the
ASRSD girls’ varsity basketball team, which has
qualified for districts the last six seasons. He has been
coaching basketball for over twenty years, including
recreational, travel, AAU and Varsity programs. He
has been a long standing member of various local
basketball boards, serving on the Town of Ayer Parks
Commission, Ayer-Shirley Travel Basketball Board,
and the Board of Directors for the Blaze AAU
program. Coach Page takes tremendous pride in the
programs he has helped develop and the ongoing
success of the girls at every level from kindergarten
through high school. His belief is that combining a
love of the game while constantly working the basic
fundamentals is the key to becoming a great basketball
player.
Forms can be mailed or dropped off at:
Ayer Parks Department
1 Main Street
Ayer, MA 01432
Phone: 978-772-8217
Email: [email protected]
Three Day Clinics
The Panther Clinics are an extension of
the Ayer-Shirley recreational program
seasons. They are a low cost, high energy
set of sessions that the coaches put
together to review many of the skills they
have learned over the past season and to
help prepare them for the upcoming
seasons in the fall and winter. The Boys
Clinic will be June 21-23 and the Girls’
Clinic will be June 26-28. All sessions will
be from 9:00-12:00 at the ASRHS gym.
The clinics are open to all 2016-17 AYB,
SYB and ASYB registrants entering grades
3-9. There will be separate clinics for
boys and girls offering varying levels of
instruction based on age and ability. The
fee for the clinic is $20 and will include a
T-shirt and water bottle. Those who sign
up for both the Panther Clinic and Camp
will get free admission to the clinic!
To guarantee a spot in the clinic you need
to send in the registration form or register
online by June 9.
After that date,
registrations will be accepted on a first
come first serve basis. The number of
spaces available are limited, so if
interested please get your registration in
early. Once your registration is received,
you will be contacted to confirm the
dates and given further information.
Four Day Camps
‘
The Panther Camps are four full days of
basketball with a mix of skills instruction,
scrimmages, contests, and a wide variety
of extra activities for the players.
Coaches will work with groups based on
age as well as individuals to help
recognize areas they can improve and
maximize their potential for growth.
Players will be given goals to achieve
based on their current abilities and will be
challenged to make improvements on
their game over the course of the camp.
The Boys’ Camp will be July 10-13, and the
Girls’ Camp will be July 24-27. All sessions
will be from 9:00-3:00 at the ASRHS Gym.
They are open to all players entering
grades 3-9. The fee for the camp is $125
and will include a T-shirt and water
bottle. Players will need to bring a snack,
a lunch and a water bottle to each session.
A full list of things to bring and a daily
itinerary will be emailed to registered
players prior to the start of the camp.
To guarantee a spot in the Panthers
Basketball Camp, you need to send in the
registration form or register online by
June 30. After that date, registrations
will be accepted on a first come first serve
basis. The number of spaces available are
limited, so if interested please get your
registration in early.