information - Ogemaw Angelfish Swim Club

Transcription

information - Ogemaw Angelfish Swim Club
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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.