3rd ANNUAL JEAN VANIER BASKETBALL
SPRING SESSION 2017
This Jean Vanier basketball activity is being organized so that the basketball skills of young players
in the Milton Community will improve. This is a chance to play basketball in a “fun” environment
where learning to play the game is why we’re here.
Special requests regarding start times, team mates etc. will not be considered.
NAME: _________________________________ SEX: M __ F __ GRADE: _______
ADDRESS: _________________________ CITY: ______SCHOOL: ___________________
AGE: _____
D of B: ______
EMAIL: ______________________________________
PARENT/GUARDIAN: ________________________ PHONE: (
) _____________
EMERGENCY CONTACT: ____________________ PHONE: (
) _____________
MEDICAL CONCERNS: ___________________________________________________
BASKETBALL EXPERIENCE: ____________________________________________
SKILL LEVEL: (circle one) Beginner
Intermediate
Advanced
* I release Jean Vanier Basketball and the school of all claims for damages or injuries which my son/daughter
or any spectators might incur during these sessions and give my permission to engage in and undertake all
physical activities.
Signature of Parent/Guardian: _______________________________________ Date: ______________
----------------------------------------------
-----------------------------------------------------
TAKE THIS PART HOME WITH YOU FOR YOUR INFORMATION, IF NEEDED.
WHERE:
Jean Vanier Catholic Secondary School gym Thursday evenings beginning March 30, 2017 through to
May 25, 2017 (8weeks) ***WITH NO CAMP APRIL 27TH***
TIMES:
COST:
6:00-7:00 PM for grades 3&4 7:00-8:00 PM for grades 5&6 8:00-9:00 PM for grades 7&8
$50.00 per player (cheque only, please make payable to “Jean Vanier Catholic Secondary School”)
INSTRUCTORS:
*
*
*
*
*
*
Mr. Adam Cholewka, Jean Vanier Phys Ed Teacher and Basketball Coach
Mr. Andrew Page, Jean Vanier Teacher and Basketball Coach
Mr. Bobby Crowe, Jean Vanier Phys Ed Teacher and Basketball Coach
Mr. Marcus Babic, Jean Vanier Teacher and Basketball Coach
Bring non-marking gym shoes and shorts. It is recommended that participants have insurance coverage as
available through their school and an annual physical examination.
Each player will receive a uniform top.
Each session will involve skill development activities and game time.
Each player will be placed on a team that plays within an appropriate grade division/skill level. Jean
Vanier student athletes will be involved in the program as team coaches. NO league standings and
champions will be declared.
Application forms can be dropped off or picked up at Jean Vanier’s office from 8:00 a.m. to 3:30 p.m.,
Monday through Friday. Remember, enrolment is limited…first come, first served.
Uniforms and team rosters are determined by early registrations. Please check the school website the week
prior for any updates. Call Jean Vanier Catholic Secondary School –Attention Adam Cholewka 905-6368799 extension 1022 for further information or email at [email protected]