2 0 1 4 G R E E N V I L L E C O L L E G E

PANTHER VOLLEYBALL

ACADEMY

GIRLS ENTERING 4TH-8TH GRADE: JULY 20-23

GIRLS ENTERING 9TH-12TH GRADE: JULY 23-26

Greenville College

HJ Long/Rec Center

315 E. College Ave., G

reenville, IL 62246

REGISTER ONLINE AT: PANTHERVOLLEYBALLACADEMY.COM

ABOUT PANTHER VOLLEYBALL ACADEMY• Experienced Staff• Current Collegiate Player Camp Instructors• Average 5 to 1 player to instructor ratio• League Play Daily• Excellent Facility• Camp T-Shirt• Teams welcome

PARENTAL CONSENT & PROPERTY DAMAGE CONTRACTI wish to enroll my child in the Panther Volleyball Academy at Greenville College. I release the State of Illinois, Greenville College, and Panther Volleyball Academy LLC, and any and all persons associated with Panther Volleyball Academy LLC from any and all liability for any injury, medical or dental, sustained by my child. I also indemnify the same parties from any responsibility for liability, loss, or damage done to any facility or equipment by the participant as a result of negligent or willful act done by my child or ward. I accept responsibility for paying damage charges before my child leaves camp. Finally, I certify that I have medical insurance for my child.

Signature of Parent/Guardian Date

AUTHORIZATION FOR TREATMENTI hereby give my permission to the physician selected by the camp sponsors to order X-rays, lab tests, and provide treatment for my child as named above while attending Panther Volleyball Academy. In the event I cannot

be reached for an emergency, I hereby give permission to the physician selected by the camp sponsors to secure and administer such treatment(s) as may be necessary, including hospitalization, for my child as named above and while attending the camp named above. A photo copy is as valid as the original.

Signature of Parent/Guardian Date

Campers will need a pillow, bedding, toiletries, alarm clock, towels and other personal items. Bring spending money for concession stand and volleyball apparel store.

DAY 15:00pm - 5:30pm Residential Camp Check-in, West Oak Dorms6:00pm Commuter Camp Check-in, Crum Rec Center6:30pm Camp Orientation/Meet the Coaches7:00pm - 9:00pm Evening Volleyball Session9:00pm Commuter Pick-up, Crum Rec Center10:30pm Floor Meeting in Dormitory11:00pm Lights Out DAYS 2 & 37:45am Wake up Call8:30am Breakfast, Armington Center9:15am Commuter Drop-Off, Crum Rec Center9:30am - 11:30am Morning Session12:00pm - 1:00pm Lunch, Armington Center1:30pm - 4:00pm Afternoon Session5:00pm - 6:00pm Dinner, Armington Center6:00pm - 8:30pm Evening Session and Games8:30pm Commuter Pick-up, Crum Rec Center9:00pm - 10:30pm Evening Recreation and Free Time10:30pm Floor Meeting in Dormitory11:00pm Lights Out DAY 47:45am Wake up Call8:30am Breakfast, Armingtion Center9:15am Commuter Drop Off, Crum Rec Center9:30am - 12:00pm Camp Tournament12:00pm Awards/Farewell12:30pm Commuter Pick up, Crum Rec Center1:00pm Resident Camper Pick up

CAMP DATES AND AGES Entering 4th-8th grade, July 20-23Entering 9th-12th grade, July 23-26

COST Resident Camp by June 1st $260 After June 1st $280

Commuter Camp by June 1st $220 (includes lunch and dinner)After June 1st $240

PANTHER VOLLEYBALL ACADEMY 2014 SCHEDULE

Name____________________________________________________________

Address__________________________________________________________

________________________________________________________________

Phone___________________________________________________________

Emergency Contact Phone____________________________________________

E-mail (required) ___________________________________________________

Parent(s) Name____________________________________________________

________________________________________________________________

Age_____ Height__________ Date of Birth_________/_________/_________

Position __________________________________________________________

School and Grade attending next Fall ___________________________________

________________________________________________________________

Club Team (if applicable) ____________________________________________

How did you hear about us? __________________________________________

Applicant Adult T-Shirt Size: S M L XL

Youth T-Shirt Size: S M L XL Applicant Category (check one):

Girls Junior High Camp: Resident Girls High School Camp: Resident Girls Junior High Camp: Commuter Girls High School Camp: Commuter

Roommate Request: 1st Choice _______________________________________

2nd Choice________________________________________________________ In order for your request to be honored, it is essential that both names appear on both campers’ registration form.

Payment Form: Enclosed is my check/money order # _______________________

for $ ______________ (Make checks payable to Panther Volleyball Academy)

2014 PANTHER VOLLEYBALL ACADEMY REGISTRATION FORM

YEAR STARTED AT GREENVILLE: 1997

EDUCATION: B.S. degree in Recreational Leadership

EXPERIENCE: Coach Ackerman is entering his 18th year at Greenville College, 2014 will be his 13th year as head coach. Coach Ackerman

was voted Coach of the Year in 2002, 2008, 2010 and most recently in 2013 after leading his team to their first ever SLIAC regular season outright championship and their 4th in the last 4 years. Ackerman has taken the Panthers to the conference tournament the last 8 years and the 2010 team earned the right to play in the NCAA National tournament, which was a first for the program.

Ackerman has trained internationally with coaches and players from Nicaragua, Dominican Republic, and Mexico.

Coaching at every level from elementary to college, as well as both girls and boys, has given him valuable experience. As the PVA Club Director Ackerman continues to educate players, coaches, and parents about the sport of volleyball.

EMAIL: tom.ackerman@greenville.edu

PHONE: 618.664.6509

OFFICE HOURS: 8:00am-5:30pm

Tom Ackerman CAMP DIRECTOR

4 TIME SLIAC CHAMPIONS

REGISTER ONLINE AT: PANTHERVOLLEYBALLACADEMY.COM

DETACH AND MAIL TO:Coach Ackerman, 315 E. College Ave, Greenville, IL, 62246

OR FAX (618) 664-1060