Enrollment is Limited â Register Early - LeagueAthletics.com
Rivier University 2013 Summer Camps Boys Lacrosse Camp Applica on Form You will not receive verifica on of enrollment unless requested via email. Please enroll me in the “Boys Lacrosse Camp” July 8-12 and/or July 22-26 (Circle One or Both) Please Print All Informa on Clearly ____________________________________________________________________________________ Camper’s Name Age ____________________________________________________________________________________ Address ____________________________________________________________________________________ City State Zip (____)_______________________________________________________________________________ Phone Email _____________________________________________________________________________________ Playing Experience T-Shirt Size (Circle) Youth Med. Lg. Adult Small Med. Lg. _____________________________________________________________________________________ In case of emergency, no fy: (____)_________________________________________(____)_________________________________ Home Phone Cell Phone (____)________________________________________________________________________________ Work Phone _____________________________________________________________________________________ List any medical condi ons that camp directors should be aware of _____________________________________________________________________________________
Start them Young and Teach them Right
Rivier University Summer Boys 2013 Lacrosse Camp July 8-12 and/or July 22-26 8:30am-3:30pm U11, U13, U15 campers Enrollment is limited
_____________________________________________________________________________________ Insurance Informa on _____________________________________________________________________________________ Insurance Company Name Policy Number In case of an emergency, every a empt will be made to contact the person(s) above. If contact is unsuccessful, I authorize the camp staff to provide or arrange for emergency medical care if necessary. Any expense arising from injury or illness is the responsibility of the person signing below: _________________________________________________________________ Parent/Guardian signature Date Please fill out this registra on form completely and return it with your check or money order (Payable to Rivier College Sports Camps) to: Rivier College Sports Camps | 420 South Main Street | Nashua, NH 03060
Enrollment is Limited – Register Early
Register Early!
Rivier University Summer 2013 Boys Lacrosse Camp July 8-12 and/or July 22-26 8:30am-3:30pm U11, U13, U15 Campers Camp Costs Camp Session fees are $175 per camper. There are no discounts. Prizes and Awards Each Camper will receive a T-shirt and a Ball. Other prizes will be awarded throughout the week Water Each camper must bring a water bo le, water will be provided. Lunch Break Campers are provided a nutri ous lunch daily in the Rivier Dining Hall. Important – Publicity/ Photo Release During our program, children may be videotaped or photographed by Rivier’s Office of Marke ng and Communica ons or local media for publicity purposes. If you do not wish to have your child videotaped or photographed, contact the program director. Refunds There will be a $5.00 administra ve fee for any refunds. Confirma on You will not receive verifica on of enrollment unless requested via email. More Informa on 603-897-8579 dmorisse [email protected] Rivier University | 420 South Main Street | Nashua NH 03060
Summer 2013 Boys Lacrosse Camp Coaches —Special One Day Camp Coach—
Steven Boyle | Brown University Assistant Men’s Lacrosse Former | 2007 John’s Hopkins NCAA Div. I Na onal Champion Former | John’s Hopkins Two Time NCAA Div. I All American Former | Pinkerton Academy Three Time US Lacrosse All American Current | Rochester Ra lers A ack (Major League Lacrosse) Full Bio Informa on available at: www.BrownBears.com —Camp Director—
James DeLanoy | Head Coach Rivier Men’s Lacrosse Former | 7 Year Southern NH University Associate Head Coach Former | 2006 Team Bermuda World Games Assistant Former | 3 Year Pinkerton Academy Assistant Three Time NH State Champs Full Bio Informa on available at www.RivierAthle cs.com —Camp Coach—
Gary Dempsey | Head Defensive Assistant Rivier Men’s Lacrosse Former | 2 Year Southern NH University Defensive Coach Former | 5 Year Saint Anselm’s Defensive Coach Former | 10 Year Pinkerton Academy Assistant Eight Time NH State Champs Full Bio Informa on available at www.RivierAthle cs.com —Camp Coach—
Joe Young | Head Offensive Assistant Rivier Men’s Lacrosse Current | Head Coach Windham HS Varsity Lacrosse Former | Two Time Inside-Lacrosse NCAA Pre-Season All-American Selec on Former | NCAA Division 2 Freshman of the year 2004 Former | 4 me NH State Champion Varsity Starter at Pinkerton Academy Full Bio Informa on available at www.RivierAthle cs.com —Camp Coach—
William DeLanoy | Head Coach GS Warriors Youth Lacrosse Current | All- me leading scorer Saint Vincent College Lacrosse | Latrobe PA Full Bio Informa on available at: www.GSWLax.com
Start them Young and Teach them Right
Rivier University Summer Boys 2013 Lacrosse Camp July 8-12 and/or July 22-26 8:30am-3:30pm U11, U13, U15 campers Enrollment is limited
_____________________________________________________________________________________ Insurance Informa on _____________________________________________________________________________________ Insurance Company Name Policy Number In case of an emergency, every a empt will be made to contact the person(s) above. If contact is unsuccessful, I authorize the camp staff to provide or arrange for emergency medical care if necessary. Any expense arising from injury or illness is the responsibility of the person signing below: _________________________________________________________________ Parent/Guardian signature Date Please fill out this registra on form completely and return it with your check or money order (Payable to Rivier College Sports Camps) to: Rivier College Sports Camps | 420 South Main Street | Nashua, NH 03060
Enrollment is Limited – Register Early
Register Early!
Rivier University Summer 2013 Boys Lacrosse Camp July 8-12 and/or July 22-26 8:30am-3:30pm U11, U13, U15 Campers Camp Costs Camp Session fees are $175 per camper. There are no discounts. Prizes and Awards Each Camper will receive a T-shirt and a Ball. Other prizes will be awarded throughout the week Water Each camper must bring a water bo le, water will be provided. Lunch Break Campers are provided a nutri ous lunch daily in the Rivier Dining Hall. Important – Publicity/ Photo Release During our program, children may be videotaped or photographed by Rivier’s Office of Marke ng and Communica ons or local media for publicity purposes. If you do not wish to have your child videotaped or photographed, contact the program director. Refunds There will be a $5.00 administra ve fee for any refunds. Confirma on You will not receive verifica on of enrollment unless requested via email. More Informa on 603-897-8579 dmorisse [email protected] Rivier University | 420 South Main Street | Nashua NH 03060
Summer 2013 Boys Lacrosse Camp Coaches —Special One Day Camp Coach—
Steven Boyle | Brown University Assistant Men’s Lacrosse Former | 2007 John’s Hopkins NCAA Div. I Na onal Champion Former | John’s Hopkins Two Time NCAA Div. I All American Former | Pinkerton Academy Three Time US Lacrosse All American Current | Rochester Ra lers A ack (Major League Lacrosse) Full Bio Informa on available at: www.BrownBears.com —Camp Director—
James DeLanoy | Head Coach Rivier Men’s Lacrosse Former | 7 Year Southern NH University Associate Head Coach Former | 2006 Team Bermuda World Games Assistant Former | 3 Year Pinkerton Academy Assistant Three Time NH State Champs Full Bio Informa on available at www.RivierAthle cs.com —Camp Coach—
Gary Dempsey | Head Defensive Assistant Rivier Men’s Lacrosse Former | 2 Year Southern NH University Defensive Coach Former | 5 Year Saint Anselm’s Defensive Coach Former | 10 Year Pinkerton Academy Assistant Eight Time NH State Champs Full Bio Informa on available at www.RivierAthle cs.com —Camp Coach—
Joe Young | Head Offensive Assistant Rivier Men’s Lacrosse Current | Head Coach Windham HS Varsity Lacrosse Former | Two Time Inside-Lacrosse NCAA Pre-Season All-American Selec on Former | NCAA Division 2 Freshman of the year 2004 Former | 4 me NH State Champion Varsity Starter at Pinkerton Academy Full Bio Informa on available at www.RivierAthle cs.com —Camp Coach—
William DeLanoy | Head Coach GS Warriors Youth Lacrosse Current | All- me leading scorer Saint Vincent College Lacrosse | Latrobe PA Full Bio Informa on available at: www.GSWLax.com
