HS Acceleration Forms - Elk Point

Transcription

HS Acceleration Forms - Elk Point
EPAC & EP-J 9th-12th Grade
ACCELERATION PROGRAM
When:
June 1st -25th and July 6th – July 30th ---- (1 week off over 4th of July)
Monday, Tuesday, Wednesday, and Thursday of each week
Two Morning sessions will be offered – 1 Hour Long
STARTING TIMES WILL BE DETERMINED ONCE WE KNOW THE NUMBER OF
ATHLETES AND JOB STARTING TIMES FOR ATHLETES (PLEASE TURN IN SHEETS
ASAP SO WE CAN MAKE THESE DECISIONS)
Where:
What:
EPAC Fitness Center
This program is an opportunity for our student athletes to improve in an environment
that is positive, organized, and enjoyable. This program will emphasize strength,
plyometrics, speed, agility, and conditioning. The high school program will focus primarily
on lifting with core & explosion workouts.
Physical Goals:
-Flexibility, Strength, Speed, and Agility Training
-Develop physical ability along with coordination.
-Condition and prepare for upcoming seasons
Mental Goals:
Intangibles:
-Prepare for demands of HS sports
-Teamwork & Leadership
-Develop Mental Toughness
- Individual and Group Accountability
Who: Cole Knippling, Jake Terry, Kelly Haberling, Dr. Erik Johnson
Cost: EPAC Members: $75 per athlete or $125 for a family
NON-EPAC Members: $100 or $150 for a family
WE ARE LOOKING FORWARD TO A GREAT SUMMER AND A GREAT PROGRAM!!!!!!!
Please contact us with any questions: Cole Knippling (605) 730-1773 * Jake Terry (605) 659-5409
* Kelly Haberling (605) 670-6504 Dr. Erik Johnson (605) 670-6528
Please fill out the following information to the best of your ability. Turn this page
with payment in by ASAP to the HS Office or by mail to Mr. Knippling
(1709 Country Club Drive, Elk Point, SD 57025)
Athlete Name: _________________________
Age/Grade: _______
Gender: ______
Address: _______________________________________________________________
T-Shirt Size: Small
Medium
Large
X-Large
XX - Large
Parents’ Names: ____________________________________________
Athlete’s Cell Phone Number:______________________________________________
Parent(s) Phone Number: _________________________________________________
Parent E-mail:____________________________(we will contact you with info leading up to acceleration)
Summer Job Info: What time in the morning does your summer job begin? _______________
Read the following statement. If you are willing to accept your responsibilities in this
program then sign at the bottom of the page and turn this page in ASAP.
I recognize my responsibility to this program and to my peers. I understand that this is a
commitment. I recognize the fact that this program will push me mentally, emotionally, and
physically to be the best that I can be. I will attend every session or give adequate information to
the managers as to why I was unable to attend. I will support every one of my peers to do their best
while I strive to do mine. I will have fun and be a positive influence to the people around me.
Student signature: _________________________
Date: ______________
Release
My child has permission to attend the “EPAC/EPJ Acceleration Program.” I fully realize that injury or illness to my child
could result from or during participation in this program. In case of such accident or illness, I give permission for my
child to be given medical treatment as deemed appropriate. I understand that no medical insurance is provided through
this program, and I will assume responsibility for any medical bills incurred by/on behalf of my child. I further agree that
EPAC, its employees, program directors, volunteer coaches and/or assistants, including anyone associated with the
prgram, will not be liable for any damages from injuries or illness sustained.
Parent signature needed if individual is under the age of 18.
Parent Signature: __________________________
Date: ______________
Please Make check payable to EPAC Acceleration
 You do NOT have to be a member of EPAC to participate in this program.