CLARION UNIVERSITY SOCCER PRESENTS CLARION UNIVERSITY ... · CLARION UNIVERSITY SOCCER PRESENTS...
7
CLARION UNIVERSITY SOCCER PRESENTS CLARION UNIVERSITY WOMEN'S SOCCER INDOOR FUTSAL CAMP 2018 JANUARY 21 – MARCH 25, 2018 Clarion University Soccer will be hosting its THIRD ANNUAL FUTSAL SOCCER CAMP starting January 21, 2018, kicking off nine Sundays of AWESOME indoor soccer for local youth ages 4 through high school seniors. Based on positive feedback from last year’s highly successful Futsal event, we will continue to run the Futsal with the same format for high school teams and youth teams as last year, including the 20-minute pre-game coaching session for the Youth Division teams. WHEN: The Futsal Camp will run every Sunday afternoon from January 21 through March 25, 2018 (except March 11 when Clarion students have spring break) and campers will play one, possibly two, 36-minute games (High school division is 56-minute games) scheduled sometime between noon through 6 p.m. each Sunday. Campers will only attend and participate in their own team’s game each Sunday, and will not be required to be at the camp for the full noon-6 p.m. timeframe. FORMAT: The Futsal camp will be run as a series of organized indoor soccer games each Sunday. There is a YOUNG EAGLES 4-6 year-old division, a YOUTH Division for ages 7 through 15, and a HIGH SCHOOL Division for high-school-age teams and club teams. YOUNG EAGLES DIVISION: Campers will have fun learning how to perform basic soccer skills and apply them in various fun team games. Runs every Sunday at 3 p.m. for 55 minutes and will be coached by Coach Sean and several Clarion University players. YOUTH DIVISION: Campers will sign up and be allocated to a team in their appropriate age division. Each team will be coached by a designated college student from the Clarion Women’s Soccer team and Clarion Coaches Sean Esterhuizen and Alexa Stubenrauch. Area club teams may also sign up as a team. The Youth Division is grouped by age with 7-10 year-olds in one group, and 11-15 year-olds in another group. Boys and girls play on the same teams and are equally divided amongst the teams. HIGH SCHOOL DIVISION: For high school players we are again offering a six-team Women’s Division and a six-team Men’s Division. Games will consist of two 28-minute periods, and the referee will be a neutral Clarion University player or coach. PRE-GAME COACHING SESSIONS: In the Youth Division, there will be a 20-minute pre-game coaching session for the two teams who are competing in that hour of the schedule. Players will go through a warmup and skills training led by Coach Sean and assisted by the Clarion women’s soccer team. Following this, the two teams will play a game of two 18-minute periods. SCHEDULES: Campers will receive a game schedule so that they know exactly what times their team is scheduled each Sunday. Campers will participate in one, sometimes two games each Sunday, depending on the number of teams in the schedule. There will be no practices or other events, just organized futsal games and the Youth Division coaching sessions. TEAM STRUCTURE: Teams will be comprised of a goalie and four field players, with team rosters ranging from 8 to 15 players. Anybody can sign up between ages 4 and high school senior. No soccer experience necessary. Club and high school teams are also encouraged to sign up and play as a group, maximum of 16 players on a roster. PARTICIPANTS: We have the following camper divisions: Young Eagles 4-6, Youth 7-10 (four teams last year), Youth 11-15 (six teams last year), a High School Men’s division (five teams last year), and a High School women’s Division (five teams last year).
Transcript of CLARION UNIVERSITY SOCCER PRESENTS CLARION UNIVERSITY ... · CLARION UNIVERSITY SOCCER PRESENTS...
CLARIONUNIVERSITYSOCCERPRESENTS
CLARION UNIVERSITY WOMEN'S SOCCER INDOOR FUTSAL CAMP 2018JANUARY21–MARCH25,2018ClarionUniversitySoccerwillbehostingitsTHIRDANNUALFUTSALSOCCERCAMPstartingJanuary21,2018,kickingoffnineSundaysofAWESOMEindoorsoccerforlocalyouthages4throughhighschoolseniors.Basedonpositivefeedbackfromlastyear’shighlysuccessfulFutsalevent,wewillcontinuetoruntheFutsalwiththesameformatforhighschoolteamsandyouthteamsaslastyear,includingthe20-minutepre-gamecoachingsessionfortheYouthDivisionteams.WHEN:TheFutsalCampwillruneverySundayafternoonfromJanuary21throughMarch25,2018(exceptMarch11whenClarionstudentshavespringbreak)andcamperswillplayone,possiblytwo,36-minutegames(Highschooldivisionis56-minutegames)scheduledsometimebetweennoonthrough6p.m.eachSunday.Camperswillonlyattendandparticipateintheirownteam’sgameeachSunday,andwillnotberequiredtobeatthecampforthefullnoon-6p.m.timeframe.FORMAT:TheFutsalcampwillberunasaseriesoforganizedindoorsoccergameseachSunday.ThereisaYOUNGEAGLES4-6year-olddivision,aYOUTHDivisionforages7through15,andaHIGHSCHOOLDivisionforhigh-school-ageteamsandclubteams.YOUNGEAGLESDIVISION:Camperswillhavefunlearninghowtoperformbasicsoccerskillsandapplytheminvariousfunteamgames.RunseverySundayat3p.m.for55minutesandwillbecoachedbyCoachSeanandseveralClarionUniversityplayers.YOUTHDIVISION:Camperswillsignupandbeallocatedtoateamintheirappropriateagedivision.EachteamwillbecoachedbyadesignatedcollegestudentfromtheClarionWomen’sSoccerteamandClarionCoachesSeanEsterhuizenandAlexaStubenrauch.Areaclubteamsmayalsosignupasateam.TheYouthDivisionisgroupedbyagewith7-10year-oldsinonegroup,and11-15year-oldsinanothergroup.Boysandgirlsplayonthesameteamsandareequallydividedamongsttheteams.HIGHSCHOOLDIVISION:Forhighschoolplayersweareagainofferingasix-teamWomen’sDivisionandasix-teamMen’sDivision.Gameswillconsistoftwo28-minuteperiods,andtherefereewillbeaneutralClarionUniversityplayerorcoach.PRE-GAMECOACHINGSESSIONS:IntheYouthDivision,therewillbea20-minutepre-gamecoachingsessionforthetwoteamswhoarecompetinginthathouroftheschedule.PlayerswillgothroughawarmupandskillstrainingledbyCoachSeanandassistedbytheClarionwomen’ssoccerteam.Followingthis,thetwoteamswillplayagameoftwo18-minuteperiods.SCHEDULES:CamperswillreceiveagameschedulesothattheyknowexactlywhattimestheirteamisscheduledeachSunday.Camperswillparticipateinone,sometimestwogameseachSunday,dependingonthenumberofteamsintheschedule.Therewillbenopracticesorotherevents,justorganizedfutsalgamesandtheYouthDivisioncoachingsessions.
TEAMSTRUCTURE:Teamswillbecomprisedofagoalieandfourfieldplayers,withteamrostersrangingfrom8to15players.Anybodycansignupbetweenages4andhighschoolsenior.Nosoccerexperiencenecessary.Clubandhighschoolteamsarealsoencouragedtosignupandplayasagroup,maximumof16playersonaroster.PARTICIPANTS:Wehavethefollowingcamperdivisions:YoungEagles4-6,Youth7-10(fourteamslastyear),Youth11-15(sixteamslastyear),aHighSchoolMen’sdivision(fiveteamslastyear),andaHighSchoolwomen’sDivision(fiveteamslastyear).
VENUE:AllgameswillbeplayedontwoofthebasketballcourtsattheClarionUniversityRecreationCenter,locatedoppositeTippinGymoffGreenvillePikeinClarion.Theflooringisabrandnew,firstclass,woodenbasketballplayingsurface.GEAR:TeamswillbeissuedpinneyssuppliedbyClarionSoccerthatmustbereturnedattheendofeachgame.Playersmustwearatshirt,soccershorts,soccersocks,shinguards(mandatory),indoorsoccershoes(preferable)ortennisshoes.Playersmustbringtheirownwaterbottles.GAMEFORMAT:Futsalruleswillapply,withsomeClarionmodificationstokeepthegamesfun.Gameswillbeorganizedtorunonthehouroneachoftwobasketball-sizedcourts.YouthDivisiongameswillbe18-minutehalvesplusatwo-minutehalftime.Highschooldivisiongameswillbe2x28-minutehalveswithathree-minutehalf-time.Eachteamwillplayone,possiblytwogameseachSunday.COST:Thecostfortheentirenine-weekClarionIndoorFutsalSoccerCampisjust$60perplayer.Sunday,March11,isspringbreakatClarionUniversityandtherewillbenofutsal.REGISTRATION:PlayerscansignupasindividualsORaspartofacluborhigh-schoolteam.Ifsigningupasateam,thereisamaximumof16playerstoaroster,andtheteammanagerorcoachmustcompletethe“TeamRegistration”onthisform.Ifsigningupasanindividual,youwillbeallocatedtoateambyCoachSeanandmustcompletethe“IndividualRegistration”onthebackofthisform.Pleasefax,emailormailtheRegistrationFormtoCoachSeanalongwiththeRegistrationFeeof$60forthenine-weekFutsalCamp.
Clarion University is an affirmative action, equal opportunity employer and does not discriminate on the basis of sex in its education programs or activities. See the full statement at clarion.edu/nondescrimination.
CLARION UNIVERSITY
WOMEN'S SOCCER
INDOOR FUTSAL CAMP 2018 INDIVIDUAL REGISTRATION FORM
ItisunderstoodthatClarionUniversity,theadministrators,oranyoneconnectedwiththeschoolwillnotassumeanyresponsibilityforaccidents,medicalordental,oranyotherexpensesincurredbecauseofaccidents.Physicalexaminationwillnotberequired. PLAYERINFORMATION:Name:____________________________________________________________________
Address:__________________________________________________________________
City:_______________________________________________State:_______Zip:_______
YearsofExperience:___Age:___Birthdate:_______
T-shirtsize:YS__YM__YL__AS__AM__AL__AXL__AXXL__
CampDivision(checkone):___YoungEagles___Youth7-10__Youth11-15__HSWomen__HSMen
CellPhone:__________________________________________________________________
Email:______________________________________________________________________
ClubTeam:__________________________________________________________________
H.S.Coachname:_____________________________________________________________
H.S.Coachcell/email:__________________________________________________________
Mother/GuardianName:___________________________________________Cell:______________________
Mother/GuardianEmail:___________________________________________________
Father/GuardianName:____________________________________________Cell:______________________
Father/GuardianEmail:_____________________________________________________
Signatureofparentorguardian:_________________________________________________ CONSENTRELEASEANDMEDICALINFORMATION:PLEASECOMPLETETHE“INFORMEDCONSENTRELEASEANDEXPRESSASSUMPTIONRISK”FORMASWELLASTHE“MEDICALINFORMATION”FORMONTHEFOLLOWINGPAGES,ANDTHENMAIL,EMAILORFAXTHESEFORMSTOTHECONTACTINFORMATIONBELOW. QUESTIONS?PleasecontactCoachSeanEsterhuizenat563-495-0590oremailsesterhuizen@clarion.edu MAILFORMSANDCHECKTO:Pleasemakeallcheckspayableto:“ClarionUniversity”with"Women'sSoccer"writteninthememosection,fortheamountof$60andmailthisRegistrationFormANDthechecktotheaddressbelow.ConsentandMedicalInformationFormscanbescannedandemailed,mailed,orfaxed. ClarionUniversityWomen’sSoccer840WoodStreet,Clarion,PA16214Cell:563-495-0590FAX:814-393-2063Email:[email protected] Clarion University is an affirmative action, equal opportunity employer and does not discriminate on the
basis of sex in its education programs or activities. See the full statement at clarion.edu/nondescrimination.
CLARION UNIVERSITY
WOMEN'S SOCCER INDOOR FUTSAL CAMP 2018
TEAM REGISTRATION FORM
IfyouaresigningupyourCluborHighSchoolteamfortheClarionIndoorFutsalSoccerCamp,pleasecompletethefollowingandsendtoCoachSeanEsterhuizen(seecontactdetailsatbottomofthisform):
TeamName:_____________________________TeamManager:____________________________________________
CampDivision(checkone):___Youth7-10___Youth10-15___HighSchoolWomen___HighSchoolMen
ManagerPhone#:_________________________ManagerEmail:____________________________________________
Address:_________________________________________________________________________________________
City:_______________________________________________State:_______Zip:____________
PleaseprintFirstandLastNameofeachteammember,plustheirageandgenderandTShirtSize(S,M,L,XL,XXL):
First/LastName(PRINT) TShirtSize
Age Gender First/LastName(PRINT) TShirtSize
Age Gender
1.
9.
2.
10.
3.
11.
4.
12.
5.
13.
6.
14.
7.
15.
8.
16.
NOTE:Inadditiontotheaboveinformation(whichmustbesenttoCoachEsterhuizen),eachoftheaboveteammembersmustcompletethe“InformedConsentReleaseandExpressAssumptionRisk”documentaswellasthe“SportsCampMedicalInformation”formonthenextpagesandthenmailallthistoCoachEsterhuizen.
WHERETOMAIL,EMAILORFAXTHISTEAMREGISTRATION:ClarionUniversityWomen’sSoccer840WoodStreet,Clarion,PA16214Cell:563-495-0590FAX:814-393-2063Email:[email protected] Clarion University is an affirmative action, equal opportunity employer and does not discriminate on the basis of sex in its education programs or activities. See the full statement at clarion.edu/nondescrimination.
!"#$$$$$$$$$$$$$$$$$$$$$$$$$"#%&'()*#+'#,-&'./&)#+0#$$$$$$$$$$$$$$$$$$$$$$$$$!!!!!!!!!!!!!"#$%&!'(!)$*&+,!'*!-.$*/0$+1### # # # #########"#$%&!'(!2304/1
.(1/'(#0+'#23#45/6.#*+#7&'*/4/7&*(#/)#87+'*1#9&27/Clinic#&*#96&'/+)#:)/;('1/*3#+)
$$$$$$$$$$$$$$$$$$$$$$$$$<!!!!!!!!!!!!!!!!!!!!!!!!!!"5$,&61
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
!)#&44(7*/)C#*5/1#'/1B"#!#(F7'(1163#&).#(F76/4/*63#'(6(&1("#./145&'C(#&).#A&/;(#&)3#&).#&66'(17+)1/?/6/*3#+0#96&'/+)#:)/;('1/*3#G+-).&*/+)"#!)4<"#96&'/+)#:)/;('1/*3#+0#%())136;&)/&"%())136;&)/&D1#8*&*(#831*(2#+0#H/C5('#I.-4&*/+)"#*5(#9+22+)A(&6*5#+0#%())136;&)/&#&).#*5(!"#$%&!!'()%*+,-.$')%/).0!12')%*).1&).13).$$)%*)24!)*%/!0%-10()#5/'5.12)%/)#!/2.-1-10)%/)/!$.2!3)2%(+'#&'/1/)C#0'+2"#/)#&)3#2&))('"#/)>-'/(1#*+#23#45/6.#&1#&#'(1-6*#+0#5/1E5('#7&'*/4/7&*/+)#/)#*5/1&4*/;/*3<
J3#23#1/C)&*-'(#?(6+A"#!#4('*/03#*5&*#!#4+276(*(63#-).('1*&).#*5/1#.+4-2()*<
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$708+$,.*&!'(!)$*&+,!'(!-.$*/0$+!! ! ! ! ! ! ! 5$,&
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$90,+&66!! ! ! ! ! ! ! ! ! ! 5$,&
!"#$%&'()*$"+'",)-'.'/+')/"(012%'++)3++4&2,5$")-5+6
It is the policy of Clarion University of Pennsylvania that there shall be equal opportunity in all of its educational programs, services and benefits, and there shall be no discrimination with regard to a student’s or prospective student’s race, color, religion, sex, national origin, disability, age, sexual orienta-tion/affection, gender identity, veteran status or any other factors that are protected under local, state, and federal laws. Direct related inquiries to the Director of Social Equity, Second Floor Carrier Administration Building, Clarion University of Pennsylvania, Clarion, PA 16214-1232. Email [email protected] or phone 814-393-2109.
Sports Camp/ClinicMedical Information
Name of Athlete Telephone ( )
Please list camp(s)0dmjojd)t* you plan to attend:
1: From / / to / /
2: From / / to / /
3: From / / to / /
4: From / / to / /
COMPLETE ALL SECTIONSPlease print
1. Home Address Date of Birth
City
State Zip
2. Father/Guardian Mother/Guardian
Address Address
Telephone ( ) Telephone ( )
Employer Employer
Telephone ( ) Telephone ( )
Please indicate another person that is likely to know where you can be contacted:
Name Relationship Telephone ( )
If you plan to be away from home the week your son/daughter is in camp, please indicate times and procedure that you may be
contacted.
FEES FOR MEDICAL TREATMENT INCURRED BY YOUR SON/DAUGHTER WHILE AT CAMP WILL BE THE RESPONSIBLE OF THE PARENT/GUARDIAN. AN INSURANCE POLICY WILL NOT BE INCLUDED IN THE CAMP FEES. IF YOUR SON/DAUGHTER SHOULD REQUIRE MEDICAL TREATMENT WHILE AT CAMP, AND YOU WISH THE COST FOR TREATMENT TO BE COVERED UNDER YOUR MEDICAL INSURANCE PLAN, PLEASE PROVIDE THE FOLLOWING INFORMATION.
3. Basic Medical Major Medical
Company or Plan Company or Plan
Address Address
Telephone ( ) Telephone ( )
Policy Number Policy Number
Group Number Group Number
Please comPlete the information on reverse side of this form
Is the athlete on any medication of any kind? q Yes q No If YES, please list medication(s), reason for taking, and any special instructions
Drug Allergies or Sensitivities
Other Allergies
Does the athlete require special medical needs? q Yes q No
If YES, please explain:
Please read BOTH statements below and sign the ONE of your choice! DO
NOT SIGN MORE THAN ONE!
Both parents/guardian should sign one of the following sections. If one of the parents is unavailable, the signature of the available parent is sufficient. However, if the parents are divorced, only the parent having custody of the athlete should sign. If the athlete has a legal guardian(s), the guardian(s) should sign.
1. If my son/daughter needs medical attention while at sports camp/clinic at Clarion University, it is my wish that I be contacted before any medical procedures are performed, unless immediate emergency treatment is necessary to save my son/daughter’s life, or to prevent permanent debilitating injury.
Parent(s)/Guardian(s) Date / /
2. If my son/daughter needs medical attention while at sports camp/clinic at Clarion University, it is my wish that the treatment be begun while efforts are being made to contact me. So that treatment will not be delayed, I consent to any medical procedures that the attending physician believes to be appropriate, with the understanding that efforts will continue to be made to contact me. I also accept responsibility for all costs related to such treatment.
*Exceptions. If there are any medical procedures that you do not want performed until you are contacted, please list them in the space provided. Otherwise, write “none”.
Parent(s)/Guardian(s) Date / /
If the athlete is 18 years of age, he/she must also sign this agreement
Date / /
It is the policy of Clarion University of Pennsylvania that there shall be equal opportunity in all of its educational programs, services and benefits, and there shall be no discrimination with regard to a student’s or prospective student’s race, color, religion, sex, national origin, disability, age, sexual orienta-tion/affection, gender identity, veteran status or any other factors that are protected under local, state, and federal laws. Direct related inquiries to the Director of Social Equity, Second Floor Carrier Administration Building, Clarion University of Pennsylvania, Clarion, PA 16214-1232. Email [email protected] or phone 814-393-2109.
