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Mail completed Registration/Consent Form and Camp Fees to: Western Illinois University Volleyball Office 207 Western Hall Macomb, IL61455

TOTAL:_______

Please make checks payable to: “Western Illinois University Volleyball”

XL Adult T-Shirt Size for Purple & Gold Only (circle): S M L *Registration must be received by June 21 to assure requested size

Roommate Preference:________________________________

Attacking/Passing July 10 Combo Camp July 11 $75/session | $150/both session

Phone:_____________________________

Passing/Defense Camp July 10 July 11 $40/session | $80/both sessions Emergency Contact Name:_____________________________

City: ____________________ State: _____ Zip:___________

*Checks must by postmarked by June 1

Commuter: Early Registration* ($175) Regular Registration ($200) Attacking Camp July 10 July 11 $40/session | $80/both sessions Address:___________________________________________

Email address:_______________________________________ confirmation email will be sent once payment is received

Grade (entering Fall ‘15):______________________________

All Skills Camp: Resident: Early Registration* ($250) Regular Registration ($275) Positional Camps: Setting Camp July 10 July 11 $75/session | $150/both sessions Partcipants Name:____________________________________

Western Illinois University 2015 Volleyball Camp • Registration Form

Coaches Kelly Richardson Head Coach • First Season

Head Coach Kelly Richardson was announced as the 10th head coach in Western Illinois history on January 22nd after serving as an assistant coach at Texas-Arlington, where she helped guide the Mavericks to a 25-9 record, and a 14-6 Sun Belt Conference record. UTA posted the best season in two decades, had two All-SBC selections and one American Volleyball Coaches Association (AVCA) Honorable Mention All-American. Prior to joining the UTA staff, Richardson served as the head coach at Southwest Baptist for seven seasons, turning in six seasons of double-digit victories. Richardson’s 2013 team turned in its first winning season since 1987, finishing 17-14 overall and tying for the best record in program history.

Dan Brown

Assistant Coach • First Season

Shortly after taking over as the head coch, Kelly Richardson announced the hiring of Dan Brown as an assistant coach. Brown joins the staff after spending four seasons as an assistant coach at the University of North Dakota. At Western Illinois, Brown will play a major role in recruiting, work with all aspects of the program, and will specifically handle the defensive schemes that the Leathernecks will implement. While at North Dakota Brown helped guide the team to two Great West Conference Tournament championships, a GWC regular season title, and the school’s first Big Sky regular season crown.

Staff

The 2015 Summer Volleyball Camps will also be staffed by current and incomming members of the Leatherneck Volleyabll team.

Positional Camps

All-Skills Camp

Setting Camp..................9 a.m. - 4 p.m....................... July 10 9 a.m. - 4 p.m....................... July 11 $75/session | $150/both sessions

Technique training and drills that cover the six basic skills: Passing, Digging, Attacking, Setting, Blocking and Serving.

July 13-15th - Grades 7-12

July 10-11th - Grades 9-12

Attacking Camp..............9 a.m. - 12 p.m..................... July 10 9 a.m. - 12 p.m..................... July 11 $40/session | $80/both sessions Passing/Defense Camp..1 p.m. - 4 p.m....................... July 10 1 p.m. - 4 p.m....................... July 11 $40/session | $80/both sessions Attacking/Passing .........9 a.m. - 4 p.m....................... July 10 Combo Camp 9 a.m. - 4 p.m....................... July 11 $75/session | $150/both sessions

Camp Schedule Campers Receive July 13th

Check-In Session 1 Session 2

1 p.m. 2-4:30 p.m. 6-8:30 p.m.

July 14th

Session 3 Session 4 Session 5

9-11:30 a.m. 1-4 p.m. 6-8:30 p.m.

Session 6 Session 7 Check Out

• T-shirt • Specialized Insruction • Meals • On-Site Athletic Trainer • Low Player to Staff Ratio • Air-Conditioned Residence Halls & Facility

July 15th

9-11:30 a.m. 1-4 p.m. 4:30 p.m.

Camp Fees All camps will take place in Western Hall W. University Drive, Macomb Il, 61455 PLEASE CONTACT DAN BROWN, ASSISTANT COACH & CAMP DIRECTOR at (309) 298-1855 or [email protected] for further information. Camp information available online at www.GoLeathernecks.com

RESIDENT

COMMUTER

Early Registration* - $250 Regular Registration - $275

Early Registration* - $175 Regular Registration - $200

Resident fees includes: 2 nights housing and 6 meals *Forms & payment MUST be postmarked BEFORE June 1st to be eligible for the early registration discount. Western Illinois’ camps and clinics are open to any and all entrants, limited only by number, age, grade level, or gender. Registration DEADLINE is July 1

Western Illinois University Volleyball Camp Consent Form PARENTAL RELEASE:

The Undersigned understands that there are certain dangers, hazards, and risks inherent to this activity, which could include serious or even mortal injuries (death) and property damage, and that neither The Board of Trustees of Western Illinois University (the “Institution”) nor the WIU Foundation assume responsibility for any such personal injuries or property damage. Knowing the dangers, hazards, and risks of this activity, and in consideration of being permitted to participate in the activity, the Undersigned agrees to assume all risks and responsibilities surrounding participation in the activity, and in advance release, and forever discharge, waive, and covenant not to sue the Institution, the Foundation, its governing board, officers, agents, employees, and/ or any students acting as employees in their official and individual capacities, from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature whatsoever which Participants may have or which may hereafter accrue to the Undersigned, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by Participant or by any property belonging to Participant, whether caused by the negligence or carelessness of the Participant or otherwise, while in, on, or upon the location where the activity occurs or is being conducted. ______________________________________________ Participant Name ______________________________________________ Parent/Guardian Signature Date ______________________________________________ Parent/Guardian Printed Name ______________________________________________ Relationship to Camp Participant Please fill out both sides. This form MUST be signed.