Mercyhurst University Men’s Soccer Winter ID Camp
CAMP INFORMATION WHEN
Saturday December 5, 2015
WHERE
Family First Sports Park Address:
8155 Oliver Rd, Erie, PA 16509
PRICE
$120
INCLUDES
- Two dynamic sessions - ID Camp T-shirt
9:30am 10:30am 11:30am 12:30pm 2:30pm 3:30pm
Projected Schedule Registration at the dome Technical Session Tactical Session (Angles of Support) Lunch Break (Spring Game) Small Sided Games 11v11
Checklist of things to bring Soccer cleats and turf shoes Shin guards Additional gear for any weather conditions GK: Gloves Water will be provided. Bring sports drink of your choice if you prefer it. Athletic Trainer An athletic trainer will be on site. We suggest you come early if you need taping or anything similar before the start of the camp. Remember to: Email or bring a physical as of one (1) year to
[email protected] or
[email protected] Mail signed waiver + check to Mercyhurst University
Contact Information For questions prior to the start of camp, contact Mercyhurst Men’s Soccer assistant coach Austin Solomon at
[email protected] or: Tel: (814) 824 - 2528 Cel: (804) 243 - 6677
We are excited and looking forward to see you perform and enhance your strengths, while you also get a sense of our style of play. Almost two thirds of our roster came to Mercyhurst University through various camps, clinics, or tryout days we organize during the year.
To register, please fill out the waiver and release form below.
Mail to: WAIVER AND RELEASE FROM LIABILITY In consideration of being allowed to participate in the Men’s Soccer Spring ID Camp, on December 5, 2015, provided by Mercyhurst University and any related events and activities, and further intending to be legally bound, the undersigned:
Mercyhurst University Conference & Events Center Attn: Patrick Magill 501 East 38th Street Erie, PA 16546
1. Agrees that, prior to participating, they will inspect the facilities and equipment to be used, if any, and if they believe anything is unsafe, they will immediately so advise the supervisor in charge of such facilities and equipment and refuse to participate. 2. Acknowledges and fully understands that they will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence of others, or the condition of the premises or of any equipment used. The undersigned further acknowledges that there may be other risks not known to Mercyhurst University or not reasonably foreseeable at this time. 3. Assumes all the foregoing risks and accepts personal responsibility for the damages following such injury, permanent disability or death. 4. Releases, waives, discharges and covenants not to sue Mercyhurst University and its respective administrators, directors, officers, agents or employees; other participants; or the owners, lessees or lessors of the premises and/or equipment used to conduct the Soccer Camps, to all of whom the benefits of this waiver and release from liability shall inure, from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by negligence of the releasees or otherwise.
☐ I have enclosed a check in the amount of $120 before November 27th, 2015. Please make checks payable to: Mercyhurst University.
THE UNDERSIGNED HAS READ THE ABOVE WAIVER AND RELEASE FROM LIABILITY, UNDERSTANDS THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT VOLUNTARILY. IF THE PARTICIPANT IS A MINOR, I HEREBY REPRESENT THAT I AM THE PARENT OR GUARDIAN OF THE MINOR, AND I HEREBY CKNOWLEDGE AND AGREE TO THE FOREGOING ON BEHALF OF THE MINOR PARTICIPANT, IN MY INDIVIDUAL CAPACITY, AND IN MY CAPACITY AS PARENT OR GUARDIAN OF THE MINOR PARTICIPANT. I FURTHER INDEMNIFY AND HOLD HARMLESS THE ABOVE NAMED ENTITY FROM ANY AND ALL LOSSES AND DAMAGES INCURRED AND/OR SUFFERED BY THE ABOVE NAMED ENTITY AS A RESULT OF A BREACH OF THIS REPRESENTATION.
Major(s) of interest: ________________________________________________________
Sign: _____________________________________ Date ________________________
_______________________________________________________________________________
Printed Name of the Signer: ________________________________________________
_______________________________________________________________________________
Printed Name of the Participant Minor, If Applicable: ___________________________
Full Name: __________________________________________________________________ Age: _______________
Height: _________________
Shirt Size: ______________
Street Address: _____________________________________________________________ City, State: __________________________________________ Zip: _________________ Email: ________________________________________________________________________ Grade: _____________ School: ________________________________________________
☐ Defender
☐ Midfielder
☐ Forward
☐ Goalkeeper
In case of emergency notify: _______________________________________________ Home: _______________________________ Cell: __________-_______________________ Medical conditions (allergies, medications, illness, injuries)