waterloo summer soccer camp - Sites

Report 6 Downloads 213 Views
CONNECT WITH US

DIRECTIONS (FROM HWY 401) •F  rom East or West, follow Highway 401 to exit 278, Highway 8 WEST.

ATHLETICS AND RECREATION

Physical activities building 200 University Ave. West Waterloo, ON N2L 3G1

•F  ollow 8 WEST to 7 EAST (Expressway Conestoga Pkwy.). *Be sure to take the exit for 7 EAST (not west). •K  eep left; do not exit on 7 East (Victoria Street and Guelph) •E  xpressway becomes 85 North (formerly 86) •E  xit at University Avenue WEST and drive about 2 miles (3km). APPLICATION POLICY CANCELLATION POLICY All cancellation requests must be received in writing prior to the start of camp, and are subject to the following conditions: 1) 2  5% Cancellation Fee on cancellations received on more than 10 working days prior to the start of camp. 2) 5  0% Cancellation Fee on cancellations received on or less than 10 working days before camp. 3) No Shows = No refund Complete the registration form and return it to the University of Waterloo as indicated below. Applications are processed on a first come, first serve basis. RETURN YOUR COMPLETED REGISTRATION FORM AND PAYMENT BEFORE July 3, 2012 TO:

SOCCER

WATERLOO SUMMER SOCCER CAMP

WARRIOR SOCCER Peter Mackie Head Soccer Coach Email: [email protected] 519-888-4567 ext. 36996 University of Waterloo Department of Athletics and Recreational Services 200 University Ave. West Waterloo, ON N2L 3G1

JULY 16-20, 2012 • WARRIOR FIELD, UNIVERSITY OF WATERLOO

Camp Description :

Registration details :

Waterloo Summer Soccer Camp is particularly unique in its values and vision. Here we are not only going to work with camp participants to improve their technical and tactical soccer skills but we’re assisting the children with identifying ways in which they can use some of these skills in their everyday lives. With an end goal of growth toward each individual’s full potential on and off the pitch, WSSC leaves its competition behind. Local youth summer and soccer camps are known to extensively focus on just one these two aspects to achieve success. We’re going to integrate the two facets believing that they are meant to be taught hand-in-hand. At the University of Waterloo it’s not just about learning the knowledge to reach your full potential but also about using those skills to give back.

Player Information

The camp is open to all soccer participants between 8-13 who look to start playing in a league, or are already in one. These boys and girls are going to work to improve their personal skills and the current level they are playing at. Campers will be responsible for: Packing and bringing their own lunch and snacks, for lunch is not provided Water bottles Sunscreen Cleats/runners Shin pads Swimsuit +towel Knapsacks/coolers Hats Columbia Ice Fields will provide change rooms, wash rooms and water fountains. There will not be more than 10 campers to one instructor

Name: __________________________________ Address: ________________________________ Sex q Female q Male Email: __________________________________ T shirt size:

Adult q S q M q L q XL

Health card number: ______________________ Known allergies, known medical conditions: _______________________________________ Swimming ability: ________________________ Parent’s/Guardian’s info Parents name: ___________________________ Parents email: ___________________________ Parents phone #’s (H): _____________________

(C): _____________________

CREdit card payment

UW Men’s and Women’s Soccer Head Coach: Peter Mackie Playing: Youth rep soccer with Guelph Minor Soccer. 2 Ontario Finals at Under 10 and Under 16. 3-time All-Canadian with Wilfrid Laurier University(1985-1988)-1 National Final(Silver Medal), After university Peter went to England for a year played professionally with Chelsea Football Club and Rochdale F.C. Returned and played 5 years professionally in the Canadian Soccer League with Ottawa Pioneers, Ottawa Intrepid, Kitchener Spirit and Kitchener Kickers. Played the last 10 years in the Kitchener and District Soccer League with various clubs including Polish Eagles and Celtic Boys Club. Peter has played in two Ontario Cup Finals.

Coaching: Coaching levels 1, 2,and 3. Part 1Provincial B-License- Ontario Soccer Association. Coaching for 15 years with the Kitchener Spirit Rep Program.(Kitchener Youth Soccer) Under 5 - Under16.( Boys and Girls), 2 CIS National Finals in 3 years- OUA Gold-2001 (men), OUA Silver-2003 (men). Peter received his National License from NSCAA with a DP (Pass with Distinction) in July 2006. Peter will be assisted by 6 of his own varsity athletes to act as instructors

Card holder’s name: _______________________ Card #/Epiry: ____________________________ Siganature: ______________________________

RECREATIONAL SERVICES CAMP PARENTAL CONSENT I, the undersigned, hereby acknowledge that certain risks of injury are inherent to participation in recreational activities and classroom activities. These types of injuries may be minor or serious and may result from one’s actions, or the actions or interaction of others or a combination of both. I understand that certain activities require a minimum level of fitness and health (physical, mental and emotional) and that each person has a different capacity for participating in these activities. I hereby agree that the University of Waterloo, its faculty, staff, and agents shall not be liable for any injury, loss or damage to person or property, incurred during this program, including deterioration of health or illness or aggravation of condition resulting from participation in these activities. I declare having read and understood the above informed consent agreement in its entirety and hereby give my consent for the registrant to participate knowing all of the foregoing.

Print Name ______________________________

Camp Information Location: . . . Warrior Field at Columbia Ice Fields Date: . . . . . . July 16th to 20th Cost: . . . . . . $250 +HST/Camper

Run Time: . .  9am to 4pm (Drop off as early as 8:30, Pick up as late as 5:30) One hour of pool time will be included during day Age: . . . . . . . Co-ed, 8-13 years of age, playing soccer 0-3 times/week Total number of participants: 50

Signature _______________________________

SOCCER

Date: ___________________________________ Return completed form and payment to:

Peter Mackie, Head Coach 519-888-4567 ext. 36996 [email protected]

Waterloo Warrior Soccer University of Waterloo, Athletics and Recreation 200 University Ave. W. Waterloo ON N2L 3G1