Clarion University Cross Country Boys & Girls Camps

Transcription

1 non-profit org. U.S. Postage PAID Clarion, PA Permit No. 2 Clarion University Cross Country Boys & Girls Camps Camp One: Thursday July 24-Sunday July 27 $250 $200 Camp Two: Sunday July 27-Thursday July 31 $285 $235 Combined Option: Stay for both camps and train for one full week at the university. Thursday July 24-Thursday July 31 $425 $375 Athletes who attend both camps will receive different instruction during the two camps. Great Gift Idea! 840 Wood Street Clarion, PA Designed to meet the needs of boys and girls in grades 8-12 interested in all aspects of distance running. The in-depth class and instructional portions of the camps, in addition to the daily runs, are aimed at improving young athletes understanding of what is necessary to improve in distance and cross country racing. Topics Include: Nutrition Lifestyle l Sports Science l Sports Psychology l Core Work l Running Form l Hydro Training l Running History l Plus, much more! l l 2008 Discounted rates for teams with five or more runners. Fees for all camps include all meals, lodging, activities, awards, and camp T-shirt. Day camp includes meals. Camp Director Jayson Resch is the head Cross Country and Track and Field coach at Clarion University. During his tenure, he has coached four AllAmericans, two AllRegion cross country runners, and seven PSAC Champions. Prior to becoming the head coach at Clarion University, Resch was a volunteer assistant coach at Clarion and he was an assistant coach at the high-school level. He also served as an officer in the United States Army for six years. As an athlete, he competed for four years in cross country and track and field at Richard Stockton College in New Jersey. He earned a Bachelor of Arts in Criminal Justice degree from Richard Stockton College and a Bachelor of Science in Secondary Education Social Studies degree from Clarion University in Resch is currently completing a master s degree in exercise science and is a USATF Level II Certified Coach in endurance events.

2 Rt. 220 Staff Tom Resch is head women s cross country and track and field coach at Manchester High School in New Jersey. He has worked in education for more than 30 years, serving in positions ranging from teacher to superintendent. Resch retired in 2004 and assumed the duties of head coach. He is a three-time qualifier for the Boston Marathon running 2:34. Resch was named Runner of the Year for Ocean County Running Club in 1984 and Masters Runner of the Year in He is a member of the Wall of Fame at Southern Regional High School due to his accomplishments in running and education. Resch is a U.S.A. Track and Field certified coach. Tasha Wheatley is a graduate assistant coach for the Clarion University Cross Country Team. As an athlete, she was a four time All- PSAC runner and a Division II NCAA qualifier in the 3000 meter steeplechase. Contact Information Jason Resch, Head Coach 840 Wood Street Clarion, PA jresch@clarion.edu Health Care In case of emergency, Clarion Hospital is located within three miles of the university campus. Medical service is provided by the Clarion University sports medicine staff. Prevention of injuries is emphasized. Housing, Meals, and Facilities All athletes are housed on campus. The dorm rooms and dining hall provide a beautiful setting away from home with adult supervision and a lights-out policy. The track and field stadium has a new surface and new jumping facilities. In addition, an indoor track, swimming pool, tennis, volleyball, and basketball courts, TV room, and snack bar are all available on campus. Located in scenic northwestern Pennsylvania, Clarion University is one of 14 Pennsylvania State System of Higher Education Universities. Clarion is conveniently located just off. The setting provides a safe, carefree environment. I-80 Exit 64 OHIO Interstate 79 Erie Franklin Pittsburgh WEST VIRGINIA NEW YORK PENNSYLVANIA Clarion University Clarion Altoona Johnstown Rt. 219 Rt. 36 Rt. 220 State College Williamsport Harrisburg Interstate 81 Scranton Allentown Philadelphia Interstate 81 NE Ext. Please enroll me in the following Clarion University Camp(s). It is understood that Clarion University, the directors, or anyone connected with the school will not assume any responsibility for accidents, or medical, dental, or any other expenses incurred as a result of accidents. Camps reserve the right to dismiss any camper for behavior deemed detrimental to the group, or for any serious violation of camp regulations. Name q Male q Female Age Year of high school graduation Home telephone number Name of high school CLARION UNIVERSITY OF PENNSYLVANIA 2008 Cross Country Camp Application Coach Roommate preference (if any) Best times* 800m *please enter at least one time Mile T-shirt size q S q M q L q XL Two-mile m July 24-July 27 m July 27-July 31 m July 24-July 31 Cross Country Camp One Cross Country Camp Two Combined Camp q $250 Residents* q $285 Residents* q $425 Residents* q $200 Commuters* q $235 Commuters* q $375 Commuters* Payment Type: q Check q Money Order Check Number Mail to: Clarion University,, 840 Wood Street, Clarion, PA Additional camp information will be sent upon receipt of the application. Payment in full is due by the opening of camp. Physical examination will not be required I hereby authorize the director of Clarion to act in his best judgment in any emergency requiring medical assistance. I certify my son/daughter has no injury or illness which could jeopardize their well-being by participating in the at Clarion University. Parent or guardian must sign Complete the application carefully. Your acceptance may be delayed if information is incomplete. Street City State Zip Area Code *Discounted rates for teams with five or more runners. Call for information. Include a $50 non-refundable deposit with your application. All checks (money orders preferred) must be made payable to. It is the policy of that there shall be equal opportunity in all its education 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 orientation/affection, veteran status or any other factors that are not in accordance with local, state, and federal laws. Direct equal opportunity inquiries to Assistant to the President for Social Equity, 207 Carrier Administration Building, Clarion, PA , k

3 Summer Sports Camp Medical Information Name of Athlete Telephone ( ) Please check camp(s) you plan to attend Swimming Swimming Elite Diving Baseball Volleyball Football Soccer Cross Country Strength Training Tennis Boys Basketball Girls Basketball Boys Basketball Team Camp Girls Basketball Team Camp Track & Field Strength & Speed Wrestling Clarion Way Wrestling Youth Camp Wrestling 3 in 1 Elite Wrestling Team Camp Softball (s) Attending Camp: From / / to / / From / / to / / COMPLETE ALL SECTIONS Please print 1. Home Social Security No. City of Birth State Zip 2. Father/Guardian Mother/Guardian Social Security No. Social Security No.. Employer Employer 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 Policy Number Group Number Policy Number Group Number PLEASE COMPLETE THE INFORMATION ON REVERSE SIDE OF THIS FORM

4 Is the athlete on any medication of any kind? Yes 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? Yes 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 summer sports camp 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) / / 2. If my son/daughter needs medical attention while at summer sports camp 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) / / If the athlete is 18 years of age, he/she must also sign this agreement / /

5 Informed Consent Release and Express Assumption Risk I,, Parent or Guardian of (Name of Parent or Guardian) (Name of Child) desire for my child to participate in Girls Basketball Camp at Clarion University on. (s) I realize injuries can be a consequence or participation in this activity and no amount of reasonable supervision or use of the facility will prevent injury. I appreciate the character of the risk involved and I voluntarily assume on behalf of my child all risk of possible death, harm or injury. I understand and appreciate that such injury could also include, without limitation, serious or permanent injuries to all bodily organs and functions. I am aware of the risk of participation in this designed activity. I have carefully considered how the possible consequences of injury may impact my child s life, and I choose to accept this risk and allow him/her to participate in the designated activity. In accepting this risk, I expressly and explicitly release, discharge and waive any and all responsibility of Clarion University Foundation, Inc.,, Pennsylvania s State System of Higher Education, the Commonwealth of Pennsylvania and the employees, officials or agents of any and all of the foregoing, pursuant or pertaining or related to, or arising from, in any manner, injuries to my child as a result of his/her participation in this activity. By my signature below, I certify that I completely understand this document. Signature of Parent of Guardian Witness