information - Ogemaw Angelfish Swim Club
Transcription
information - Ogemaw Angelfish Swim Club
2 015 alma college swimming and diving SWIMMING AND DIVING CAMP camp information The Alma College swimming camp is focused primarily on technique and building a training framework for more advanced swimming. The diving camp is aimed at beginning and intermediate divers and focuses on diving basics. Dryland training and discussions on the mental side of the sports are included for both swimmers and divers. SWIMMING AND DIVING CAMP Sunday, June 21 - Friday, June 26, 2015 l Ages 10-18 l McClure Natatorium l Check-in: Sunday, June 21, 3:00-4:00 p.m. at Mitchell Hall clinic fee $400 - includes clinic, instruction, lodging and meals. swimming camp The swimming group will work on the skills for all four strokes and get some solid training. College swimmers will serve as lane coaches and counselors. It will be a fun environment in which to learn and improve. diving camp The diving camp is geared toward beginning and intermediate divers. Beginners will work exclusively on the one meter board, while intermediate divers may be introduced to the three meter board. coaching staff • Camp director is Alma College Head Coach Bill Copland. An All-MIAA performer while at Alma College and has loyalty to Alma goes back over 40 years. His coaching experience includes over 30 years as a club coach, 25 years as a high school coach and seven years as a coach at the collegiate level. His teams are known for sound technique and good racing skills. • Diving coach Cassie Dollman-Jersey has just completed her first season with the Scots. She swam and dove at St. Johns High School before serving as the diving coach there for three years. • Assistant camp director Sarah Anderson graduated from Alma College in 2010 with several school records. She assisted with the team last year while finishing her education degree. She is currently teaching high school science and coaching swimming in Kansas. medical policy Campers must have their own medical insurance. An athletic trainer will be available on campus during both clinics. refund policy If for any reason a camper cannot attend, a full refund will be given. if you have any questions , please call (989) 463-7323 or email bill copland at coplandwl @ alma . edu REGISTRATION athlete information Full name _________________________________________ Preferred first name _ _______________________________ Street address _ ______________________________ City ______________________State _______ Zip code _ __________ School Name ____________________________________________Grade in fall 2015 ______________________________ Parent/guardian ____________________________________ Daytime phone __________________ Evening phone _________________ E-mail ________________________________ media release I give permission for the Alma College Swimming and Diving camp, its staff and volunteers to take photographic and video images of my child and to use those images in marketing, promotional and program materials as deemed appropriate. ______________________________________________ ________________ Signature of parent/guardian Date liability release I, the undersigned parent/legal guardian, give permission for my child to attend and participate in Alma College Swimming and Diving camp. I understand that this event will take place at Alma College and that my child will be under the supervision of Alma College Swimming and Diving camp designated individual(s). I hold Alma College and all staff and volunteers harmless for any injury or incident involving my child. In case of a medical or dental emergency, I give my consent and authorization for any necessary treatment, to include treatment by a licensed physician or dentist and transfer to any hospital reasonably accessible. It is understood that the signature on this consent form by one parent or guardian implies the consent of the other. By signing below, I am stating that the above information is complete and truthful. ______________________________________________ _________________ Signature of parent/guardian Date health / insurance information insurance information Name of Participant _________________________________ Policy Holder’s Name ______________________________ Policy Name _______________________________________ Policy No. _______________________________________ Primary Care Physician ______________________________ Physician’s phone number ___________________________ health information Known allergies? _ ___________________________________________________________________________________ Are you taking any prescription medications? Medications must be in the original bottle/package labeled with the name of the person who is taking them. Please list the name(s) of medications and instructions for administering them:_ _______________ __________________________________________________________________________________________________ Do you have any chronic health concerns or physical restrictions:_ _______________________________________________ Do you have any special dietary needs? If so, please explain: ____________________________________________________ Mail your completed application and payment to: Bill Copland, Head Swimming Coach A complete application includes both the application and Alma College registration fee. Registration fee: $400 614 W. Superior St. Alma, MI 48801-1599 Please make checks payable to Alma College Swimming and Diving.