darren ambrose residential camp schedule -...

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Residential Camp Schedule Check In Day Days 2 & 3 Check In 1-2 pm Wake up 7:15 am All Camp Meeting 2 pm Breakfast 7:30-8 am Field Session I 2:30-4:30 p.m. Staff demo 8:30-9 am Dinner 5-6 pm Plyometric/agility warmup 9-10 am Night games & evaluations 6:30-8 p.m. Technical training . . . . . . . . . 10-11:30 a.m. Evening Program................ 9 p.m. Lunch and R&R . . . . . . . . .11:45-1:30 p.m. Free time .................10:30 p.m.. Head to fields................. 1:30 p.m. Lights out ................... 11 p.m. Tactical/Function training . .1:45-3:15 p.m. 7 a-side league games........ 3:30-4 p.m. Check Out Day Pool ...................... 4-4:45 p.m. Wake up/breakfast .......... 7:15 a.m. Dinner ....................... 5-6 p.m. Breakfast ................ 7:30-8 a.m. Evening games ...........6:30-8:15 p.m. Small sided tournament 8:45-10:45 a.m. All Star game (last night). . .6:30-8:15 p.m. 7 a-side finals .......... 11-11:30 a.m. Evening program* ......... 9-10:30 p.m. Closing ceremony ......... 11:30 a.m. Lights out ...................... 11 p.m. Check out .................... Noon *Our evening program will include Yoga and a recruiting seminar Day Camp Schedule 8:45 a.m............................................................Check in 9 a.m........................................................... Walk to fields 9:20-10:15 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Skills work 10:15-10:30 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Snack 10:30-11:30 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Small sided games and competitions 11:30-1 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lunch and movie 1-1:45 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Skills work and games 1:45-2:30 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Scrimmages 2:30-3 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Clean up and walk to pool 3-3:45 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Swimming (when available) 4 p.m......................... Pick up at corner of Spruce and Franklin Field (lot 6) Team Training The Pennsylvania Soccer Academy offers special team training for any team of 15 or more players. We understand the diverse needs of teams and can devise an appropriate curriculum to help your team. Each team will be assigned a PSA Head Staff Coach and a counselor that will work with the team exclusively during the week. Evening games will allow the team to test themselves against good competition and will often suggest areas for improvement for the next day’s training. Depending on the camp session, video analysis may also be available as a teaching tool. Camp Facilities The Hill School - Pottstown, Pa. - All Residential Camps The Hill School is a college prep boarding school and day school ernolling young men and women. Located about 40 minutes from Philadelphia, the campus is considered one of the most beautiful campuses in the region. The school ground consist of 200 acres overlooking the Schuylkill River Valley. Campers will reside in the large, airy dorms and eat in the school’s “all you can eat” style cafeteria. The athletic facilities are second to none and include an 18 hole golf course, 15 tennis courts, an ice-hockey rink, swimming pool, ten sports fields, a fully equipped strength center, an all-weather Olympic track and six squash courts. Campers will also be able to take advantage of the pool and other facilities as designated by the camp staff. Welcome to another exciting summer with the Penn Soccer Academy Over the past nine years I have thoroughly enjoyed our summers working with young women who are striving to get to the next level of competition Our curriculum is designed to push each player to reach their maximum potential Our staff is experienced in geing the most out of players and they understand the needs of today’s athlete Our innovative methods include training player by position during the week, conducting daily speed and agility sessions and several off- the-field discussions about the psychology of the game for our college prep and high school camps I hope we get the opportunity to show you why this camp has become so popular among competitive players from all over the country You will not be disappointed Two-time Ivy League Champion Head Coach (2007 & 2001) Led Penn to NCAA Tournament Appearances in 2007 & 2001 Head Coach of 2007 National Champion U17 EPYSA ODP team 2001 Soccerbuzzcom Regional Coach of the Year runner-up 2000 ECAC Champions Regional ODP Staff Coach EPYSA Head Staff Coach All-Time Winningest Coach at Penn (96-52-25 record) Former Goalkeeping Coach for the WUSA’s Philadelphia Charge A camp is only as good as its staff and PSA prides itself on a professional, experienced staff that, in addition to Camp Director Darren Ambrose, will teach, evaluate and encourage our campers to reach their potential Our camper/staff ratio of 8:1 guarantees that each camper receives individual feedback within the group environment Each camper also receives a detailed wrien evaluation by their staff coaches. The following coaches are or have been part of our staffing for our overnight camps, in addition to players from Penn and many other women’s collegiate programs who will serve as role models, counselors and chaperones Todd Anckaitis Head Coach, Swarthmore College (Pa) Richie Burke Head Coach, DC United and NCS Hgh School (DC) John Byford Head Coach, Villanova University(Mass) Liz Driscoll Assistant Coach, Boston University (Mass) Jen Frisch Assistant Coach, University of Rhode Island Jamie Gluck Head Coach, Haverford College (Pa) Sergio Gonzales Assistant Coach, University of Dayton (Ohio) Tom Gosselin Head Coach, Mount St Mary’s (Md) Mike Guerrero Assistant Coach New York University Ashley Kennedy Assistant Coach, George Mason University (Va) Bobby Lessentine Head Coach, University of Missouri St Louis Sco Les Asst Coach, Marshall University (W Va) Dominic Martelli Head Coach, Georgia State Univ (Ga) Michelyne Pinard Head Coach, Williams College (Mass) Pete Pososki Assistant Coach, University of Pennsylvania Andy Richards Head Coach, Bowling Green State Univ (Ohio) Chris Stack Assistant Coach, Mount St Mary (Md) Lindsey Vanderspiegel Assistant Coach, Hofstra University (NY) Darren Ambrose Director, Penn Soccer Academy Please note: We cannot guarantee that each coach will be at both sessions. Please check with the camp office for current staff. Camp Staff www.pennsocceracademy.com

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Page 1: Darren Ambrose Residential Camp Schedule - …eteamz.active.com/PennSoccerAcademy/files/2010Brochure.pdf · Enrollment Information How To Enroll You can submit an ONLINE application

Residential Camp ScheduleCheck In Day Days 2 & 3Check In . . . . . . . . . . . . . .1-2 p .m . Wake up . . . . . . . . . . . . . . . . 7:15 a .m .All Camp Meeting . . . . . . . 2 p .m . Breakfast . . . . . . . . . . . . . 7:30-8 a .m .Field Session I . . . .2:30-4:30 p.m. Staff demo . . . . . . . . . . . . 8:30-9 a .m .Dinner . . . . . . . . . . . . . . . .5-6 p .m . Plyometric/agility warmup .9-10 a .m .Night games & evaluations 6:30-8 p.m. Technical training . . . . . . . . . 10-11:30 a.m.Evening Program. . . . . . . . . . . . . . . . 9 p.m. Lunch and R&R . . . . . . . . .11:45-1:30 p.m.Free time. . . . . . . . . . . . . . . . .10:30 p.m.. Head to fields. . . . . . . . . . . . . . . . . 1:30 p.m.Lights out . . . . . . . . . . . . . . . . . . . 11 p.m. Tactical/Function training . .1:45-3:15 p.m. 7 a-side league games. . . . . . . . 3:30-4 p.m.Check Out Day Pool . . . . . . . . . . . . . . . . . . . . . . 4-4:45 p.m.Wake up/breakfast . . . . . . . . . . 7:15 a.m. Dinner . . . . . . . . . . . . . . . . . . . . . . . 5-6 p.m.Breakfast. . . . . . . . . . . . . . . . 7:30-8 a.m. Evening games . . . . . . . . . . .6:30-8:15 p.m.Small sided tournament 8:45-10:45 a.m. All Star game (last night). . .6:30-8:15 p.m.7 a-side finals . . . . . . . . . . 11-11:30 a.m. Evening program* . . . . . . . . . 9-10:30 p.m.Closing ceremony . . . . . . . . . 11:30 a.m. Lights out. . . . . . . . . . . . . . . . . . . . . . 11 p.m. Check out . . . . . . . . . . . . . . . . . . . . Noon

*Our evening program will include Yoga and a recruiting seminar

Day Camp Schedule8:45 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Check in9 a.m.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Walk to fields9:20-10:15 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Skills work10:15-10:30 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Snack10:30-11:30 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Small sided games and competitions11:30-1 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lunch and movie1-1:45 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Skills work and games1:45-2:30 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Scrimmages2:30-3 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Clean up and walk to pool3-3:45 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Swimming (when available)4 p.m.. . . . . . . . . . . . . . . . . . . . . . . . Pick up at corner of Spruce and Franklin Field (lot 6)

Team TrainingThe Pennsylvania Soccer Academy offers special team training for any team of 15 or more players. We understand the diverse needs of teams and can devise an appropriate curriculum to help your team. Each team will be assigned a PSA Head Staff Coach and a counselor that will work with the team exclusively during the week. Evening games will allow the team to test themselves against good competition and will often suggest areas for improvement for the next day’s training. Depending on the camp session, video analysis may also be available as a teaching tool.

Camp FacilitiesThe Hill School - Pottstown, Pa. - All Residential Camps The Hill School is a college prep boarding school and day school ernolling young men and women. Located about 40 minutes from Philadelphia, the campus is considered one of the most beautiful campuses in the region. The school ground consist of 200 acres overlooking the Schuylkill River Valley. Campers will reside in the large, airy dorms and eat in the school’s “all you can eat” style cafeteria. The athletic facilities are second to none and include an 18 hole golf course, 15 tennis courts, an ice-hockey rink, swimming pool, ten sports fields, a fully equipped strength center, an all-weather Olympic track and six squash courts. Campers will also be able to take advantage of the pool and other facilities as designated by the camp staff.

Welcome to another exciting summer with the Penn Soccer Academy . Over the past nine years I have thoroughly enjoyed our summers working with young women who are striving to get to the next level of competition . Our curriculum is designed to push each player to reach their maximum potential .

Our staff is experienced in getting the most out of players and they understand the needs of today’s athlete . Our innovative methods include training player by position

during the week, conducting daily speed and agility sessions and several off-the-field discussions about the psychology of the game for our college prep and high school camps .

I hope we get the opportunity to show you why this camp has become so popular among competitive players from all over the country . You will not be disappointed .

• Two-time Ivy League Champion Head Coach (2007 & 2001)• Led Penn to NCAA Tournament Appearances in 2007 & 2001• Head Coach of 2007 National Champion U17 EPYSA ODP team• 2001 Soccerbuzz .com Regional Coach of the Year runner-up• 2000 ECAC Champions • Regional ODP Staff Coach • EPYSA Head Staff Coach• All-Time Winningest Coach at Penn (96-52-25 record)• Former Goalkeeping Coach for the WUSA’s Philadelphia Charge

A camp is only as good as its staff and PSA prides itself on a professional, experienced staff that, in addition to Camp Director Darren Ambrose, will teach, evaluate and encourage our campers to reach their potential . Our camper/staff ratio of 8:1 guarantees that each camper receives individual feedback within the group environment . Each camper also receives a detailed written evaluation by their staff coaches. The following coaches are or have been part of our staffing for our overnight camps, in addition to players from Penn and many other women’s collegiate programs who will serve as role models, counselors and chaperones .

Todd Anckaitis Head Coach, Swarthmore College (Pa .)Richie Burke Head Coach, DC United and NCS Hgh School (D .C .)John Byford Head Coach, Villanova University(Mass .)Liz Driscoll Assistant Coach, Boston University (Mass .)Jen Frisch Assistant Coach, University of Rhode IslandJamie Gluck Head Coach, Haverford College (Pa .)Sergio Gonzales Assistant Coach, University of Dayton . (Ohio)Tom Gosselin Head Coach, Mount St . Mary’s (Md .)Mike Guerrero Assistant Coach New York UniversityAshley Kennedy Assistant Coach, George Mason University (Va .)Bobby Lessentine Head Coach, University of Missouri St . LouisScott Letts Asst Coach, Marshall University (W . Va .)Dominic Martelli Head Coach, Georgia State Univ (Ga)Michelyne Pinard Head Coach, Williams College (Mass .)Pete Pososki Assistant Coach, University of PennsylvaniaAndy Richards Head Coach, Bowling Green State Univ (Ohio)Chris Stack Assistant Coach, Mount St . Mary (Md .)Lindsey Vanderspiegel Assistant Coach, Hofstra University (N .Y .)

Darren AmbroseDirector, Penn Soccer Academy

Please note: We cannot guarantee that each coach will be at both sessions. Please check with the camp office for current staff.

Camp Staff

www.pennsocceracademy.com

Page 2: Darren Ambrose Residential Camp Schedule - …eteamz.active.com/PennSoccerAcademy/files/2010Brochure.pdf · Enrollment Information How To Enroll You can submit an ONLINE application

Enrollment InformationHow To EnrollYou can submit an ONLINE application and pay using a credit card or you may print off the brochure from our website: www.pennsocceracademy.com , fill out the application and submit it to the camp office with your tuition payment by check . Checks should be made payable to Darren Ambrose Soccer Camps . We only accept credit cards with online registration .

Deposit Registration Available Before June 1Registration before June 1st requires a deposit of $200 per camper due with each application . Your balance is due June 1st for all camps . Any balance due after June 1 is subject to a $25 late fee. Registration after June 1st requires full payment of registration fees for ALL camps. Registration for any camp after July 1st requires a full payment of registration fees plus a $25 late fee . Any discounts will automatically be deducted from your balance due June 1st .

Physicals - Camp InsuranceAlthough no physical examination is required, each camper must submit a complete and signed parental consent form . No camper will be allowed to participate without it . Your personal insurance well be used as the primary coverage .

Cancellation Policy1 . If you register for camp and need to cancel prior to May 1st, all money will be returned, minus a $50 processing fee for all camps .2 . If you need to cancel from May 1st until two weeks prior to your camp all money will be returned minues your deposit (NO EXCEPTIONS) .3 . Canceling within 14 days of your camp will result in a credit of the tuition fee you have paid that is good toward next year’s camp minus a $50 processing fee. (NO EXCEPTIONS)

What To BringCampers should bring bed linens (twin bed) and towels, shins guards, swim gear, sunscreen, plenty of socks, shorts and t-shirts, indoor soccer shoes, flip flops, pillow, alarm clock, a fan, a water bottle and snack money (a camp store will be open in the evenings) .

Camp Ball & T-ShirtTuition to PSA includes a t-shirt, a soccer ball and a written evaluation.

Airport ShuttleWe have limited spaces available for an airport shuttle from the Philadelphia International Airport. Space is filled on a first come, first serve basis. Cost of the shuttle is $100 roundtrip. Please send your shuttle fee with deposit and flight itinerary prior to July 1st. Please plan to arrive by 11 a.m. on the first day of camp in order to use the shuttle service. Returning flights should be scheduled after 3 p.m. on the last day of camp.

ConfirmationYour initial confirmation will be your deposited check. You will receive a final confirmation with directions to camp weeks before camp. ALL CONFIRMATIONS WILL BE E-EMAILED approximately 3 to 4 weeks before camp. All confirmation forms can also be found online.

Roomate PolicyWe will try to accommodate roommate requests, but cannot guarantee them . Rooms are doubles . Some triples are available as well . We can assign roommates only if both roommates request each other.Please see our online FAQ page at: www.pennsocceracademy.com

Girls College Prep Residential AcademyAges 14-18, Grades 9-12 (team and individuals accepted)

This week of camp will resemble a college preseason experience for those players aiming to reach their highest potential . Sessions will revolve around tactical development in small group and team environments . The focus of this camp will be to constantly place the camps in competitive situations to challenge their skill devolopment and evaluate their tactical decision-making . This is a highly competive and demanding camp . A feature of this week will be our functional training sessions, where players will be trained in the technical and tactical demands of their own position . This unique approach to player development allows our campers to train specifically for their position with added insight from players who occupy those positions on competitive collegiate teams . The 11 v 11 evening games give campers an opportunity to put into practice the lessons they have learned during the training . Ability, not age, will determine where players are grouped giving every player the chance to compete at the level that will challenge them appropriately for their development . Our daily 7 a-side tournament is a camp favorite and will again be featured in this session . As an added bonus for this camp, we will introduce some speed and agility conditioning activities, which will help all campers advance to the next level . The week will also include sessions on team building, sports psychology and college recruitment. It is a well balanced week aimed at giving the committed soccer player a brief glimpse of the next level and what it takes to get there .

Girls Advanced Residential AcademyAges 10-13, (team and individuals accepted)

This intense week of training and small sided games focuses on skill development and decision making in a small group environment . Sessions will build quickly from technical repetition and skill development to dynamic games and exercises that will require decision making and execution of skills in match situations . Our daily 4 a-side tournament provides a competitive arena, as do evening games of 11 v 11 and 8 v 8 . Competitive players aspiring to play at an advanced level should attend this camp . Players will be challenged every day and put into situations that allow them to test themselves in game conditions . It is the only way to improve . Our evening program at camp will include team building activities, nutritionist discussion and our now famous talent show to round out a full day . Teams are highly encouraged to attend. Curriculums can be tailored to suit a team’s needs and will be put together with the input of the coach . We are very proud of our player coach ratio of 8:1 as it guarantees individual attention and feedback for each player .

Goalkeeper CurriculumConducted at all Residential Camps

As a former Collegiate National Goalkeeper of the Year and goalkeeper coach for the former WUSA’s Philadelphia Charge, Coach Ambrose takes great pride in passing on his knowledge of this specialized position . Each camper will be pushed hard to reach their potential in daily technical sessions and feedback will be given on tactical aspects of the position from evaluation in small sided and 11v11 games . The combination of daily goalkeeper training and play in dynamic exercises with field players offers instant evaluation and constant improvement. Our staff includes several goalkeeper coaches and one or two collegiate keepers to give a well rounded perspective of the position . We guarantee you will leave a better goalkeeper.

High School Team Camp(Only eight teams accepted!)

This camp will help prepare your team for the season . Our curriculum will include daily fitness and technical training. We will incorporate tactical development in the afternoon sessions. The evening games will be structured in a league type format to encourage competitive play . Our evening program will include team development activities as well as leadership seminars . We will also be using a Sports Psychologist to work with the teams during the week . We will also have the opportunity to use video technology to improve your team! Our staff will consist of local and regional college coaches including the Penn staff. A qualified GK coach will also work with your GKs on a daily basis.

Day CampsAges 7-13, boys and girls

Held on the Penn soccer practice fields, the day camp program is designed to benefit both male and female players between the ages of 7 and 13. It offers players of various skill levels the opportunity to improve their soccer skills while increasing their love of the game . Focus will be on development of individual skills taught through fun exercises, daily competitions and small sided games . Campers will also get to swim 2 or 3 times during the week . Our philosophy at the PSA Day Camp is to create an environment where the love of the game will lead to the learning of the game . With an average of over 60% of past campers returning each summer, this method has proven successful in both program objectives .

Where The Best Get Better!

Page 3: Darren Ambrose Residential Camp Schedule - …eteamz.active.com/PennSoccerAcademy/files/2010Brochure.pdf · Enrollment Information How To Enroll You can submit an ONLINE application

Penn Soccer Academy 2010 ApplicationGeneral Information

Camper’s Name: _____________________________________________ M/F (circle)Street Address: ________________________________ City: ______________________ State:_________ Zip: ___________DOB (MM/DD/YYYY):_______________ T-shirt size: _________ Grade at Camp: __________ Age at Camp: ___________Home Phone:___________________Mother/Guardian’s Name: _____________________________________ Daytime/Cell Phone: _________________________Father/Guardian’s Name: ______________________________________ Daytime/Cell Phone: _________________________I would like to room with (Residential Camp only): 1 . _____________________________________ 2 . _____________________________________Team name (If attending with team members): ________________________________________Who referred you to our camps? ____________________________________________________ Parent’s email address for confirmation (REQUIRED): __________________________________

SessionsDay Camps (boy and girls)

Session I - June 14-18, $290Session II - July 19-23, $290

Ages 7-13

Residential Camps (girls only)

Girls Advanced Academy - July 6-9, $560Commuters (8 a .m . - 8 p .m .), $400Ages 10-13 (Limited to 125 spaces)

Girls College Prep Academy I - July 10-13, $560Girls College Prep Academy II - July 14-17, $560

Ages 14-18 (Grades 9-12)Commuters (8 a .m . - 8 p .m .), $400

(Each session limited to 140 spaces)

High School Team Camp -July 27-30High School Girls teams ONLY

Teams of 15-19, $525Teams of 20+, $500

Max of 8 teams accepted(Minimum 15 players required)

Discounts(One discount per camper)

$35 if you pay in full before March 1 (no deposit)$35 per child if multiple children apply$35 Penn Employee (Day Camp only - please provide Penn email address) ____________________

Team discounts available for teams of 15+ . In order to receive discounts, all deposits and applications MUST be sent in one packet . The team discount cannot be combined with other available discounts . Discounts will automatically be taken from balance due on June 1st .$35 Teams of 15-19$50 Teams of 20+

Checklist$200 deposit required to reserve space with this applicationLate fee of $25 for balance due after June 1Registration after June 1 - Full Payment Required (all sessionsCancelled check is your initial registration confirmationI have read, completed and signed the Parental Consent Form

PaymentPlease make checks payable to:

Darren Ambrose Soccer Camps (Balance due June 1, 2010)Penn Soccer Academy

P .O . Box 31811Philadelphia, PA 19104

I certify that this registration fee has not been provided by a representative of Penn athletics interest (booster)Signature of Parent/Legal Guardian _________________________Date:_____

I hereby request that you accept the application of _____________________________________ in the 2010 Penn Soccer Academy during the dates set forth in this application, and in consideration of you acceptance of the application, hereby release the Darren Ambrose Soccer Camps Staff and the University of Pennsylvania, and all their trustees, officers, employees, and agents from any and all liability or claims relating to any injuries or property loss that may be sustained by the camper while attending the 2010 Penn Soccer Academy or any and all claims which may hereafter be presented by or on behalf of the camper (minor child) relating to such injuries or loss . Such released claimes include claims for negligence, gross negligence, or recklessness . In addition, I/WE, the undersigned, for ourselves, our heirs, executors and administrators, waive, release and forever discharge Darren Ambrose Soccer Camps, Inc., its staff, officers, agents, employees, representatives, successors, and assign of and from all rights and claims from damages, injury or loss to person or property which may be sustained or occur during participation in camp activities or while at camp, whether or not the damages, injury or loss is due to negligence .

Signature of Parents/Legal Guardian ________________________Date:____

Important: Please Read Carefully!Authorization for Medical Treatment and Release: In case of emergency or if any medical attention is required by my child, I hereby give my permission to the Penn Soccer Academy staff and/or Penn to secure medical treatment and to act on my behalf according to their best judgement, and a I hereby release the Penn Soccer Academy and the University of Pennsylvania, and all their trustees, officers, employees, and agents, from any and all claims relating to exercise of such judgement .I/We represent that I/We have sought the opinion of our child’s pediatrician, ________________________, an he/she concurs that (camper’s name) ____________________________ is fully capable of safely engaging in this sport’s activity, and I/We are confident that she is able to engage in such a sport.

Signature of Parent/Legal Guardian _________________________ Date:_____

Emergency Contact InformationEmergency Contact Name _____________________________________Relation _____________________________________________________Phone Number _______________________________________________Insurance Company __________________________________________Policy # ______________________________________________________Name of Policy Holder _________________________________________

Parental Consent Form

Page 4: Darren Ambrose Residential Camp Schedule - …eteamz.active.com/PennSoccerAcademy/files/2010Brochure.pdf · Enrollment Information How To Enroll You can submit an ONLINE application

Presorted StdUS Postage

PAIDPermit No . 435Bellmawr, N .J .

P.O. Box 31811Philadelphia, Pa. 19104

2010 Day Camps - Boys and GirlsJune 14-18, ages 7-13July 19-23, ages 7-13

2010 Girls Advanced Academy July 6-9, ages 10-13

2010 Girls College Prep AcademyJuly 10-13, ages 14-18July 14-17, agest 14-18

2010 High School Team Preseason CampJuly 27-30, teams onlyOnly 8 teams accepted!

WHERE THE BEST GET BETTER!

Apply online at www.pennsocceracademy.comPhone: (856) 535-8960 E-mail:[email protected]

Penn Soccer Academy will:

• Offer you a challenging soccer education in a supportive environment• Provide quality individual attention with an 8:1 camper to staff ratio• Make you a better soccer player

For more information, visit

www.pennsocceracademy.com