CLARION UNIVERSITY

WOMEN'S SOCCER

Elite ID and Team/Individual Residential Camps 2017

The Clarion women’s soccer program, led by Head Coach Sean Esterhuizen, is proud to introduce several fantastic residential and commuter summer soccer camp offerings in 2017 to meet the needs of high school, club and prospective college players looking to take their soccer to the next level in a challenging, positive environment.

ELITE ID CAMPS (Girls) Elite Camp 1 (single day) $90, April 9 Elite Camp 2 (2-day) $225, June 17-18 Elite Camp 3 (3-day) $325, July 21-23

For the elite high school female player with serious college ambitions. Field players and goalkeepers are welcome. Elite Camp 1 is a single-day offering that runs from 8 a.m. to 2:30 p.m. and includes lunch and a 90-minute overview on how to be recruited to the college of your choice. Elite Camps 2 and 3 are overnight immersions in the “Clarion Way” of high-level college training. All three camps feature intense soccer, but with intense fun and educational value as you eat fantastic food and play the game you love. All of the incoming Clarion class of 2017 attended these camps, which gives you an excellent opportunity to showcase your potential. All coaching is led by head coach Sean Esterhuizen and his staff, assisted by the Clarion Women’s Soccer team. Sessions are a mix of personal skills development, position-specific training, small-sided games, team play and professional tips for improving your game.

TEAM / INDIVIDUAL CAMP Team Camp 1 - Boys: $295 resident, July 7-9 Team Camp 2 - Girls: $295 resident, July 14-16 Commuter (day) campers: $220

Team-focused training camps for MALES July 7-9, and FEMALES July 14-16, grades 7 through 11. Three days of intense soccer is designed to help high school and club teams develop a cohesive playing style while building a strong team-bonding foundation for the upcoming season. Emphasis is on team building and a strong mix of technical and tactical coaching. Each day, teams receive dedicated coaching from their assigned team coach and Coach Sean, plus a blend of fast-paced, challenging, small-sided games, concluding with evening full-field competition.

Individual players are welcome and will be assigned to a “United Team.”

FACILITIES Campers train in the Clarion University soccer stadium on newly installed field-turf in an exciting collegiate atmosphere. Campers also stay in new, spacious, air-conditioned, 4-person suites with their own private bathrooms and showers and eat an unlimited fare of excellent food three times each day in the modern Eagle Commons.

ABOUT THE CAMP DIRECTOR

Sean Esterhuizen just finished his third season as head coach at Clarion University and is excited at the foundation that his new squad has laid for 2017. Esterhuizen has over 100 collegiate wins in nine years and 326 wins as a high school coach.

“For three years we have been building a new soccer culture at Clarion. Our focus is on character and commitment, with a strong blend of talent drawn from nine different states. Our mission is to build Clarion soccer into a state and national power that plays a crisp, creative, confident style of soccer built on a core foundation of commitment, respect, caring and integrity.”

~ Coach Sean

WHY CLARION RESIDENTIAL SOCCER CAMPS?

“Last summer was awesome! Very well organized and fun camp with great buildup from personal skills to putting it together as a team. Coaching staff was excellent, facilities were great and the whole experience was positive from our seventh graders with no soccer experience to our 11th graders with years of experience. Loved the Clarion River float! Great kick start to the season to learn new things for preseason training!” ~ Coach Angie Fenush of West Branch High School, Morrisdale, PA

“FUN FACTOR”: The “Fun Factor” is HUGE at Clarion. We like and respect each other and we look for opportunities to celebrate success – YOUR success! On the field, we work hard, but with purpose. Off the field, we engage each other and find fun moments to build lasting memories – and do lots of team-building activities, games and contests. “BE RECOGNIZED”: Coach Sean is a huge believer in giving opportunity to players who want to separate themselves from the pack, players who have the desire to learn and the ambition to be the best. We are always looking for AMBITIOUS talent. If Clarion is a school you might want to attend down the road, then coming to one of our camps is the perfect way to explore while also giving us a chance to assess your potential. “EXPAND YOUR KNOWLEDGE”: At camp, we take pride in getting to know YOU and finding ways to give you the information to take your game to the next level. We want learning to be the foundation of your camp experience. At the end of camp, we want you to leave with a sense of accomplishment, a sense of having advanced your skills and knowledge so that you are closer to achieving your personal and team goals. “GREAT FACILITIES”: Clarion University offers the perfect mix of academic and sports facilities, coupled with excellent dorms and exceptional food. “TRAIN WITH THE CLARION WOMEN’S SOCCER TEAM” Members of the Clarion women’s soccer team serve as overnight monitors and assistant coaches in the camps and bring a personalized touch, blended with lots of laughter and fun.

“We want our campers to be challenged and enthused by our approach! We want them to be recognized by name and leave camp with DEEPER KNOWLEDGE and a newfound, INTENSE, love for the game!” ~ Assistant Coach Kevin Griffin

CLARION UNIVERSITY SOCCER Summer Residential Camps 2017 - REGISTRATION FORM

It is understood that Clarion University, the directors, or anyone connected with the school will not assume any responsibilityfor accidents, medical or dental, or any other expenses incurred because of accidents. Physical examination will not be required.

All resident camps include meals. Training and games are played on the newly resurfaced Clarion Memorial Stadium turf, one of the finest venues in western Pennsylvania. Details of arrival, departure, overnight lodging, what to bring, etc., will be emailed to campers upon receipt of this registration form.

Please select your camp/s and fee choice.

ELITE ID Camp 1 8 a.m. to 2:30 p.m., April 9 $90 Lunchisprovided

ELITE ID Camp 2 9 a.m. June 17 – 4 p.m., June 18 $225 Resident ProvideslunchanddinneronJune17,breakfastandlunchonJune18

ELITE ID Camp 3 9 a.m. July 21 – 4 p.m., July 23 $325 Resident Provideslunchanddinnerday1;breakfast,lunchanddinnerday2;breakfastandlunchday3

Team Camp 1 - Boys 9 a.m. July 7– 4 p.m., July 9 $220 Commuter $295 Resident Provideslunchanddinnerday1;breakfast,lunchanddinnerday2;breakfastandlunchday3Commutersmustbeatcampfrom9:00amthrough9:00pmonFridayandSaturday.

Team Camp 2 - Girls 9 a.m. July 14 – 4 p.m., July 16 $220 Commuter $295 Resident Provideslunchanddinnerday1;breakfast,lunchanddinnerday2;breakfastandlunchday3Commutersmustbeatcampfrom9a.m.through9p.m.onFridayandSaturday.

PLAYER INFORMATION: Player Name: ________________________________ Cell Phone: _______________ Grad Yr:___________________

Mother Name:________________________________ Cell Phone: _______________

Father Name:________________________________ Cell Phone: _______________

Player’s Address:_______________________________________________ City:______________ St:___ Zip: _______ Date of Birth: ___________ Age: ___ T-shirt size: SM__ MED__ LG__ XL__ XXL__

Email:_____________________________________________________________________________________________

High School:______________________________________________________________

HS Coach Name:_____________________ HS Coach Phone:________________________________________________

Club Team: ______________________________________________________________

Club Coach Name:___________________ Club Coach Phone: _______________________________________________

Are you a goalkeeper?_______________ Best Position on field: ______________________________________________

I certify my son/daughter has no injury or illness that could jeopardize his/her well-being by participating in the soccer activities of the Clarion University Golden Eagles Soccer Camps Signature of parent or guardian: _______________________________________________________________

CONSENT RELEASE AND MEDICAL INFORMATION: PLEASE COMPLETE THE “INFORMED CONSENT RELEASE AND EXPRESS ASSUMPTION RISK” FORM AS WELL AS THE “MEDICAL INFORMATION” FORM FOUND ON THE NEXT PAGES.

MAIL FORMS AND CHECK TO: Please make all checks payable to: “Clarion University” for the amount of the camp and mail this Registration Form AND the Consent and Medical Information Forms to: Women’s Soccer, Clarion University, 840 Wood Street, Clarion, PA 16214

QUESTIONS? Contact Coach Sean at sesterhuizen@clarion.edu

TEAM REGISTRATION (Only head coach completes this):

If you are registering your team for a camp, please complete the information below. Each player listed below will have to individually complete their own player registration form as well as the “INFORMED CONSENT RELEASE AND EXPRESS ASSUMPTION RISK” and the “MEDICAL INFORMATION” form. A team deposit of $500 must be received with this Team Registration. All funds are due two weeks prior to start of camp. Please mail to above address. Clarion’s suites are comprised of two bedrooms per suite, with a shared living area. Each bedroom has two beds and its own private bathroom complete with shower. Please group your roster in roommate pairs below. Team Name:____________________________________

City:_____________________________ State: _______

Which Camp will your team be attending? _______________________ Dates: ________________

Player Roster:

1. ____________________________ 2. ____________________________

3. ____________________________ 4. ____________________________

5. ____________________________ 6. ____________________________

7. ____________________________ 8. ____________________________

9. ____________________________ 10. ___________________________

11. ___________________________ 12. ___________________________

13. ___________________________ 14. ___________________________

15. ___________________________ 16. ___________________________

17. ___________________________ 18. ___________________________

19. ___________________________ 20. ___________________________

21. ___________________________ 22. ___________________________

Will your Coach be attending? _____ (Yes/No) Cost is $50 per day of camp.

Coach Name: ________________________________ Email:________________________________

Coach Signature:_______________________________________________ Cell:________________

Will your Team Manager be attending? _____ (Yes/No) Cost is $50 per day of camp.

Manager Name: ______________________________ Email:________________________________

Manager Signature:_____________________________________________ Cell:________________

QUESTIONS? Contact Coach Sean at sesterhuizen@clarion.edu Cell: 563-495-0590 See you at camp!

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 gender, gender identity, race or color, ethnicity, national origin or ancestry, age, mental or physical disability, religion or creed, genetic information, affectional or sexual orientation, veteran status, or other classifications that are protected under Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, and other pertinent state and federal laws and regulations. Direct inquiries to the Title IX Coordinator, Clarion University of Pennsylvania, 103 Carrier Administration Building, sfenske@clarion.edu or phone 814-393-2351, or the Director of Social Equity, 210 Carrier Administration Building 16214-1232; Email asalsgiver@clarion.edu or phone 814-393-2109. Inquiries may also be directed to the Director of the Office for Civil Rights, Department of Education, 330 Independence Avenue, SW, Washington, DC 20201.

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Sports Camp/ClinicMedical Information

Name of Athlete Telephone ( )

Please list camp(s)/clinic(s) you plan to attend:

1: From / / to / /

2: From / / to / /

3: From / / to / /

4: From / / to / /

COMPLETE ALL SECTIONSPlease print

1. Home Address Date of Birth

City

State Zip

2. Father/Guardian Mother/Guardian

Address Address

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

Address Address

Telephone ( ) Telephone ( )

Policy Number Policy Number

Group Number Group Number

PLEASE COMPLETE THE INFORMATION ON REVERSE SIDE OF THIS FORM

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 / /