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					Rob Ryerson Professional Soccer Day Camp
       2011 REGISTRATION FORM
 Name ________________________________________________
 Address ______________________________________________
 City _______________________ State_____ Zip ____________                                                                                                   Rob Ryerson
                                                 q Female          q Male
                                                                                                                                                    Professional Soccer
 Age ___________________________
 Parent/Guardian _______________________________________
 Phone ________________________________________________
 E-mail ________________________________________________
                                                                                                                                                        Day Camp
 PLEASE CHECK T-SHIRT SIZE
 Youth Sizes: qSmall              qMedium            qLarge        qXlarge
 Adult Sizes: qSmall              qMedium

 PLEASE CHECK CAMP SESSION
 q Session 1: Woodmont Academy, Cookesville, MD
   June 27-July 1, 2011
   Boys and Girls ages 5-12 years old

 q Session 2: Our Lady of Perpetual Help, (OLPH) Ellicott City, MD
   July 18-22, 2011
   Boys and Girls ages 5-12 years old

 CAMP FEE
 Soccer Day Camp Fee . . . . . . . . . . . . . . . . . . . . . . . . . $ 135.00

 Make Checks Payable to:
 Rob Ryerson Professional Soccer Camp
 PO BOX 1183, Columbia, MD 21044


 LIABILITY WAIVER
                                                                                   Rob Ryerson Professional Soccer Camp




 I hereby release Ryerson Soccer Network, Inc., Rob Ryerson
 Professional Soccer Camp, Rob Ryerson and any persons                                                                                              Boys and Girls ages 5-12 years old
 directly involved with this program from any liability and or
 medical payments sustained as a direct result of my childs
 participation in this program. I hereby certify that my son/
                                                                                   ryersonsoccer@comcast.net




                                                                                                                                                 Session 1: Woodmont Academy, Cookesville, MD
                                                                                   Toll Free: 1-877-FUTBOL-1




 daughter is in good physical condition to participate in this
 program.                                                                                                                                                   June 27-July 1, 2011
                                                                                   Columbia, MD 21044




 Parent/Guardian _______________________________________                                                                                         Session 2: Our Lady of Perpetual Help, (OLPH)
                                                                                                                              OFFICIAL SPONSOR




 Date _________________________________________________                                                                                                     Ellicott City, MD
                                                                                                                          ®




                                                                                                                                                            July 18-22, 2011
                                                                                   PO BOX 1183




 OFFICIAL CAMP USE ONLY
                                                                                  23




 Payment Amount _____________________________________                                                                                                                          OFFICIAL
 Date ________________ Check #________________________
                                                                                                                                                                           ®
                                                                                                                                                                               SPONSOR
                23
Rob Ryerson, Camp Director
                                                                          CAMP DATES AND LOCATIONS
                                                                          Session 1: Woodmont Academy, Cookesville, MD
                                                                                                                                                         CAMP FACILITIES
                                                                                                                                                         Our Lady of Perpetual Help: OLPH is located off Illchester
                                                                                                                                                         Road in Ellicott City and is a new location to the camp program.
                                                                                                                                                         The facility has a large full size soccer field along with gym
Celebrating 23 years of soccer                                                       June 27-July 1, 2011                                                access when needed if inclement weather occurs. All campers
camp expertise in Howard Co.,                                                        Boys and Girls ages 5-12 years old                                  should bring sneakers or indoor shoes in case soccer will be
Rob Ryerson is offering summer                                                                                                                           played indoors.
                                                                          Session 2: Our Lady of Perpetual Help, (OLPH) Ellicott City, MD
soccer day camp programs to                                                          July 18-22, 2011                                                    Woodmont Academy: Woodmont Academy is located in
boys and girls ages 5-12 years                                                                                                                           western Howard County off Route 99 in Cookesville. The school
                                                                                     Boys and Girls ages 5-12 years old
old for the upcoming 2011                                                                                                                                has outdoor fields along with gym access when needed if
summer camp season. The day                                                                                                                              inclement weather occurs. All campers should bring sneakers
camp program is designed to                                                                                                                              or indoor shoes in case soccer will be played indoors.
assist	 in	 each	 player’s	 individual	                                   PLAYER COST/PAYMENTS
growth and development for                                                The cost of the summer day camp is $135.00 per camper. All
soccer. Both boys and girls will                                          campers will receive a FREE camp soccer ball and FREE camp
learn about soccer in a fun-filled                                        T-shirt. All registrations must be accompanied with a check made
playing environment. The primary goal of the camp is to                   out to Rob Ryerson Soccer Camp in order for the application
                                                                                                                                                         DAILY SCHEDULE
increase	 each	 player’s	 individual	 skill	 level	 and	 knowledge	 of	   to be processed. All campers will receive a confirmation and                     8:45am – 9:00am      Check-in
the game using exercises that are challenging and fun.                    information sheet regarding the camp. Our refund policy is to                    9:00am – 9:10am      Welcome/Camp Announcements
                                                                          reimburse any campers registration as long as a written notice
Rob Ryerson’s Bio:                                                        is	 sent	 into	 the	 camp’s	 address	 at	 least	 14	 days	 prior	 to	 camp.	
                                                                                                                                                           9:10am – 9:30am      Campers Warm-up
     C
			•		 urrently	the	Mount	St.	Mary’s	University,	Head	Men’s	                                                                                              9:30am – 10:30am      Individual Technique Development
                                                                          Otherwise,	the	campers’	registration	will	be	credited	towards	any	
     Soccer Coach
                                                                          soccer camp program the following year.                                        10:30am – 11:15am      Group/Team Development
			•	USSF	“A”	License	Coach
			•	NSCAA	“Premier”	License                                                                                                                             11:15am – 11:45am      Players Scrimmages/Games
			•	NSCAA	“Youth”	License                                                WHAT TO BRING                                                                  11:45am – 12:00pm       Closing Remarks
			•		 SYSA	Coaching	Education	Instructor,	Former	ODP	u/17	
     M                                                                    All campers will receive a soccer ball upon check-in on their first
     Head Coach                                                           day of their respective camp. Each day the player must bring
			•	Former	US	National	Soccer	Team	Member                                a soccer ball to camp.
			•		 ormer	professional	player:	Baltimore	Blast,	Maryland	Bays,	
    	F                                                                    Soccer shoes, sneakers,                                                        CAMP STAFF
     Washington Warthogs                                                  water bottles, sunscreen                                                       Taylor Thames: Co-Director -
			•		 Hall	of	Fame”	Inductee:		Oakland	Mills	High	School	and	
     “                                                                    and soccer attire are
                                                                          recommended items                                                              				•		Mount	St.	Mary’s	University,	Assistant	Men’s	Soccer	Coach
     University	of	Nevada,	Las	Vegas
                                                                          for each camper to                                                             				•		Collegiate	player	at	the	University	of	Delaware
			•	Maryland	Soccer	“Hall	of	Fame”	Inductee	2006
                                                                          bring to camp daily.                                                           				•		High	School	all	star	at	Georgetown	Prep
			•	Two-time	All	American	at	UNLV
                                                                          Water will be provided
                                                                          daily at both camp                                                             Cliff Walcott, Co-Director
                                                                          locations.
            FOR MORE INFORMATION                                                                                                                         				•		Maryland	State	Youth	Soccer	Association,	Board	of	
                                                                                                                                                                Directors
     Please contact Camp Director, Rob Ryerson:                                                                                                          				•		Soccer	Association	of	Columbia,	U/9	Boys	Coach
             Toll Free: 1-877-FUTBOL-1                                                                                                                   The camp staff will be comprised of experienced collegiate
          Email: ryersonsoccer@comcast.net                                                                                                               coaches	and	players	who	will	enhance	each	camper’s	soccer	
                 www.scoringoals.com                                                                                                                     ability in a fun learning environment. Each player will learn
                                                                                                                                                         the fundamentals of the game in both a technical and tactical
                                                                                                                                                         training curriculum.

Visit	www.scoringoals.com for more information on our RESIDENTIAL CAMP PROGRAMS at	Mount	St.	Mary’s	University!

				
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