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2011011011UNLV REBELSNLV REBELSNLV REBELS

SOCCER CAMPSOCCER CAMPSOCCER CAMPS

2011Camp Dates

Session 1:

June 13-17, 9:00am-4:00pm @ UNLV

Session 2:

Henderson Elite CampJune 20-24, 9:00am-12:00pm @

Henderson International School

Session 3:

June 20-24, 5:30pm-8:30pmCommunity Park @ Summerlin

Session 4:

Full Day Camp:

July 11-15, 9:00am-4:00pm @ UNLV

Session 5:

July 18-22, 5:30pm-8:30pm @ UNLV

Session 6:

June 27-July 1, 5:30pm-8:30pm@ Anthem Hills

UNLVSOCCER

4505MARYLANDPA

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BOX450006

LASVEGASNV8915

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EmergencyMedicalAuthorization

Iam

awareoftherisks,hazards

andinherentdangersthatmayariseduetom

ychildsparticipationintheUNLVRebels

SoccerCampbeingheldattheU

niversityofNevadaLasVegas,(collectively

referredtoastheUNIVERSITY),orin

Summerlin,onthefollowingda

tes:June13-17,20-24,June27-July1,July11-15andJuly18-22,2011.

Inconsiderationforbeingallow

edtoparticipateinsaidactivity,Iherebyrele

asewaiveanddischargetheUNIVERSITY,its

instructors,agentsandemployeesfromeveryclaim,liabilityordemandofan

ykindsustained,whethercausedbythenegli-

genceoftheUNIVERSITYor

otherwise.Thisreleaseshallbebindingupon

anyheirs,administrators,executorsandassig

ns

ofmine.IfurtheragreetoindemnifytheUniversityfromanylossliability,damageorcostitmayincurduetomyparticipa-

tioninsaidactivityinanywayw

hethercausedbytheUNIVERSITYorothe

rwise.

Intheeventofillnessorinjuryresultingorarisingdirectlyorindirectlyouto

fsaidactivity,Iherebygivemyconsentand

authorizationfor(1)theadministrationofemergencyfirstaidcareandtreatm

entatthesceneofanemergencybyfaculty,

staffmembersorvolunteersof

theUNIVERSITYor(2)theadministrationofanytreatmentdeemednecessarybyali-

censedphysicianordentistand

(3)thetransfertoanyhospitalreasonablyaccessible.Thisauthorizationisnotintendedto

covermajorsurgeryunlessthemedicalopinionsoftwo(2)licensedphysiciansanddentists,concurringinthenecessityfo

r

suchsurgery,areobtainedprior

totheperformanceofsuchsurgery.

IfurtherdeclareandwarrantthatIamcoveredbysufficientmedicalandden

talinsuranceandthatsuchinsurancewillre-

mainineffectduringmychilds

participationinsaidactivity.

Signature

D

ate

MedicalInformation

AllergicReactions:

Medicationscurrentlytaking:

Checkifknowntohaveanyo

fthese

conditions:

Diabetes

Epilepsy

Hemophilia

HeartCondition

Pastillnessorotherinformationthat

wouldbeusefulintheeventtreat-

mentisnecessary:

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Camp Dates & Locations

*Session 1: Full Day Camp June 13-17, 9:00 am - 4:00 pmLocation: UNLV, Registration fee: $295

Session 2: June 20-24 9:00 am - 12:00 pmLocation: Henderson International School,Registration fee: $125

Session 3: June 20-24, 5:30 pm - 8:30 pmLocation: Community Park, Registration fee: $125

*Session 4: Full Day Camp July 11-15, 9:00 am - 4:00 pm

Location: UNLV, Registration fee: $295

Session 5: July 18-22, 5:30 pm - 8:30 pmLocation: UNLV, Registration fee: $125

Session 6: June 27-July 1, 5:30 pm - 8:30 pmLocation: Anthem Hills, Registration fee: $125

All campers will receive a soccer ball and camp t-shirt.*Full Day Camp: Returning for the 2011 summer is the

full day camp. The camp will run from 9 a.m. to 4 p.m. Lunch,

soccer ball, t-shirt, and use of the MPE center with indoor soc-

cer, skills instruction and videos will be included in the camp

fee. The schedule for the day is:

9:00 am Camp begins / soccer instruction and games

12:00 pm Lunch (in the UNLV residence dinning hall)

1:00 pm Indoor soccer (MPE Center)

2:30 pm Skill Instruction and Videos

4:00 pm Pick-up

Summer is quickly approaching and space is limited. Use the registra-

tion form included or register on-line to reserve your spot today!

Confirmation letter will follow with mail-in or

on-line registration.

For more information or online registration go to

www.unlvrebelssoccercamp.com. For any other questions

contact Katie Burton at (702) 895-4175 or

katie.burton@unlv.edu.

(Team and group discounts available.)

Visit: www.unlvrebelssoccercamp.com for moreinformation.

2011 UNLV

Rebels Soccer Camps

If paying by check:Return with payment in full.*Make checks payable to:

UNLV Rebels Soccer Camp4505 Maryland Pkwy, Box 450006

Las Vegas, NV 89154-0006

Come run with the Rebels!

UNLV Mens and Womens Soccer

present the 2011 summer camps.

Camp Directors:

Jennifer KleinWomens Soccer Head Coach

Rich Ryerson - Mens Soccer Head Coach

UNLV Coaching Staff:

Paul Karver - Womens Assistant Coach

Katie Burton - Womens Assistant Coach

Liam Connors - Mens Assistant Coach

Camp Topics:

Skill Work Passing

Receiving Shooting

Individual and small sided attacking (1v1, 2v2)

Individual and small sided defending (1v1, 2v2)

Scrimmages at the end of each day

The camps are designed for boys and girls, ages5-13. All skill levels are welcome as training

groups will be made based on age and ability.

I want to run with the Rebels!

Sign me up for:Session 1: Full Day CampJune 13-17, 9:00am-4:00pm

Session 2: HendersonJune 20-24, 9:00am-12:00pm

Session 3: SummerlinJune 20-24, 5:30pm-8:30pm

UNLV

Location

Henderson

Community Park

Address

Home Phone

Age

Parent/Guardian

Mobile Phone

City, State, Zip

Email Address

Emergency Contact

Emergency Phone

Refunds will be given only for cancellations made at least oneweek prior to the start of camp. There is a $25 non-refundableadministration fee for all cancellations.

Registrations will not be processed without a completed medicalconsent form found on the back of this panel.

TO PAY BY CREDIT CARD:Visit www.unlvrebelssoccercamp.com

Male/Female

Name (please print clearly)

Session 4: Full Day CampJuly 11-15, 9:00am-4:00pm

UNLV

Session 5:July 18-22, 5:30pm-8:30pm

UNLV

Session 6:June 27-July 1, 5:30pm-8:30pm

AnthemHills