CLARION UNIVERSITY WOMEN'S SOCCER

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1 CLARION UNIVERSITY WOMEN'S SOCCER Super Summer Soccer Camps! 2015 Clarion women s soccer and new head coach Sean Esterhuizen are proud to introduce a fantastic range of summer soccer camp offerings to meet the needs of all from Elite ID Camps, to teambuilding Team Camps, to just plain old-fashioned FUN IN THE SUN soccer camps for youth of all ages! Camp Location: Clarion University Memorial Stadium YOUNG EAGLES CAMPS Camp 1: $60 Camp 2: $60 Camp 3: $65 Camp 4: $65 Camp 5: $65 Camp 6: $65 June 15-19, 10-11:30 a.m. June 22-26, 10-11:30 a.m. June 15-19, 5-6:45 p.m. June 15-19, 7-8:45 p.m. June 22-26, 5-6:45 p.m. June 22-26, 7-8:45 p.m. Camps 1 and 2 are for 6- to 8-year-old boys and girls in the mornings. Total fun and soccer games! For all levels of ability. Huge emphasis on fundamental skills using short, FUN soccer games. Camps 4 thru 6 are for 9- to 15-year-old boys and girls. Total fun in the sun as you learn new skills and play awesome World Cup challenges. For all levels of ability. ELITE 3-DAY ID CAMP $175 Commuter, $225 Resident June 29-July 1 For the elite high school female player with serious college ambitions. Three-day immersion in Clarion 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 games and inside information on how to be recruited by your college of choice. GOALKEEPERS CAMP $175 Commuter, $225 Res, July Intense three-day high school female goalkeeper camp. Clarion graduate and All-Region standout goalkeeper Laura Saussol and coach Sean Esterhuizen will run focused goalkeeper training sessions that challenge you to new levels. HIGH SCHOOL & CLUB TEAM CAMP Camp 1: $225 per player, July (3 days) Camp 2: $295 per player, July (4 days) Camp 3: $345 per player, July (5 days) Team-focused training camp 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. Each day, teams receive dedicated coaching from their assigned team coach and Coach Sean, plus a mix of fast-paced, challenging, small-sided games, concluding with evening full-sized competition. For information: Contact Clarion head women s soccer coach Sean Esterhuizen at or call Coach Sean at Registration info available at

2 ABOUT THE CAMP DIRECTOR New Clarion head women s soccer coach Sean Esterhuizen has an extensive coaching resume that includes 22 seasons of coaching high school soccer (326-80) with an 80% win percentage. He also has six seasons of women s collegiate head coaching at Clarke University, Iowa, where he compiled an overall conference record of 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 Esterhuizen WHAT MAKES CLARION SOCCER CAMPS SPECIAL? Since 2001 Coach Esterhuizen has been running successful youth soccer camps in the Pacific Northwest and now he brings these to Clarion this summer with the following key ingredients: FUN! ENTHUSIASM! EXCITEMENT! NEW SKILLS AND GAMES EVERY DAY! LOTS OF UNIQUE SOCCER CHALLENGES! Campers get to ramp up their individual skill development in a fun and challenging way, and then transfer new skills to the playing field in a variety of small-sided games modelled after the youth academy training used by world class clubs such as Manchester United and Arsenal. Resident camps offer fantastic afternoon and evening mini World Cup tournaments that make every day an exciting experience. Camp sessions include watching video highlights and analysis of the women s World Cup games being played in Canada this June in a fun, festive, atmosphere. 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 a newfound, INTENSE, love for the game! Team campers will be immersed in fun, team-building activities, similar to what is used at Clarion, gaining a new foundation of team spirit and team unity. UNIQUE BONUS FOR CAMPERS: Every camper gets a digital file of the games and coaching principles that Coach Sean has shared during camp so that they can retain the information and share it with friends, parents and their own coaches. This includes Young Eagles, Youth, High Schoolers, Elite ID, and Team campers. UNIQUE BONUS FOR TEAM COACHES WHO ATTEND: Coaches who bring a team to camp will receive a detailed curriculum of the games and exercises used in every phase of the camp, as well as favorites used by Coach Sean at Clarion a collection honed through 35 seasons of coaching soccer at all levels. Coaches will also receive an overview of the team building philosophy used by Coach Sean to develop teams that truly care for each other and achieve success through commitment, belief and application of unshakeable core values.

3 CLARION UNIVERSITY WOMEN'S SOCCER Summer 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 unless noted (Please select your camp/s and fee choice). $10 discount for each additional sibling. Young Eagles Camps June 15-19, 10 a.m a.m. Camp 1: $ yrs., boys & girls June 22-26, 10 a.m a.m. Camp 2: $60 Young Eagles Camps June 15-19, 5 p.m. - 6:45 p.m. Camp 3: $ yrs., boys & girls June 15-19, 7 p.m. - 8:45 p.m. Camp 4: $65 June 22-26, 5 p.m. - 6:45 p.m. Camp 5: $65 June 22-26, 7 p.m. - 8:45 p.m. Camp 6: $65 ELITE ID RES Camp June 29 - July 1, 9 a.m. - 9 p.m. $175 Commuter $225 Resident Goalkeepers Camp July 13-15, 9 a.m. - 9 p.m. $175 Commuter $225 Resident Team Camp (3 day) July 20-22, 9 a.m. - 9 p.m. $175 Commuter $225 Resident Team Camp (4 day) July 20-23, 9 a.m. - 9 p.m. $220 Commuter $295 Resident Team Camp (5 day) July 20-24, 9 a.m. - 9 p.m. $265 Commuter $345 Resident PLAYER INFORMATION: Name: Phone: Graduation Year : City: State: Zip: Date of Birth: Age: Year of HS Graduation: T-shirt size: SM MED LG XL Phone: Club Team: Playing Position/s: 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

4 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. 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: Clarion University Women s Soccer, 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 form. A team deposit of $300 must be received with this Team Registration. 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 $25 per day of camp. Coach Name: Coach Signature: Cell: Will your team manager be attending? (Yes/No) Cost is $25 per day of camp. Manager Name: Manager Signature: Cell:

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

6 Summer Sports Camp Medical Information Name of Athlete Telephone ( ) Please list camp(s) you plan to attend: 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 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) Date / / 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) Date / / If the athlete is 18 years of age, he/she must also sign this agreement Date / /

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