RIO GRANDE Soccer Camps

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					       Medical Information                         The Evan E. Davis
   Please check to indicate yes or no                Soccer Field
         after each statement.

1. Are you allergic to any medication?
        Yes         No
                                                                                                         2011
2. Are you currently taking prescribed
   medications?
        Yes        No

3. Do you have asthma?
                                              The Rio Grande soccer camps are
                                          held in the newly-renovated Evan E.              RIO GRANDE
        Yes       No
                                          Davis Soccer Complex. The facility
                                          includes three full-sized soccer fields,         Soccer Camps
                                          irrigation system, lights, stadium seating,
4. Do you have any medical conditions     press box and dugouts.
   we need be aware of?                       Conveniently located across the street
                                          from the cafeteria and within walking
 _____________________________________    distance of all dormitories. The Evan E.
 _____________________________________    Davis Soccer Complex is truly one of the
 _____________________________________    finest soccer facilities in the state of Ohio.

Emergency Authorization Information           University of Rio Grande/Rio
                                              Grande Community College
Parents Work Phone: __________________                  P.O. Box 500
                                                  Rio Grande, Ohio 45674
Camper’s Social
Security #: ___________________________                Scott Morrissey                            Youth Camp - $90.00
                                                      scottm@rio.edu                            June 6 - 9 • 6:00 - 8:00 p.m.
Camper’s Insurance #: _______________
                                                     740.245.7126 voice                    Hurricane High School/Middle School
                                                      740.645.6438 cell                                Team Camp
Policy #: _____________________________
                                                                                                        June 19 - 23
                                                        Tony Daniels
Additional Information: _______________                                                       Girls High School Team Camp
______________________________________                tdaniels@rio.edu                                  July 10 - 14
______________________________________               740.245.7493 voice
                                                                                              Boys High School Team Camp
______________________________________                                                                 July 17 - 21
______________________________________
______________________________________          UNIVERSITY OF
______________________________________
                                                      & RIO GRANDE COMMUNITY COLLEGE
 2003 National Champions • 2008 National Runner-Up • 2009 National Final Four                     • 2010 NAIA #1 Ranking


                                                   Rio Grande
                                                   Men’s Soccer                                   I wish to enroll in the Rio Grande Soccer
                                                   Quick Facts                                    Camp and abide by all the rules and
       We are very excited about you attending                                                    regulations of the camp. The director or
   the 2011 Rio Grande Soccer Camp. The camp       Overall Record • 335 – 103 – 24                anyone else connected with the soccer
   is designed to be fun and educational for all                                                  camp will not be responsible for accidents,
   campers.                                        Win Percentage • .750                          medical, dental or any expense incurred
       The men’s soccer team is coming off         Since 2001 Season                              as a result of an accident. I hereby assume
   another astounding season, finishing as the                                                    voluntarily any risk, accident or injury to
                                                   Overall Record • 198 – 18 – 11
   2010 NAIA #1 Ranking. The staff organizes and                                                  myself as a result of participation in this
                                                   Win Percentage • .890
   trains the campers just as we do during the                                                    program. Also, I grant the right to administer
   season.                                         NAIA National Champions – 2003                 all medical services that may result in any
       The camp stresses the basic fundamentals                                                   participation, including emergency and
                                                   NAIA National Runners-Up — 2008                referral if necessary.
   for individual technical training with an
   emphasis on attacking and defending in          NAIA National Final Four — 2001, 2003,
                                                   2008, 2009
   small sided games. Basic concepts will be                                                                 Please print in ink
   introduced and then reinforced throughout       NAIA Elite Eight — 2002, 2005, 2006, 2008,
   the camp. These include: dribbling, passing/    2009
   receiving, shooting, defending and basic                                                     Name: _________________________________________
   tactical principles. The goal of the camp       National Tourney Qualifier — 2001, 2002,
                                                                                                Grade this fall: __________________________________
   is for you to leave with an overall better      2003, 2004, 2005, 2006, 2007, 2008, 2009,
                                                   2010                                         Age: ___________________________________________
   understanding of the game and a desire to
   continue to improve your own game.                                                           Home Address: _________________________________
                                                   Regional Champions — 2001, 2002, 2003,
       We hope you choose to attend the Rio        2004, 2005, 2006, 2007                       City: __________________ State: _____ Zip: _________
   Grande Soccer Camp and be a part of the                                                      School: ________________________________________
   winning tradition. If you have any questions,   Regional Tourney Qualifier — 1996, 1997,
   please feel free to call 740.245.7126.          1998, 1999, 2000, 2001, 2002, 2003, 2004,    County: ________________________________________
       See you this summer.                        2005, 2006, 2007, 2008, 2009                 Parent/Guardian Signature:
   Sincerely,                                      Conference Champions — 1996, 1998,
                                                                                                ________________________________________________
                                                   2000, 2001, 2002, 2003, 2004, 2005, 2006,
                                                   2007, 2010                                                   Cost of Camp:
                                                   66 Game Unbeaten Streak — 2002 through                   Youth Camp – $90
                                                   2004 Season. (Beaten by Evergreen State               Residential Camp – $295
                                                   on November 20, 2004)
                                                   112 Game Regular Season Unbeaten Streak                      Make checks
                                                   October 21, 2000 to September 16, 2006.                       payable to:
                                                   (Beaten by Embry-Riddle University,
                                                   Florida; 2-1)                                              Scott Morrissey
   Scott C. Morrissey            Tony Daniels                                                                URG Lyne Center
                                                   33 All American Awards — 1995 – 2010
      Men’s Soccer              Assistant Men’s                                                                P.O. Box 500
        Coach                   Soccer Coach       2 MLS Combine Participants — 2004, 2009                Rio Grande, OH 45674

2011 Rio Grande Soccer Camps • Online Registration Available at: www.rioredstorm.com

				
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posted:3/21/2012
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