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/ firstname.lastname@example.org 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: email@example.com 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!