goalie camp - The Boys` Latin School of Maryland

inside
quint kessenick's
GOALIE CAMP
"This is THE camp for goalies. Other camps can't come
close in terms of skills training or expert staff."
- Dave Cottle, Former Head Coach, University of Maryland Lacrosse.
Quint Kessenich
• 4 time All - American goalie, Johns Hopkins University
• Assistant coach at Boys' Latin for 19 years
• Former Defenseman for the Baltimore Thunder
• Lacrosse expert for ESPN, Fox Sports, Inside
Lacrosse Magazine, WMAR and MLL
Bob Shriver
• 34 year Head Coach of Boys' Latin School
• 14 Divisional and 5 State titles
• Team USA coach
• Developed countless All-American players top universities
Jon Weston "The Goalie Man"
• Assistant Coach at Towson University, specializing in
goal tending skills
Our staff has been rounded out by some of today's best
players, including:
Pat McGinnis - University Of Maryland
Andrew Hampson - UMBC
John Horrigan - Towson State
Jason Born - Loyola
Rob Scher - Johns Hopkins University,
Baltimore Bay Hawks
Jay Pfeiffer, Syracuse University
Quint Kessenich's Goalie Camp challenges goalies at every level and age. Our expert instructors teach players the drills, tools and techniques they need to know to become their best. If you're a goalie, this camp is
your chance to learn from some of the best in the sport.
Some of today's best NLL and MLL players drop by to offer their perspectives on the game.
Skills like positioning, save making, clearing and recovery are just a sampling of what players learn.
Our open question and answer environment and one-on-one skills development philosophy help make
Quint Kessenich's Goalie Camp a one-of-a-kind experience.
Our mission is to offer players a fun, creative and challenging environment that is sure to leave them with a
solid skill set they can build upon.
Camp Location: Boys' Latin School (Upper School Campus)
822 W. Lake Avenue (off of Falls Road).
Camp Dates & Time:
Sunday, June 8th through
Wednesday, June 11th 5:30 - 8:00 p.m.
Camp Cost: $260 (Make check payable to Laker Lacrosse)
Remit To:Steve Dubin, Laker Lacrosse
822 W. Lake Avenue
Baltimore, MD 21210
For Questions or further information,
please contact Steve Dubin at
Boys' Latin School, at 410-377-5192 X1229
Please use separate applications to enroll each
player. Photo copies are acceptable. Entire
form must be completed and accompanied by
either deposit or full fee to guarantee player a
reserved spot. Checks should be made payable
to:Laker Lacrosse and remitted to Steve Dubin, c/o
Boys' Latin 822 West Lake Avenue, Baltimore, MD 21210.
 $260.00
Age: _______ M F  $50.00 Deposit Non-refundable
Player Name: _________________________________
Address:_____________________________________
_____________________________________
Parent/Guardian: ______________________________
Home Phone: ( ) ___________________________
Alt. Phone: ( ) _____________________________
Emergency contact other than parent/guardian:
_____________________________________________
Please list all allergies or physical restrictions regarding child:
_____________________________________________
_____________________________________________
Please provide insurance data in case of emergency:
Name of Insured: ______________________________
Relation to Child: ______________________________
Insurance Company: ____________________________
Policy No. ____________________________________
Quint Kessenich’s Goalie Camp
REGISTRATION
________________________________________________________________________________________________________________________________________________________
Waiver and Release of All Claims
I recognize and acknowledge that there are certain risk/s of physical injury to participants in sports camps, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss,
regardless of the severity, that my minor child/ward may sustain as a result of said participation. I further agree to waive and relinquish all claims against the Quint Kessenich’s Goalie Camp, its
affiliates, camp directors, staff members/employees that I or my minor child/ward may have (or may accrue to me or my minor) as a result of his/her participation.
In consideration of the acceptance of my registration form and permission granted my minor child/ward to enter the premises and participate in the Quint Kessenich’s Goalie Camp, I do hereby,
for myself and my child/ward, our heirs and assigns, forever waive, release, remise, and discharge the Quint Kessenich’s Goalie Camp, its facilities, including The Boys’ Latin School of Maryland,
from any and all claims for injuries, damages or loss that my child/ward or I may have or which may accrue to me or my child/ward arising out of, connected with, or in any way associated with
my child’s camp participation.
Parent/s or Legal Guardian
Signature/Date:
________________________________________________________________________________________________________________________________________________________
Authorization for Emergency Medical Treatment
As a general rule, the Quint Kessenich’s Goalie Camp will attempt to contact the parents/legal guardians/emergency contact first. In the event contact cannot be made or in the event of a medical emergency or accidental injury concerning my child, I hereby authorized the camp directors/staff (including their agent/s and/or representatives), to perform or obtain emergency medical
treatment for the benefit of my child/ward.
I hereby authorize the Quint Kessenich’s Goalie Camp’s director/staff to administer general first aid, and provide first responder assistance with minor injuries.
Parent/s or Legal Guardian
Signature/Date:
goalie camp 2014
quint kessenick's
GOALIE CAMP
girls & boys age 8 - 17
June 8th through June 11th
2014