Medical Information
Please check to indicate yes or no after each statement.
The Evan E. Davis Soccer Field
1. Are you allergic to any medication? Yes No 2. Are you currently taking prescribed medications? Yes No
2018 Past Camp Participants
4. Do you have any medical conditions we need be aware of? ______________________________________ ______________________________________ ______________________________________
Hurricane, George Washington, Huntington, Jackson, Boyd County, Circleville, Waverly, Zane Trace, Amanda Clearcreek, Peebles, Alexander, South Webster, Athens, Gallia Academy, Point Pleasant, John Adams, Greenup County, Ohio Valley Christian
Emergency Authorization Information
University of Rio Grande
3. Do you have asthma? Yes No
Parents Work Phone:___________________ Camper’s Social Security #:____________________________ Camper’s Insurance #:________________
P.O. Box 500 Rio Grande, Ohio 45674 Tony Daniels
[email protected] 740.245.7493 voice 740.645.0377 cell
Policy #:______________________________ Additional Information:________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________
Soccer Camps
Youth Camp $75.00 • June 4-7 Girls High School Team Camp $270.00 • July 8-11 Boys High School Team Camp $305.00 • July 15-19
www.rio.edu 4-4-18JA
Online Registration & Payment Center www.rioredstormsoccercamps.com
2015 National Champions • 2016 National Runner-Up • 2016 National Final Four • 2010 NAIA #1 Ranking • 2016 NAIA Elite Eight Rio Grande Men’s Soccer Quick Facts Residential Campers Day-to-Day Activities Sunday: 4-5:30 6:30-9:00
Check-in to dorms Team Training with Staff Coach
Monday: 7:30 Breakfast 9:00-11:00 Training, Technical/Small Sided 11:30 Lunch 2:00-3:45 Training, Tactical 5:00 Dinner 6:30-10:00 2 Competitive Games (50 minute games) Tuesday:
Same schedule as above
Wednesday: Same schedule as above for boys 9:00-11:00 Girls camp have 7V7 Tourney 11:30 Lunch 1:00 Final Games 3:00 Check-out of dorms Thursday: 7:30 Breakfast 9:00-11:00 7V7 Tourney 11:30 Lunch 2:00-4:00 7V7 Tourney & All Star Game 5:00 Dinner & Clean Up Rooms 6:30-8:30 Final 11 V 11 Games & Check-out
28 Seasons 1989-2016 Overall Record • 446 – 117 – 32 Since 2001 Season Overall Record • 309 – 32 – 19 Win Percentage • .883 NAIA National Champions – 2003, 2015 NAIA National Runners-Up — 2008, 2016 NAIA National Final Four — 2001, 2003, 2008, 2009, 2015, 2016 NAIA Elite Eight — 2002, 2005, 2006, 2008, 2009, 2011, 2013, 2015, 2016
Please print in ink
National Tourney Qualifier — 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016
Name:__________________________________________ Grade this fall:___________________________________ Age:____________________________________________ Home Address:__________________________________ City: ___________________ State: ______ Zip:__________ School:_________________________________________ County:_________________________________________ Camp T-Shirt Size:________________ Parent/Guardian Signature: ________________________________________________
Regional Champions — 2001, 2002, 2003, 2004, 2005, 2006, 2007 Regional Tourney Qualifier — 1996, 1997, 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009 Conference Champions — 1996, 1998, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2010, 2012, 2013, 2014, 2015, 2016 66 Game Unbeaten Streak — 2002 through 2004 Season. (Beaten by Evergreen State on November 20, 2004) 112 Game Regular Season Unbeaten Streak October 21, 2000 to September 16, 2006. (Beaten by Embry-Riddle University, Florida; 2-1) 57 All American Awards — 1995 – 2016
Tony Daniels
Women’s Soccer Coach
I wish to enroll in the Rio Grande Soccer Camp and abide by all the rules and regulations of the camp. The director or anyone else connected with the soccer camp will not be responsible for accidents, medical, dental or any expense incurred as a result of an accident. I hereby assume voluntarily any risk, accident or injury to myself as a result of participation in this program. Also, I grant the right to administer all medical services that may result in any participation, including emergency and referral if necessary.
2 MLS Combine Participants — 2004, 2009 1 NAIA National Player of the Year — 2015
Cost of Camps: Youth Camp – $75 Boy’s Residential Camp – $305 Girl’s Residential Camp – $270 Make checks payable to: We Storm Soccer Camps URG Lyne Center P.O. Box 500 Rio Grande, OH 45674
2018 Rio Grande Soccer Camps • Online Registration Available at: www.rioredstormsoccercamps.com