CLARION UNIVERSITY WOMEN'S SOCCER

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1 CLARION UNIVERSITY WOMEN'S SOCCER Elite ID and Team/Individual Residential Camps 2016 The Clarion Women s Soccer program, led by Head Coach Sean Esterhuizen, is proud to introduce three fantastic residential summer soccer camp offerings in 2016 to meet the needs of high school, club and prospective college players looking to take their soccer to the next level in a challenging, but fun, positive environment. Camp Location: Clarion University Memorial Stadium, Clarion, PA ELITE TWO-DAY ID CAMP $190 Commuter, $225 Resident June 25 June 26 For the Elite high school female player with serious college ambitions. Field players and goalkeepers. Three-day immersion in high-level college training. Intense soccer, but intense fun as well as you eat fantastic food and train with the Clarion Women s Soccer team as your assistant coaches. Sessions will include video analysis of women s World Cup and professional games and inside information on how to be recruited by your college of choice. FACILITIES Campers train in the Clarion University soccer stadium on newly installed field-turf in an exciting collegiate atmosphere. Campers also stay in new, air-conditioned state-of-the-art dorms and eat an unlimited fare of excellent food three times each day in the modern Eagle Commons dining hall. QUESTIONS? Contact Clarion head Women s Soccer coach Sean Esterhuizen at sesterhuizen@clarion.edu or call Coach Sean at Registration info available at TEAM/INDIVIDUAL CAMPS Camp 1: $325 per player, July Camp 2: $325 per player, July Team-focused, four-day training camp for teams AND individuals. Designed to help female high school and club teams develop a cohesive playing style while building a strong team-bonding foundation for the upcoming season. Huge emphasis on team building and a strong mix of technical and tactical coaching. Each day teams receive dedicated coaching from their assigned team coach and Coach Sean, plus a blend of fast-paced, challenging small-sided games, concluding with evening full-field competition. Individual players are welcome and will be assigned to a United Team.

2 ABOUT THE CAMP DIRECTOR Sean Esterhuizen just finished his second season as head coach at Clarion University during which the Golden Eagles recorded their most successful season since 2007 and set a new mark for goals scored in a season. Esterhuizen had his 100 th career collegiate win this past season and has recorded 326 wins as a high school coach. Our mission is to build Clarion soccer into a Pennsylvania power comprised of talented players who play a crisp, creative confident style of soccer, built on a core foundation of commitment, respect, caring and integrity. Coach Sean WHAT MAKES CLARION RESIDENTIAL SOCCER CAMPS SPECIAL? Coach Esterhuizen has a simple philosophy at Clarion: I want my players to play with enthusiasm and energy! Every second we spend on the field should be about becoming better players but in a fun and positive way. At Clarion, we want soccer to be a fantastic outlet where you can enjoy this tremendous game with a team that you love and coaches who put YOU first! So why should you come to our camp? 1. FUN FACTOR The fun factor is HUGE at Clarion. We like and respect each other and we look for opportunities to celebrate success YOUR success! On the field we work hard, but with purpose and joy. Off the field, we engage each other and find fun moments to build lasting memories and do lots of team-building activities, games and contests. 2. BE RECOGNIZED Coach Sean is a huge believer in giving opportunity to players who want to separate themselves from the pack, players who have the desire to learn and the ambition to be the best. We are always looking for AMBITIOUS talent and, if Clarion is a school you might want to attend down the road, then coming to one of our camps is the perfect way to explore while also giving us a chance to assess your potential. 3. EXPAND YOUR KNOWLEDGE At camp, we take pride in getting to know YOU and finding ways to give you the information to take your game to the next level. We want learning to be the foundation of your camp experience. At the end of camp, we want you to leave with a sense of accomplishment, a sense of having advanced your skills and knowledge so that you are closer to achieving your personal and team goals. 4. GREAT FACILITIES Clarion University offers the perfect mix of academic and sports facilities, coupled with excellent dorms and exceptional food. 5. TRAIN WITH THE CLARION WOMEN S SOCCER TEAM Members of the Clarion women s soccer team serve as assistant coaches in the camps and bring a personalized and experienced touch, blended with lots of laughter and fun. We want our campers to be challenged and enthused by our approach! We want them to be recognized by name and leave camp with DEEPER KNOWLEDGE and a newfound, INTENSE, love for the game! Assistant coach Thomas Hummel

3 CLARION UNIVERSITY WOMEN'S SOCCER Summer Residential Camps REGISTRATION FORM It is understood that Clarion University, the directors or anyone connected with the school will not assume any responsibility for accidents, medical or dental, or any other expenses incurred because of accidents. Physical examination will not be required. All resident camps include three meals per day. Training and games are played on the newly resurfaced Clarion Memorial Stadium turf, one of the finest venues in western Pennsylvania. Details of arrival, departure, overnight lodging, what to bring etc., will be ed to campers upon receipt of this registration form. All camps for high school girls. Please select your camp(s) and fee choice: ELITE ID Camp 9 a.m. June 25 4 p.m. June 26 $190 Commuter $225 Resident Elite Camp provides lunch and dinner on June 25, breakfast and lunch on June 26 Team Camp 1 9 a.m. July 14 4 p.m. July 17 $325 Resident Team Camp 2 9 a.m. July 21 4 p.m. July 24 $325 Resident Team Camps 1 & 2 provide lunch and dinner on day 1, breakfast, lunch and dinner on days 2 and 3, and breakfast and lunch on day 4. PLAYER INFORMATION: Name: Phone: Yr. of Graduation : City: State: Zip: Date of Birth: Age: Year of H.S. Graduation: T-shirt size: SM MED LG XL XXL High School: H.S. Coach Name: H.S. Coach Phone: Club Team: Club Coach Name: Club Coach Phone: Are you a goalkeeper? Best Position on Field: High School: I certify my son/daughter has no injury or illness that could jeopardize his/her well-being by participating in the soccer activities of the Clarion University Golden Eagles Soccer Camps Signature of parent or guardian: Clarion University is an affirmative action, equal opportunity employer. CONSENT RELEASE AND MEDICAL INFORMATION: PLEASE COMPLETE THE INFORMED CONSENT RELEASE AND EXPRESS ASSUMPTION RISK FORM AS WELL AS THE MEDICAL INFORMATION FORM FOUND ON THE NEXT PAGES.

4 QUESTIONS: Please contact Coach Sean Esterhuizen at or MAIL FORMS AND CHECK TO: Please make all checks payable to: Clarion University for the amount of the camp and mail this Registration Form AND the Consent and Medical Information Forms to: Women s Soccer, Clarion University, 840 Wood Street, Clarion, PA TEAM REGISTRATION: If you are registering your team for a camp, please complete the information below. Each player listed below will have to individually complete their own player registration form as well as the INFORMED CONSENT RELEASE AND EXPRESS ASSUMPTION RISK and the MEDICAL INFORMATION forms. A team deposit of $500 must be received with this Team Registration. All funds are due two weeks prior to start of camp. Please mail to above address. Two players are assigned to each dorm room please group your roster in roommate pairs below. Team Name: City: State: Which camp will your team be attending? Dates: Player Roster: Will your coach be attending? (Yes/No) Cost is $40 per day of camp. Coach Name: Coach Signature: Cell: Will your team manager be attending? (Yes/No) Cost is $40 per day of camp. Manager Name: Manager Signature: Cell:

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6 Sports Camp/Clinic Medical Information Name of Athlete Telephone ( ) Please list camp(s) you plan to attend: 1: From / / to / / 2: From / / to / / 3: From / / to / / 4: From / / to / / COMPLETE ALL SECTIONS Please print 1. Home Date of Birth City State Zip 2. Father/Guardian Mother/Guardian 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 Telephone ( ) Telephone ( ) Policy Number Group Number Policy Number Group Number Please complete the information on reverse side of this form

7 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 / /

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