Clinic REGISTRATION FORM Name__________________________________________ Address________________________________________ City__________________ State_____ Zip Code__________ Phone (h)__________________ (c)___________________ Age______ Date of Birth____________________________ Parent/Guardian(s) Name(s)__________________________ Parent/Guardian Contact Number (c)___________________ Club/HS Team____________________________________ T-Shirt Size______________________________________
q Girl’s Soccer Clinic July 6–7 $75.00 q Girl’s Soccer Clinic July 8–9 $75.00 Parent/Guardian Signature __________________________________________ Parent/Guardian E-mail __________________________________________ Deposit $25.00 Registration Deadline: One week prior to start date Please make checks payable to Georgian Court University. Deposit is nonrefundable. Return application and fee to: Georgian Court University Office of Athletics & Recreation Girls Soccer Clinics 900 Lakewood Ave. Lakewood, NJ 08701 FINAL PAYMENT MUST BE CHECK OR CASH.
JIM MOORE Coach Jim Moore has built the Georgian Court University women’s soccer team into one of the top Division II programs in the region. Under his tutelage, the Lions have posted nine straight winning seasons and nine consecutive postseason appearances, including two Central Atlantic Collegiate Conference (CACC) Tournament Championships, a regular season title, and two trips to the National Collegiate Athletic Association (NCAA) Tournament.
Finishing & Goalkeepers Clinic The July 6–7 clinic will focus on ball striking and finishing in the offensive third. Goalkeepers will work on footwork, angles, and shot stopping.
Possession & Skills Development clinic The July 8–9 clinic will focus on the individual players’ skills development. It will also teach players the skills and tactics of the possessional game.
2015 Girls Soccer Clinics Finishing & Goalkeepers
July 6–7
9:00 am–12:00 pm
Possession & Skills Development
July 8–9
9:00 am–12:00 pm
2015 GCU LIONS girls soccer clinics
Lions Girls Soccer Clinics are designed for girls between the ages of 10 and 18 years old. Clinics will be held on the beautiful Investors Savings Bank Soccer Field on the Georgian Court University Lakewood campus. Coaches and players of the GCU women’s soccer team will instruct your soccer player on how to be the best that she can be on the field. There will also be a portion of time dedicated to “how to get recruited” that will include a panel discussion by members of the coaching staff and team to answer any and all questions that parents and the young athletes may have on the recruiting process.
Finishing & Goalkeepers clinic
CLINIC DETAILS Clinics begin each day at 9:00 am sharp and end promptly at 12:00 pm—it is important that each session begins on time in order to complete an extensive daily schedule. It is also imperative that attendees are picked up in a timely fashion once the session ends.
Schedule 8:45 am 9:00–9:30 am 9:30–9:45 am 9:45–10:45 am 10:45–11:00 am 11:00–11:45 am 11:45 am–12:00 pm
Attendees may arrive Warm up and technical work on the ball Fitness work Tactical session Fitness work Match play Cool down and session review
I agree that in the case of an accident involving my child while attending the clinic, and with full awareness that soccer is an activity that may involve risk or injury, I release James Moore and Georgian Court University from any and all liability. I hereby request that my camper be granted admittance into the 2015 Georgian Court University Girls Soccer Clinic and authorize the directors to act on my behalf in the event of an emergency requiring medical attention. I will assume responsibility for payment for any such attention and have provided current insurance information as requested. Camper’s Name _____________________________ Age________ Parent/Guardian(s) Name(s)________________________________ Parent/Guardian(s) Daytime Phone__________________________ Home Phone___________________________________________ Emergency Contact______________________________________
• Each attendee will receive a T-shirt • There will be fun within a framework of discipline and a positive, encouraging environment in which your camper will excel.
Monday–Tuesday July 6–7, 9:00 am–12:00 pm; $75
Possession & Skills Development clinic
MEDICAL RELEASE FORM I hereby give permission for _______________________________ to participate in the 2015 Georgian Court University Girls Soccer Clinic. I certify that she is in good physical condition, has been examined within the last 12 months, and no medical reason has been found that she can not participate in this clinic. Records show that all immunizations are up to date. I understand that she will be participating in rigorous play and activity. Georgian Court personnel have also been informed of any physical limitations, medications, or prior conditions. The clinic will safeguard the health of my camper but will not be responsible for accidents, injuries, or sickness on the way to the clinic, during the clinic, or on the way home.
Relationship___________________________________________ Contact Phone #________________________________________ Insurance Carrier________________________________________ Policy #_______________________________________________ Previous Medical Conditions _______________________________ ____________________________________________________
FOR MORE INFORMATION: Call 732.987.2695 or
____________________________________________________
E-mail
[email protected] Primary Physician_______________________________________
Allergies/Medications?___________________________________ Primary Physician’s Phone #_______________________________
Wednesday–Thursday July 8–9, 9:00 am–12:00 pm; $75
o I grant permission to GCU to take photographs of my camper for the purposes of advertising in connection with GCU sports camps. By signing below, I agree to all the terms detailed above. ____________________________________ ______________ Parent/Guardian Signature Date
www.gculions.com
Immunization records must be completed prior to camp.