GOLDEN EAGLES WRESTLING

Transcription

1 Clarion Wrestling Clarion University has produced some of college wrestling s greatest names. Clarion Golden Eagles have placed forty-six All-Americans and eight National Champions at the NCAA tournament. Campers can learn in the same environment that produced these legendary men of wrestling. Camps meet the needs of the most advanced wrestler to the beginning athlete. We stress the importance of wrestling technique, as well as mental preparation, weight management and strength and conditioning practices tailored to each camper s needs. All camps are staffed by NCAA Division I wrestlers in training for the collegiate season and summer Olympic-style competition. Acceptance and Application Questions Registration is currently open. We will confirm the receipt of your application to the address you provide when we process it. 1. Upon acceptance, you will receive all pertinent information necessary to make your stay pleasant. 2. You may choose your roommate at registration. 3. No refunds no exceptions. A substitute can be made without penalty. 4. We work approximately seven hours a day on the mats with live wrestling every day. Other Activities CAMPS 2018 Keith Ferraro Head Coach Kyle Kiss Assistant Coach Wrestlers stay at Clarion University s secure, air-conditioned suites. Great food provided for each meal at Eagle Commons Dining Hall. Lavion Mays Vol. Asst. Coach Nick Deloia Vol. Asst. Coach Medical Facilities In case of an emergency, the medical facilities of Clarion Hospital are within three miles of the university campus. Clarion University sports medical staff will be present at all camp sessions. GOLDEN EAGLES WRESTLING Register at WRESTLINGCAMPS

2 Golden Eagle Wrestling Camp* June 24th-27th Clarion Wrestling provides specialized camps for whatever your needs may be! Clarion University is located off I-80, Exit 64. Erie NEW YORK * Check in/camp information will be ed to you upon registration. Get forms at OHIO Interstate 79 Franklin Interstate 0 8 Pittsburgh PA Turnpike WEST VIRGINIA Johnstown PENNSYLVANIA Clarion University Clarion Rt. 219 Rt. 36 Interstate 80 Rt. 220 Altoona Williamsport State College Harrisburg PA Turnpike Rt Interstate 81 Interstate 81 NE Ext. PA Turnpike Scranton Interstate 80 Allentown PA Turnpi ke Philadelphia

3 (back) -can stay the same with updated team photo and coaches Please enroll me in the 2018 Clarion University Wrestling Camp. It is understood that Clarion University, the directors, or anyone connected with the camp will not assume any responsibility for accidents, or any medical, dental, or other expenses incurred as a result of accidents. Name Age Weight Cell Phone H.S. Grade September 2018 H.S. Coach Area code (required) Street City State Zip Accompanying Adult (Father/Son event) Wrestling Camp June q Resident: $399 q Commuter: $215 q Coach: $75 q Early check in: $35 Father/Son Camp June 29-July 1 q Father/son: $299* q Add. sibling: $110* q Early check in: $50 I (parent/guardian) certify my son has no injury or illness which could jeopardize his well-being by participating in activities of the Clarion University Wrestling Camps. Signature Prospect Camp June 30-July 1 q Resident: $399 q Commuter: $215 q Coach: $75 q Early check in: $35 Competition and Technique Camps: $50 discount if registered online by 5/12/17 Call about commuter team rates! Date FEES INCLUDE HOUSING AND MEALS! Return application and camp payment (payable to Clarion University) to: CU Golden Eagles Wrestling Camp, Clarion University, 840 Wood Street, Clarion, PA q Check (no. ) q Money Order OR Register online at ($10 transaction fee for credit card transactions) How did you learn of this camp? q Brochure q Internet Ad q Website q Word of Mouth q WIN magazine q PA Wrestling Roundup q PA Wrestling News q PA Wrestling Newsmagazine 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.

4 !"#$%&'()*$"+'",)-'.'/+')/"( 012%'++)3++4&2,5$")-5+6!"#$$$$$$$$$$$$$$$$$$$$$$$$$"#%&'()*#+'#,-&'./&)#+0#$$$$$$$$$$$$$$$$$$$$$$$$$!!!!!!!!!!!!!"#$%&!'(!)$*&+,!'*!-.$*/0$+1### # # # #########"#$%&!'(!2304/1.(1/'(#0+'#23#45/6.#*+#7&'*/4/7&*(#/)#87+'*1#9&27/Clinic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t 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 orientation/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 asalsgiver@ clarion.edu or phone

5 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

6 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 orientation/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 asalsgiver@ clarion.edu or phone