Nittany Juniors, Introduction

							                 Josh Steinbach                                            Josh Steinbach
                                                                                                                  Pennsbury High School/ JSVC Camps
                                                                            Volleyball Camps                              Registration Form
                 Camp Director &
                  Villanova University                                                                          Camper’s Name: ___________________________

                  Head Volleyball Coach                           Pennsbury High School
                                                                                                                Address: __________________________________
                                                                     July 11 - 13, 2011
   2007 Big East Volleyball Coach of the Year
                                                                    9:00 am – 4:00 pm                           City: _____________________________________

Coach Steinbach is entering his fifth season as Head              for 8th – 12th grade girls                    State: __________ Zip Code: _________________
Coach at Villanova University. Steinbach has                                                                    Parents’ Email Address: _______________________
previously served as an assistant coach at Wright       Check-In:
State University and the University of Cincinnati. In   8:30am, Pennsbury H.S. EAST Gym,                        __________________________________________
addition, he served as a volunteer assistant at Penn    705 Hood Blvd., Fairless Hills, PA
State.                                                                                                          Grade entering September 2011: ________________
                                                        High School Contact:                                    Date of Birth: ___ ___ / ___ ___ / ___ ___ ___ ___
Previous to his Division I experience, Steinbach was    Timothy Paulson,
an assistant coach for the women’s and men’s teams      Pennsbury High School Girls Volleyball Coach            School: ____________________________________
at San Diego Mesa Community College. He has             Tel: 215-208-4465
also served as the Head Varsity Coach at Santa Fe       Email: timpaulson@usa.net
Christian High School in Solana Beach, CA as well                                                               T-Shirt Size(circle): S    M    L XL “adult sizes”
as the Jr. Varsity Head Coach at The Bishop’s           Athletic Trainer on Site (players bring supplies)
School in La Jolla, CA.
                                                        Players must bring a lunch & snacks.                                     Medical Authorization
Steinbach has acquired a wealth of club coaching
and directing experience and has been affiliated with   Tuition:                                                Insurance Company: _________________________
various clubs across the country for the past 15        $185.00
years. Josh and Jennifer Steinbach currently direct                                                             Policy Number: _____________________________
                                                        Limited space is available. Payment of full fee is
the Philadelphia Volleyball Academy (PVA), a            required to reserve your spot.                          Group Number: __________________________
junior girls’ club in the Philadelphia area.
                                                        $30 charge for all cancellations. Cancellations must    Phone of parent / guardian:
Camp Staff, in addition to Steinbach, will consist of   be verified at least 5 days before camp beings to       ( ___ ) ____ -- ______     ( ___ ) ____ -- _______
current and former Villanova Volleyball assistant       receive a partial refund; no refund for cancellations            Cell                       Work
coaches and players.                                    with-in 5 days of the start of camp.
                                                                                                                I agree to release and hold harmless the camp facility
Camp Schedule – A 3-day camp with 2 sessions per        Make check payable to:                                  and personnel from any and all claims and liability
day (9am-12pm & 1pm-4pm) designed for girls of          JSVC, LLC                                               arising out of the camp. I give permission for my
all skill levels ranging in age from 8th-12th grade.                                                            child to be given emergency medical treatment.
Players will be grouped according to skill level.       Mail with registration form to:
Instructors will teach individual skills as well as                                                             χ ______________________________          _________
                                                        Josh Steinbach Volleyball Camps                                  Signature of Camper                 Date
team play.                                              57 S. Overhill Rd., Media, PA 19063
                                                        Tel: (610) 999-7269 or jsvc@comcast.net                 χ _____________________________          _________
                                                                                                                     Signature of Parent / Guardian          Date
Josh Steinbach Volleyball Camps
57 S. Overhill Rd.
Media, PA 19063




              Pennsbury High School Camps
                   July 11 – 13, 2011
                                  ~
                 Josh Steinbach Volleyball Camps
                 57 S. Overhill Rd., Media, PA 19063
                           (610) 999-7269
                   Email us at jsvc@comcast.net