Important Information Camp Application Purdue Medical Treatment Authorization Form Purdue Wrestling Camps PhotocoPies AccePted TYPICAL SCHEDULE: Name Breakfast 7am Dinner 5pm Wrestling LAST FIRST MIDDLE INITIAL PARTICIPANT’S NAME E-mail : Session One 9-11am Session Three 7-8:30pm School Attended Lunch 12 Noon Recreation/Movie 9-11pm CAMP ATTENDING Grade in school this year Actual Weight Session Two 2-4pm Lights Out/Bed Check 11pm Participants are automatically enrolled in Purdue Camp Insurance Address *Schedules will vary depending on which camp you choose Camps Plan. Eligible covered expenses will be paid only if they are in excess of other valid and collectible insurance. Age Home Phone ( ) – ELIGIbILITY: All Purdue Wrestling Camps are open T-shirt Size (Circle One): YS S M L XL XXL to any and all wrestling participants grades 1-12. 1. List any medical conditions that camp personnel should be aware of (use additional pages if necessary): THE CAMP I WISH To ATTEnD: EnRoLLMEnT: All camps have a limited enrollment CoMPETITIon TAKEDoWn CAMP 1 - June 27–July 1 to ensure as much individual work as possible. Upon ($370Res/$195Com) . . . . . . . . . . . . . . . . . . . . . $100.00 deposit* acceptance to the camp, you will receive a letter EXTREME TRAInInG CAMP with a list of items to bring, a map with directions to 2. List any medication currently taking: June 27 - July 1 ($370Res/$195Com) . . . . . . . . $100.00 deposit* camp, check–in time and location, emergency phone number at Saint Joseph’s College, and other important Featuring MIDDLE SCHooL CAMP July 11–14 ($350Res/$175Com) . . . . . . . . . .$100.00 deposit* information. ELITE MIDDLE SCHooL CAMP July 5-7 ($275Res/$125Com) . . . . . . . . . . . . . . $100.00 deposit* TUITIon CoST: Residential tuition cost includes 3. List any allergies: TEAM CAMP 1 - June 27-July 1 instruction, lodging, meals, T-shirt, insurance coverage, Competition Takedown TEAM CAMP 2 - July 10-14 and recreation. Commuter campers are welcome. June 27– July 1, 2011 ($330Res/$175Com) . . . . . . . . . . . . . . . . . . . . . $100.00 deposit* Commuter tuition cost includes instruction, T-shirt, and RIDE, GRInD, & TURn CAMP insurance coverage - NO MEALS INCLUDED. Extreme Training Camp In case of emergency please contact: July 10-14 ($350Res/$175Com) . . . . . . . . . . . . $100.00 deposit* June 27–July 1, 2011 * Remaining balance of camp fees to be paid at check-in or full TRAInER: A trainer will be present at all sessions. Name amount can be paid. There is a well–equipped training room available at Ride, Grind, and Turn Camp all times for minor illness or injury and to dispense July 10– 14, 2011 Daytime Phone Nighttime Phone Are you a member of USAW? Yes No medication as needed. Middle School Camp Name of Medical Insurance Company July 11–14, 2011 If yes, card number: CAnCELLATIon/REfUnD PoLICY: All requests Telephone Number RESIDEnTIAL I will stay in the dorm for refunds must be made in writing or by e-mail. Your Elite Middle School Wrestling Camp CoMMUTER I will commute camp cost, less a $50 non–refundable administrative July 5–7, 2011 Insurance Policy Numbers fee, is refunded without question if you cancel at least Roommate Preference Team Camp 1 , As a parent or legal guardian of the one week prior to the registration date. At any time after June 27–July 1, 2011 participant named above, I do hereby authorize the director of the I understand that Saint Joseph’s College, the Camp Director, and all other personnel associated with Purdue Wrestling Camps assume no responsibility for accidents, that date, refunds (less the $50 non–refundable fee) are wrestling camp, and his subordinates, to seek any medical and/or injuries, or medical or dental expenses incurred by my son/ daughter at camp. However, made for medical reasons only and all such requests Team Camp 2 a maximum amount of $5,000.00 of blanket medical expense insurance and $250,000 surgical treatment which is reasonably thought to be necessary for dental coverage for each accidental injury will be provided for each participant; $100.00 must have a signed statement from your physician. If July 10–14, 2011 deductible. The cost of the insurance is included in the tuition. the care of my child. The camp director is authorized to incur medical a cancellation request is not received by the first day costs necessary to provide medical treatment for my child, and I shall of instruction, there will be no refund issued. Campers be fully responsible for honoring such costs. I also authorize the medical X who must leave during camp due to an illness or injury, SIGNATURE OF PARENT OR LEGAL GUARDIAN facility to release all information needed to complete insurance claims. Make your check or money order payable to: will not receive a refund. Refunds are not given to I authorize payment directly to the medical facility. Purdue Wrestling Camp campers who voluntarily leave camp or who are sent Mail to: PURDUE WRESTLInG CAMP home for disciplinary reasons. SIGNATURE (Parent or Guardian) DATE C/o PETE RoGERS Po boX 2907 WEST LAfAYETTE In 47996 nEW! CREDIT CARDS WILL bE ACCEPTED: Must Saint Joseph’s College For more information, contact Pete Rogers at (765) 494-9137 complete on website www.purduesportcamps.com and Rensselaer, Indiana E-mail: firstname.lastname@example.org follow wrestling link. www.purduesportcamps.com Camp Philosophy Purdue Wrestling Camps June 27–July 14, 2011 Camp Staff Purdue Wrestling Camps are designed to aid wrestlers who want to maximize their wrestling potential SCoTT HInKEL Head Coach, Purdue University and increase their technical skills. At the camps, you Head Coach, East Chicago Central 1990-1993 will learn the strategies that have worked for champion Competition Takedown Camp Middle School Camp All-American; Most Falls in Purdue History wrestlers to achieve their personal best. June 27-July 1 July 11–14 Ohio State Champion Scoring from your feet is essential for success! Dominating your Exciting Middle School Camp for wrestlers entering sixth, seventh Indiana Wrestling Hall of Fame Camp wrestlers will receive tips and strategies that opponent with a variety of takedowns is emphasized at all levels of and eighth grades. Wrestlers will learn how to train for competition in have worked for national and state champion wrestlers wrestling. The Competition Takedown Camps will teach you how freestyle and folkstyle. Each camper who attends will be instructed in through daily matches, weight lifting, drilling, and to become an accomplished takedown wrestler through technique all facets of wrestling. An emphasis will also be made on how to get ToM ERIKSon sessions, drilling workouts, and competition. Wrestlers will be placed on away from your opponent, a critical area for the continued success of Assistant Coach, Purdue University conditioning. teams and assigned coaches for the week. Dual meets will take place your wrestling. Competition will be included for all campers to try out Two Time NCAA All American throughout the day, followed by individual matches in the evening. A dual their new found skills. In order for wrestlers to obtain maximum benefits meet finals and individual tournament finals will highlight the conclusion U.S. National Freestyle Champion, 1997 of camp. Last year’s camp reached the maximum limit with wrestlers Residential cost: $350.00 from any of our camps it is imperative that strict rules Placed 4th at World Freestyle Championships, 1997 from five different states in attendance. Not only will you learn from this Commuter cost: $175.00 Indiana and Illinois Wrestling Hall of Fame member and guidelines be followed while at camp. Our camp camp, but you will also have fun doing it! director will cover all camp rules during our first session. Residential cost: $370.00 Elite Middle School Wrestling Camp Failure to comply with these rules will result in the Commuter cost: $195.00 July 5-7 PETE RoGERS The Elite Middle School camp has been designed for the Middle parents being called and asked to come pick up their Team Camp 1 • Team Camp 2 School wrestler who has had previous advanced training and wants to Assistant Wrestling Coach, Purdue University Three-time Wisconsin High School State Champion camper. The Purdue Camps are intended to improve June 27–July 1 July 10-14 fine tune individual skills as well as train at a high level for maximum performance. Time will be spent on hard drilling, live wrestling, and 145-1 HS Record your wrestling - not for baby-sitting. Building team cohesiveness and wrestling skill is vital for a program. The physical and mental conditioning. Instruction will be incorporated Ohio State University Team Captain team camp will offer the best of both worlds. Giving teams both elite to wrestlers based on individual needs. Tough, focused, aggressive Two-time NCAA Qualifier, Ohio State High School Coaches instruction as well as 20 live competition matches through team duals. wrestling will be reinforced. Maximum of 40 wrestlers only. All areas of wrestling will be covered during intense teaching sessions, giving wrestlers the skills and mental toughness to overcome obstacles Residential cost: $275.00 Current coaches from across the Midwest will be on the way to obtaining goals. Teams will consist of 10 members with Commuter cost: $125.00 bEn WISSEL the weight classes being 110, 120, 130, 140, 152, 165, 180, 200, 220, Boiler Elite Club Coach present at all seven camps serving as coaches, technicians and counselors. 275. Additional members of each team will be put together to make more teams. Schools are permitted to enter more than one team. This Ride, Grind, & Turn Camp Two time All-American camp is available for wrestlers entering the 8th through 12th grades. July 10–14 Indiana State High School Champion Coaches are recommended to accompany their team. Mat wrestling is a vital technique for every successful wrestler, but Nationally Ranked Freestyle Senior Wrestler unfortunately is not an important focus during high school competition. Residential cost: 10-15 wrestlers $330.00 each * This camp is designed to teach fundamental and advanced techniques 16 or more wrestlers $295.00 each ** and strategies for top positions. Special emphasis will highlight Wrestling camp facilities Commuter cost: 10-15 wrestlers $175.00 each * techniques to improve leg rides, arm bards, cradles, tilts, and roll- 16 or more wrestlers $160.00 each ** through-half situations. Wrestlers will be able to practice and enhance bEn SPRUnGER The camps will be held at Saint Joseph’s their new techniques through live wrestling every day. Indiana State High School Champion * 1 Coach fREE with 10-15 wrestlers College in Rensselaer, Indiana. Rensselaer is NCAA II All American ** 2 Coaches fREE with 16 or more wrestlers Residential cost: $350.00 located just off Interstate 65, approximately Commuter cost: $175.00 Athletes in Action 90 minutes southeast of Chicago and 90 minutes northwest of Indianapolis. Extreme Training Camp Boiler Elite Head Coach Saint Joseph’s College is an excellent June 27–July 1 Campers are expected to come into camp location for these wrestling camps. The The Extreme Wrestling Camp is designed to provide serious athletes in good physical condition cafeteria, residence halls, and wrestling with the latest techniques and training methods taught by an elite level facility are all located within a two-block college coaching staff. Wrestlers will be exposed to college style training JAKE PATACSIL ED PEnDoSKI Meals that optimizes their conditioning and intensity. This camp is designed Florida High School Head Coach area. for dedicated high school age wrestlers who are willing to go the extra mile to become champions. There will be a focus on hard drilling and State Champion Central Indiana Academy Air conditioned housing NCAA All American cross training that works wrestling conditioning specifically. At the Indianapolis, Indiana Camp wrestlers will stay in residence halls conclusion of the camp there will be a unique obstacle course that will Commuter meals must be purchased at time of check- Big Ten Medal of Honor with air conditioning. test the wrestlers limits. in for entire camp. Cafeteria Residential cost: $370 Counselors Commuter cost: $195 breakfast cost: $4.50 Wrestlers will be able to enjoy their meals in style with generous Lunch cost: $6.50 lighting and seating. Our offerings will include basic traditional dining, along with our crisp, fresh salad greens and assorted Dinner cost: $9.50 CURREnT PURDUE WRESTLERS WILL toppings at our salad bar, to the cool temptations of soft serve ice cream, plus many other surprises along the way. www.purduesportcamps.com SERvE AS CoUnSELoRS.