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I/We hereby request that you accept the application of ____________________________for enrollment in the 2016 Augustana Summer Soccer Camp. In consideration of your acceptance of this application, I/We hereby release all of the Clinic employees and the Clinic Director from all claims on account of any injuries which may be sustained by my/our daughter while attending the 2016 Augustana Summer Soccer Camp; and I/We agree to indemnify the 2016 Augustana Summer Soccer Camp, all its employees, and Clinic Directors for each claim which may hereafter be present by my/our daughter as a result of any such injuries. I/We also certify that my/our daughter is medically fit to participate in your program.

_________________________________ _____________ Parent or Guardian Signature

Date

CAMP HIGHLIGHTS • All the campers will get a chance to interact and play with current university soccer players. • Our large staff allows for smaller groups and creates more opportunity for quality playing experiences. • Excellent coaches - All coaches are either former or current university or professional players and they have either USSF or NSCAA licensure. • The camp stresses FUN and development. Players come away with new skills and confidence to play the world’s greatest game. • The camp curriculum is designed for all levels of players. • Small and large sided games will be played daily. • Augustana is a safe and beautiful campus, players will be able to get to all of the facilities quickly and without reservation that you might find at a bigger school. • Goalkeeping sessions conducted by Camp Director Brandon Barkus. A unique opportunity for those players interested in goalkeeping to refine their talents.

CAMP DIRECTORS BRANDON BARKUS – HEAD COACH Brandon Barkus has completed his tenth season at the Augustana University Vikings. He came to Augustana from the University of Minnesota. Under his tutelage, the Vikings have broken numerous records: North Central Conference wins in a season, school record for wins in a season, and coached numerous student-athletes to All-Conference and All-Region honors. 2015 was the best year in program history with the team going 19-3-1, and winning their firstever conference tournament championship and advancing to the regional championship in the NCAA tournament for the first time in program history. Barkus has his BA in Physical Education from Benedictine College in Atchison, Kansas, and a Master's in Education from Augustana University. Other highlights from Barkus’ career include: USSF “A” Coaching License, NSCAA Advanced National Coaching Diploma, USSF National Youth Coaching License, NSCAA Level II Goalkeeping Certificate, Nebraska girls Olympic Development Program Head Coach, USYSA Region 2 Staff Coach, 2007 South Dakota Girls Coach of the Year, 1998 Kansas State Girls Coach of the Year, 3-year starter & AllAmerican Goalkeeper at Benedictine College, Head Coach at Baker University in Kansas, Director of Coaching at Olathe Soccer Club in Olathe, KS.

ARIC SPADER – ASSISTANT COACH A Sioux Falls native Aric Spader enters his first season with Augustana in 2015. Spader played four years of high school soccer at Washington High School, and six years of club soccer for Dakota Gold. He played collegiately at Mount Marty College, where his career was cut short due to injury. After transferring to South Dakota State, Spader immediately began his coaching career with Dakota Alliance Soccer Club, and with local high school soccer teams in the Sioux Falls area. In 2014, Spader was an assistant at Roosevelt High School, helping guide the girls’ soccer team to a 9-2-1 record, qualifying for postseason play. The team also played an exciting brand of soccer on the field, scoring 28 goals on the year. Spader has been a club coach for Dakota Alliance Soccer Club for the past four years, coaching a variety of age groups. He has coached at least one South Dakota State Cup champion each year he has been with Dakota Alliance at the regional tournament. To go along with that, 12 of the 15 girls listed on the U18 girls roster went on to play college soccer ranging from Division I to NAIA. Spader currently holds a USSF National "D" License.

T AMEN N R U TO NS NSIC 2015 CHAMPIO IN NCES 5 A R A APPE D 201 NCAA , 2014, AN 2008

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LITTLE VIKINGS SOCCER CAMP June 6-9, 2016 Ages 6-12 (girls and boys)

VIKINGS RESIDENTIAL/COMMUTER CAMP July 24-27, 2016 Ages 13-18 (girls)

Sponsored by

Register online at www.augiesoccercamps.com /AugieWomensSoccer

@AugieSoccer

2016 LITTLE VIKINGS CAMP AGES 6-12 BOYS AND GIRLS Check-In: Monday, June 6 8:30 a.m. 9:00 a.m.-11:30a.m. Play Camp Wrap-Up Thursday, June 9 11:30 a.m.

2016 VIKINGS RESIDENTIAL/ COMMUTER CAMP AGES 13-18 GIRLS Check-In: Sunday, July 24 3:30-4:30 p.m. 4:30 p.m. Pre-Camp Meeting (Morrison Commons) 5:00 p.m. Campers dine at Morrison Commons 6:30-8:30 p.m. Play

2016 AUGUSTANA SOCCER CAMP APPLICATION FORM To register, please send this form and your check made payable to: Augustana Soccer 2001 S. Summit, Sioux Falls, SD 57197 Name ___________________________________________ Street ___________________________________________ City _____________________________________________

Cost: Any application received prior to May 27 – $75 Any application received after May 27 – $85

Check-Out: Wednesday, July 27 11:30 a.m.

What to Bring: • Cleats • Soccer Ball • Waterbottle

Cost: Any application received prior to July 11 will cost: Residential – $325 Commuter – $250 Any application received after July 11 will cost: Residential – $375 Commuter – $300

Email ____________________________________________

What to Bring: • Cleats • Soccer Ball • Waterbottle

T-Shirt Size - circle one

• Tennis/Indoor Shoes • Shinguards • Training Clothes

Important Notes: Application deadline is June 3, 2016 Little Vikings Camp Highlights: • Opportunity to learn from and play with current Augustana soccer players. • Our large staff allows for more individual instruction and creates more opportunity to play. • This camp is all about FUN and DEVELOPMENT. Players will come away more skillful and more knowledgable about the game of soccer.

• Tennis/Indoor Shoes • Shinguards • Training Clothes

RESIDENTIAL CAMPERS: • Personal Toiletry Items • Swimsuit Important Notes: • Non-refundable deposit of $100 required with each application. • Application deadline is July 18, 2016. • Refunds will not be guaranteed after July 18, 2016. For more Information: • Visit us online at www.augiesoccercamps.com • Camp Director: Brandon Barkus, Augustana University Soccer Head Coach • Email: [email protected]

State ______________________ Zip __________________ Phone ___________________________________________

Age _______________ Grade (Fall of 2016) _____________ Emergency Phone # ________________________________ Parent/Guardian___________________________________ Youth: L

Adult: S

M L XL

Check appropriate box below. 2016 VIKING SUMMER CAMP JUNE 6-9, 2016 Any application received prior to May 27 will cost: ❑ Residential - $75 Any application received after May 27 will cost: ❑ Residential - $85 2016 VIKING RESIDENTIAL/COMMUTER CAMP JULY 24-27, 2016 Any application received prior to July 11 will cost: ❑ Residential - $325 ❑ Commuter - $250 Any application received after July 11 will cost: ❑ Residential - $375 ❑ Commuter - $300 Amount Enclosed $___________

PARENT OR GUARDIAN: Please complete the section on the other side of this form. Thank you! All registrations will be considered on a first-come, first-served basis. Numbers are limited. All refund requests will be reviewed.