2017 WOU Soccer Elite ID Summer Camp

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western oregon university

soccer camp July 18–20, 2016

Elite ID Camp 2017 WOU Soccer Camp provides an excellent to to WOU Elite ID Camp is an excellentopportunity opportunity be coached by Western’s soccer staff and other coaches be coached and seen by the Western Oregon from thesoccer Northwest. and options staff.Individual Staff willcamper provide a team fun and arecompetitive available. Staff will provide a fun and competitive environment for each player/team to environment for each player/team to improve their soccer improve their soccer skills, strategies, techniques, skills, strategies, techniques, and tactics. Live-in and and tactics. Live-in and commuter options are commuter options are available. The camp is directed by available. The camp is directed by WOU head WOU Head Coach Steve Ancheta. coach Steve Ancheta.

Location

Western ininin Monmouth, Oregon. Live-in Western Oregon University Ore. Live-in WesternOregon OregonUniversity University inMonmouth, Monmouth, Oregon. LiveOregon University Monmouth, Ore. Live-in campers will stay in the dorms on WOU’s beau ful and campers will stay in the dorms on WOU’s beautiful and safe in campers will stay in the dorms on WOU’s beautiful will stay in the dorms on WOU’s beautiful and safe campus. Bu et style meals will be provided at the campus. styleBuffet mealsstyle will meals bewill provided the at campus and campus. safeBuffet campus. willprovided beatprovided safe Buffet style meals be theat campus cafeteria. Meals are included with the cost of cafeteria. Meals are included with the cost of camp. the campus cafeteria. Meals are included withcost the of cost campus cafeteria. Meals are included with the camp. of camp. camp.

Cost Cost Cost If you’re staying on IfIfyou staying campus you are staying on Ifcampus: you areare staying ononcampus: $200 individual campus: -$200 individual • $310 individual $175 (12 or more from same team) - each $200(team individual -$175 team (12 +) •$150 $260(18 of 12+ more from same team) - or $175 team $150 team (18 +) players)

Cost

If ayou are a commuter If you’re commuter: ifIfyou’re aacommuter you’re commuter $150 individual • $150- individual $150 individual $125 (12 or more from same team) • $110$125 each (team of 12+ - $125 team team (12 +)players)

$100 (18 or more from same team)

$100 team (18 +)

What to bring

Cleats, indoor soccer shoes, shinguards, water bottle, sleeping bag, sunscreen and toiletries. Towels and bedsheets will be provided. No refunds after July 11, July 201611 No refunds after For more information contact Luke Babson, assistant soccer coach at [email protected]

July July18 18- -19th 19th

For female soccer players and teams entering grades 6-12

Check box if you a Check box you areare partpart Check box if ifyou are part of aaof team. team. Teams must submit team. Teams must submit Teams must submit registrations registrations together to receive registrations together to receive together to receive the discount. team discount thethe team discount.

2017 WOU Soccer Elite IDregistration Camp Registration 2016 WOU Soccer Camp form

Name ________________________________________________ Age _____ Grade (F’16) __________ Mailing address ___________________________________________________________________________ Email _____________________________________________

Phone ______________________________

School ____________________________________________

Club team ___________________________

Position ________________________________

Roomate request ________________________________

Parent or guardian name ___________________________________________________________________ Emergency contact _________________________ Medication ___________________________________ Select a t-shirt size (men’s):

o small

o medium

o large

o x-large

Please make checks payable to:

WOU Soccer Amount enclosed: $___________

Mail registration to: WOU Business Office Beverly Beck-Boersma 345 Monmouth Ave. N. Monmouth, OR 97361

SOCCER CAMP(S) AND WOU ACTIVITY WAIVER * I hereby register my child for the WOU Soccer Camp(s) and authorize the staff to direct my child in participation of the camp activities. * I know of no mental or physical problems which may affect my child’s ability to safely participate in this camp. I acknowledge that I am responsible for any and all medical or other charges incurred in connection with my child’s attendance at the WOU Soccer Camp(s). * In consideration for my child’s participation in the WOU Soccer Camp(s), I hereby release and hold harmless the WOU Soccer team, coaches, Western Oregon University and their employees, agents, and assignees from any and all liability that may arise out of my child’s participation in the camp including transportation to and from, or in connection with said school in any vehicle operated on behalf of the WOU Soccer Camp staff and Western Oregon University. * The WOU Soccer team or employees thereof are authorized to seek medical treatment as necessary in the event of injury, accident, or illness to my child. ________________________________________ Parent/guardian signature ________________________________________ Parent /guardian phone number

Insurance company & policy number: ________________________________________ ________________________________________