2013 Chief Sealth Soccer Skills Camp
Transcription
2013 Chief Sealth Soccer Skills Camp
WAIVER AND CONSENT FOR MEDICAL CARE CAMP LOCATION & DIRECTIONS I, _______________________________________________, authorize all medical, surgical, diagnostic and hospital procedures as may be performed or presented by a physician for ___________________________________ , if I cannot be reached in case of an emergency. You are invited to attend... Date_________ Signature ____________________________________ Amateur Athletic Minor Waiver In consideration of being allowed to participate in any way in Sealth Soccer Camp’s athletic/sports program, and related events and activities, the undersigned: 1. Agree that the parent(s) or legal guardian(s)will instruct the minor participant that prior to participating he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his or her coach or supervisor of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk or serious injury, including permanent disability and death, and severe social and economic losses which might result only from their own actions, inactions or negligence, but the action, inaction, or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be risks not known to us or not reasonably foreseeable at this time. 3. Assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability, or death. Photo courtesy Seattle Times Camp Location The 2013 Chief Sealth Soccer Skills Camp will take place at the Southwest Athletic Complex, directly across the street from Chief Sealth International High School. Driving Directions - Take Delridge Way SW Exit from West Seattle Bridge. - Head South approximately 2.5 miles on Delridge Way SW - Turn Right on SW Thistle St. Located at 2600 SW Thistle St. 4. Release, waive, discharge and covenant not to sue the Seattle Public School District, ASB, or any of the staff operating and organizing Sealth Soccer Camp, all of which are hereafter referred to as “releasees” from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise. July 22nd-26th 9:00am-4:00pm daily _________________________________________ Date____________ Parent or Guardian (Signature/Relationship) _________________________________ Printed Name of Participant Open to all boys and girls, headed into grades 3rd-9th. All skill levels are invited. I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY _________________________________________ Printed Name of Parent or Guardian 2013 Chief Sealth Soccer Skills Camp Follow Sealth Athletics CHIEF SEALTH INTERNATIONAL 2013 SOCCER SKILLS CAMP REGISTRATION FORM Please complete the following waiver and application. Mail application and payment to: Chief Sealth International High School Attn: Sam Reed 2600 SW Thistle Seattle, WA 98126 Photo courtesy West Seattle Herald Photo courtesy West Seattle Herald CAMP PHILOSOPHY / ABOUT US When: July 22nd-26th (Mon-Fri) Camp Philosophy Where: Southwest Athletic Complex (see directions) This is the 1st year of the Chief Sealth Soccer Skills Camp. Modelled after our long-standing basketball skills camp, now in it’s 16th year, the philosophy of the camp is to provide a positive and fun learning experience to youth by exposing them to the fundamentals of soccer and life, including the values and qualities that we feel are necessary to be successful in these arenas. Who: Boys and Girls grades 3-9 (entering fall 2013) Cost: $100 (1st year introductory price) Checks Payable to: Friends of Sealth Time: 9:00am-4:00pm each day Check-in opens at 8:00am Monday, camp opens at 8:45am Tues-Fri) The camp will focus on three pillars, 1) skill development, 2) teamwork and leadership, and 3) life values and traits. We at Chief Sealth feel that in order to truly be successful studentathletes we must work equally in all three areas. About Us The camp will be directed by long-time boys and girls Head Coach Ron Johnson and Athletic Director Sam Reed. Johnson, who was named Metro Sound Boys Coach of the Year in both 2012 and 2013, has been the Seahawks head coach for 16 seasons, and has taken the boys to the WIAA 3A state tournament in each of the past two seasons. On the girls side, he has been the head coach since the program began and has built the program into a league contender, as the 2012 girls team finished 4th in the Metro League. Reed, the WIAA District 2 Athletic Director of the Year, has been at Chief Sealth since 2007. Under his leadership Sealth Athletics has participation nearly triple, all 15 WIAA sports advance to the postseason, 7 different Metro League Coaches of the Year and numerous other program successes. Further, he has years of prior experience running sport camps at the state and regional level. Coaching The camp will be led by both current and past members of the Chief Sealth boys and girls soccer teams. They will provide coaching by exposing campers to the fundamental skills of the game through proven coaching methods. Our camp does not guarantee success as a player, but it will expose campers to the ingredients necessary to becoming a skilled player and successful high school student-athlete. Accommodations Each camper will receive a camp t-shirt. Campers must provide their own lunch. There will be a camp store available where hotdogs, snacks, candy, and beverages can be purchased. It is recommended that each camper bring his/her own water bottle, as water stations will be available for fillup. Campers should also dress appropriately and consider sunscreen as we will be outside the entirety of the camp. The camp is not responsible for lost or stolen items. It is requested that campers NOT bring their own soccer ball. Questions? e-mail Sam Reed at [email protected] Name: ____________________________________________ Address: __________________________________________ City: _______________________________State:__________ Zip:______________ Phone: ___________________________________________ E-mail Address (REQUIRED FOR PRIMARY COMMUNICATION): __________________________________________________ Emergency Contact: ________________________________ Emergency Phone: _________________________________ Grade in fall of 2013: ________ T-Shirt Size:____________ Please specify Adult or Youth size: S, M, L, XL, XXL) Have you participated in a past Sealth Basketball & Life Skills Camp? Y / N (circle one) How did you hear about our program? _________________________ (Sealth Website, Local Media, Friend Reference, etc...) Are there any medical concerns we should know about this camper?