July 22, 2011
Elite Girls Soccer Camp
Application Form
Elite Girls
(Please print clearly)
NAME
SOCCER CAMP
AGE
OVERNIGHT & EXTENDED DAY
STREET ADDRESS
CITY
PHONE
STATE
ZIP CODE
CELL PHONE #
E-MAIL
HIGH SCHOOL GRADUATION YEAR
CLUB TEAM
(Includes t-shirt and soccer ball)
July 18 – July 22, 2011 o o o o
Overnight (ages 11-14) . . . . . . . . . . . . . . . . . . . . . $650 Extended Day (ages 11-14) . . . . . . . . . . . . . . . . . . $500 Little Kickers (ages 5-10) . . . . . . . . . . . . $225 (half day) Little Kickers (ages 5-10) . . . . . . . . . . . . $300 (full day)
please detach to mail !
Tuition
July 20 – July 22, 2011 (Elite Academy)
Girls ages 5 through 14
July 18 - July 22, 2011
o Overnight (ages 15-18) . . . . . . . . . . . . . . . . . . . . $275 o Extended Day (ages 15-18) . . . . . . . . . . . . . . . . . $250 Free T-shirt — Check applicable size (adult sizes): o Small o Medium o Large o Extra Large Free Ball — Check applicable ball size: o 4 o 5
Girls ages 15 through 18
July 20 - July 22, 2011
______________________________________________ Date
Road Fairfield, CT 06824-5195
Signature of Parent or Guardian
1073 North Beson Road
1073 North Benson Fairfield, CT 06824
I approve my child’s attendance at the 2011 Academy of Excellence soccer camp at Fairfield University and certify that she is in good health and able to participate in all programs and activities. If medical attention is required for illness or injury during the camp, I give permission for such care. Furthermore, I have read and understand the medical and refund policies of the camp.
Register online at www.academyofexcellencess.com or return the application to: Sean Driscoll, Women’s Soccer Fairfield University Walsh Athletic Center 1073 North Benson Road Fairfield, CT 06824-5195
32537_6.11
If paying by check, please make checks payable to Academy of Excellence OR register and pay online.
Directed by: Jim O’Brien, Sean Driscoll, and Susan Starr Fairfield University Women’s Soccer Coaching Staff
Elite Girls SOCCER CAMP at Fairfield University About the Camp
Camp Staff Tuition
Jim O’Brien Our goal is simple. We want our soccer school participants to learn the game, develop better technique, and have the opportunity to be trained by our qualified staff. All training sessions are designed by the soccer school staff to be informative, appropriate, and enjoyable for the ages and level of the participants. The daily program will include technical, tactical, and functional training as well as small-sided and full-field games. Campers will also have the opportunity to be trained by Fairfield University’s strength and conditioning coach, Mark Spellman. The camp caters to individuals, small groups, or teams preparing for their upcoming season.
Head Coach, Jim O’Brien
Facilities The camp will be held on the campus of Fairfield University in Fairfield, Conn. on both a natural grass field and a turf field.
Academy of Excellence President Jim is the head coach for the women’s soccer team at Fairfield University. Prior to coming to Fairfield, Jim was the head coach at Southern Connecticut State University. He is also the head coach for the CFC United U19 team, the CFC Arsenal U13s, and the CT ODP U16s. Academy of Excellence is in its twelfth year and sixth year at Fairfield University.
Associate Head Coach, Sean Driscoll
July 18-22, 2011 $650 – Overnight (ages 11-14) $500 – Extended Day (ages 11-14) $225 – Little Kickers (ages 5-10) Half Day $300 – Little Kickers (ages 5-10) Full Day July 20-22, 2011 $275 – Overnight (ages 15-18) $250 – Extended Day (ages 15-18) Please make checks payable to Academy of Excellence.
Registration
Sean Driscoll
Our staff consists of the Fairfield University women’s soccer staff, other college coaches, local high school coaches, club coaches, and local college players.
Camp Details
Academy of Excellence Director Sean Driscoll is the associate head coach for the women’s soccer team at Fairfield University. Prior to coming to Fairfield, Sean was the head coach at Manhattan College for five years. He is the co-owner of the Connecticut Football Club. He is the current director of ODP for the state of Connecticut and has been a part of the regional staff for six years.
Online registration is available at www.academyofexcellencess.com or you can register by mailing the application.
Housing All overnight campers will be housed in Fairfield University dormitories. We accommodate roommate requests.
Meals Breakfast, lunch, and dinner will be provided in the University cafeteria.
Medical Information Susan Starr Academy of Excellence Goal Keeping Director Susan Starr is the assistant coach for the women’s soccer team at Fairfield University. Her primary responsibility is to oversee the training program for the goal keepers. Susan played her collegiate career at Yale University. She coaches alongside Jim with the CFC Arsenal U13 and coaches the CFC U16 Fury. Assistant Coach, Susan Starr
This camp is in compliance with the regulations of the State of Connecticut Department of Public Health and is licensed by the Board of Health. Background checks and three positive references have been provided for all camp staff.
Campers will not be able to participate without a fully completed medical form. A certified athletic trainer will be available at all times during the camp hours.
Refunds Full refunds will be issued up to two weeks prior to the camp. If a cancellation is made after July 5, 2011, $100 will be retained from the refund for administrative fees.
Further Information Additional information and forms can be found at: www.academyofexcellencess.com or by contacting Sean Driscoll at (203) 254-4000, ext. 2943 or e-mail: [email protected].
Application Form
Elite Girls
(Please print clearly)
NAME
SOCCER CAMP
AGE
OVERNIGHT & EXTENDED DAY
STREET ADDRESS
CITY
PHONE
STATE
ZIP CODE
CELL PHONE #
HIGH SCHOOL GRADUATION YEAR
CLUB TEAM
(Includes t-shirt and soccer ball)
July 18 – July 22, 2011 o o o o
Overnight (ages 11-14) . . . . . . . . . . . . . . . . . . . . . $650 Extended Day (ages 11-14) . . . . . . . . . . . . . . . . . . $500 Little Kickers (ages 5-10) . . . . . . . . . . . . $225 (half day) Little Kickers (ages 5-10) . . . . . . . . . . . . $300 (full day)
please detach to mail !
Tuition
July 20 – July 22, 2011 (Elite Academy)
Girls ages 5 through 14
July 18 - July 22, 2011
o Overnight (ages 15-18) . . . . . . . . . . . . . . . . . . . . $275 o Extended Day (ages 15-18) . . . . . . . . . . . . . . . . . $250 Free T-shirt — Check applicable size (adult sizes): o Small o Medium o Large o Extra Large Free Ball — Check applicable ball size: o 4 o 5
Girls ages 15 through 18
July 20 - July 22, 2011
______________________________________________ Date
Road Fairfield, CT 06824-5195
Signature of Parent or Guardian
1073 North Beson Road
1073 North Benson Fairfield, CT 06824
I approve my child’s attendance at the 2011 Academy of Excellence soccer camp at Fairfield University and certify that she is in good health and able to participate in all programs and activities. If medical attention is required for illness or injury during the camp, I give permission for such care. Furthermore, I have read and understand the medical and refund policies of the camp.
Register online at www.academyofexcellencess.com or return the application to: Sean Driscoll, Women’s Soccer Fairfield University Walsh Athletic Center 1073 North Benson Road Fairfield, CT 06824-5195
32537_6.11
If paying by check, please make checks payable to Academy of Excellence OR register and pay online.
Directed by: Jim O’Brien, Sean Driscoll, and Susan Starr Fairfield University Women’s Soccer Coaching Staff
Elite Girls SOCCER CAMP at Fairfield University About the Camp
Camp Staff Tuition
Jim O’Brien Our goal is simple. We want our soccer school participants to learn the game, develop better technique, and have the opportunity to be trained by our qualified staff. All training sessions are designed by the soccer school staff to be informative, appropriate, and enjoyable for the ages and level of the participants. The daily program will include technical, tactical, and functional training as well as small-sided and full-field games. Campers will also have the opportunity to be trained by Fairfield University’s strength and conditioning coach, Mark Spellman. The camp caters to individuals, small groups, or teams preparing for their upcoming season.
Head Coach, Jim O’Brien
Facilities The camp will be held on the campus of Fairfield University in Fairfield, Conn. on both a natural grass field and a turf field.
Academy of Excellence President Jim is the head coach for the women’s soccer team at Fairfield University. Prior to coming to Fairfield, Jim was the head coach at Southern Connecticut State University. He is also the head coach for the CFC United U19 team, the CFC Arsenal U13s, and the CT ODP U16s. Academy of Excellence is in its twelfth year and sixth year at Fairfield University.
Associate Head Coach, Sean Driscoll
July 18-22, 2011 $650 – Overnight (ages 11-14) $500 – Extended Day (ages 11-14) $225 – Little Kickers (ages 5-10) Half Day $300 – Little Kickers (ages 5-10) Full Day July 20-22, 2011 $275 – Overnight (ages 15-18) $250 – Extended Day (ages 15-18) Please make checks payable to Academy of Excellence.
Registration
Sean Driscoll
Our staff consists of the Fairfield University women’s soccer staff, other college coaches, local high school coaches, club coaches, and local college players.
Camp Details
Academy of Excellence Director Sean Driscoll is the associate head coach for the women’s soccer team at Fairfield University. Prior to coming to Fairfield, Sean was the head coach at Manhattan College for five years. He is the co-owner of the Connecticut Football Club. He is the current director of ODP for the state of Connecticut and has been a part of the regional staff for six years.
Online registration is available at www.academyofexcellencess.com or you can register by mailing the application.
Housing All overnight campers will be housed in Fairfield University dormitories. We accommodate roommate requests.
Meals Breakfast, lunch, and dinner will be provided in the University cafeteria.
Medical Information Susan Starr Academy of Excellence Goal Keeping Director Susan Starr is the assistant coach for the women’s soccer team at Fairfield University. Her primary responsibility is to oversee the training program for the goal keepers. Susan played her collegiate career at Yale University. She coaches alongside Jim with the CFC Arsenal U13 and coaches the CFC U16 Fury. Assistant Coach, Susan Starr
This camp is in compliance with the regulations of the State of Connecticut Department of Public Health and is licensed by the Board of Health. Background checks and three positive references have been provided for all camp staff.
Campers will not be able to participate without a fully completed medical form. A certified athletic trainer will be available at all times during the camp hours.
Refunds Full refunds will be issued up to two weeks prior to the camp. If a cancellation is made after July 5, 2011, $100 will be retained from the refund for administrative fees.
Further Information Additional information and forms can be found at: www.academyofexcellencess.com or by contacting Sean Driscoll at (203) 254-4000, ext. 2943 or e-mail: [email protected].
