summer camp

Dear Parents and Campers,

I would like to take this opportunity to welcome you back to another summer here at Gilmour Day Camp. For those who have been with us for the pasttwo summers, the wait is over! Construction of the new natatoriumand athletic complex is completed.As we enter into this new era, I welcome you to join us for a wonderful summer.

The planning stages have begun. We will fill the natatorium with certified staff members and offer swimminglessons to campers throughout the day. In addition, we will offer time for free swim to play in the water and time for campers to practice their newly-learned strokes.

Besides our Day Camp, Gilmour offers a variety of camps for children of different ages and interests. Our Preschool Camp will delight children ages 3-5. These little campers will enjoy changing weekly themes—dancing, interacting with animals, making music, performing in plays, and reading books. Day and Weekly Camps featuring sports, arts, or entertainment are offered for grades K-8. And our Sports and Hockey Camps for ages 4-18 are designed to build confidence and develop skills. From sports to film production, baking to drama, digital music to hip-hop and piñata making, Gilmour Campshave something for everyone! In addition to these wonderful programs, we offer Before and After Camp Care, andtransportation is available for most camps.

Thank you for your continued confidence and support for our staff and the Gilmour Community. Our goal at Gilmour Day Camp is to Make Your Summer Memorable. With the addition of the pool, we are one step closer to this. If you have any questions, please feel free to contact me at [email protected] or (440) 684-4580.

Thank you for considering Gilmour Day Camp.

Sincerely,Brian Minotas, Gilmour Day Camp Director

Extra! Extra! Swim all about it. Gilmour Day Camp will be offering swimming on campus this year in our new state-of-the-art natatorium. Absent for the last couple of years, our pool is better than ever. Not only is there a regular size pool, Gilmour now offers a learning pool for younger swimmers as well.

A fun- and action-filled summer awaits you at Gilmour Day Camp! Now in it’s 57th year, Gilmour Day Camp offers numerous activities for boys and girls ages 5-14 from Kindergarten to eighth grade. Campers will participate in many different sports including basketball, baseball, soccer, tennis, volleyball, ice skating, and broomball. From sports, art, and entertainment, you are sure to find something you are looking for as Gilmour has something for everyone. Campers are introduced to the fundamentals of different sports with sportsmanship, team spirit, and fair play as the ultimate goals.

What could be better than enjoying a delicious lunch in our Commons, or taking a field trip to one of the local attractions? How about participating in various sports, arts and crafts, picnics, and games on the144-acre campus located in Gates Mills? Experienced faculty, alumni and students provide theguidance and supervision to create a summer camp experience that children will never forget.

DATESWEEK 1: 6/14WEEK 2: 6/21WEEK 3: 6/28WEEK 4: 7/5*

WEEK 5: 7/12WEEK 6: 7/19WEEK 7: 7/26

*Four-day week because of holiday.

8:30 a.m. - 4:00 p.m. • $350/per week

For additional information on Gilmour Academy Day Camp, please contactBrian Minotas at (440) 684-4580, or by email at [email protected].

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$350 nonrefundable deposit • All camp fees are due in full by June 1, 2010.

Register online at www.gilmour.org

A. WEEK OF JUNE 14, 2010 • GRADES 3 – 4And the Beat Goes Onwith Camilla CameronExplore the diverse world of music as we construct wood and metalxylophones, drums, flutes and ocarinas. This will be a week withhands-on discovery of how specific materials, lengths, and thicknesses alter the pitch and quality of the sound produced. As each project is completed, we will perform our own compositions on the instruments.

B. WEEK OF JUNE 14, 2010 • GRADES 5 – 8Be a Digital Rock Starwith David KilkenneyEver want to rock the house like your favorite music group or create a music video like the artists you hear on the radio today? Digital Rock Stars is for you! If you play an instrument, great! No need to worry if you don’t. We will learn to work as an ensemble to explore unique ways to compose and perform original music using the hottest software in our state-of-the-art digital media lab. Rock on!

C. WEEK OF JUNE 14, 2010 • GRADES 6 – 8Behind the Curtain: Are You the Next FamousPlaywright?with Matthew GreenfieldDo you think you have what it takes to write for live theatre? Develop and hone your playwriting skills with noted playwright/producer/director/actor Mr. Greenfield in a weeklong summer session at Gilmour. Learn the basics of dialogue, character, plot, and setting. Discover the difference between writing for stage and writing for film, examine a brief history of playwriting and the theatre, and explore the challenges and rewards of writing for a 21st century audience. We will devote some time to writing workshops and testing your works in staged readings with your fellow playwrights. Acting skills or theatre experience are not required, just a willingness to experiment and put your writing out there before a live audience!

D. WEEK OF JUNE 21, 2010 • GRADES 5 – 8So You Think You Want To Dance?with Katie Clark Come spend a week learning jazz, hip-hop, ballet, modern dance and more. Campers will begin each morning with a Pilates or yoga practice and then focus on a different dance each day. They will develop body rhythm, balance, flexibility, body alignment, and kinesthetic awareness through movement and also learn the basic elements of creating dances themselves. To foster physical fitness, we will discuss healthy food choices and lifestyle. Campers will receive a yoga mat, journal, and other dance materials.

E. WEEK OF JUNE 21, 2010 • GRADES 3 – 6Create Your Own Movie with John Overman Team up to create your own short movie, invent your own character, and brainstorm an amazing story concept. Campers will take on all aspects of film production: scriptwriting, acting, costuming, filming, and editing video. While “Harry Potter” and “Twilight” remain popular, you can have fun learning how to make your own five-star film. No previous experience is necessary. You can even take home a memorable DVD of your work. Sign up soon because space is limited.

F. WEEK OF JUNE 21, 2010 • GRADES 3 – 5Ace of Bakeswith Cynthia Lowry Becoming an “Ace of Bakes” means you like to lick the icing out of the bowl and eat the cupcakes you make and decorate. Students will learn to read a recipe and measure ingredients to create various edible delights for breakfast, lunch, and dinner. Dessert will be the icing on the cake when campers learn to bake and decorate their own cakes and cup-cakes. They will learn to measure and follow recipes to create various homemade delights. The camp includes an introduction to the basics of decorating cupcakes. Amaze your family and friends with the treats you learn to bake from the Gilmour kitchen, and possibly win the title Ultimate Ace of Bakes!

Exciting Weekly Experiences • $350/per weekAll instructors are members of the Gilmour Academy faculty • Each camp runs weekdays 8:30 a.m. - 4:00 p.m. and includes lunchA $350 nonrefundable deposit is required with all registrations. All camp fees are due in full by June 1, 2010.

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G. WEEK OF JUNE 21, 2010 • GRADES 6 – 8Keepers of Light and Time: The Magic of Photographywith Mark MostCome and learn what photography is all about. In this class we will cover the history and importance of photography and how it impacts our world. We will start by building our own pinhole cameras and using them while learning basic theory. We will work in the traditional darkroom and create our own photos. Next we will progress to the age of digital photography and students will be encouraged to bring their digital cameras to better understand how to use them. We will learn how to use the computer as our digital darkroom and to download photos and manipulate them using Photoshop. This camp will give everyone a chance to learn skills that will benefit them no matter what type of photography they want to do.

H. WEEK OF JUNE 28, 2010 • GRADES 5 – 8Star in Your Own Moviewith John OvermanYou’re the star. You’re life is the movie. This week, we will take you to fantastic destinations and film your adventures. Hop onboard the “William G. Mather Steamship.” Explore the ClevelandBotanical Gardens. Keep your eyes on the skies at the NASA Glenn Research Center. Ride the rides and play the games at Fun ‘N’ Stuff. At each destination, you get to tell the camera what you think, how you feel, and what you are learning about yourself. On Friday, you will take home a group-produced DVD of the entire week. Start turning your life into a movie today. Sign up soon because space is limited.

I. WEEK OF JUNE 28, 2010 • GRADES 6 – 8Ace of Bakeswith Cynthia Lowry Becoming an ace of bakes means you like to lick the icing out of the bowl and eat thecupcakes you make and decorate. Students will learn to read a recipe and measure ingredients to create various edible delights for breakfast, lunch, and dinner. Dessert will be the icing on the cake when campers learn to bake and decorate their own cake and cupcakes. The camp includes an introduction to the basics of decorating cakes using hand piping. Amaze your family and friends with the treats you learn to bake from the Gilmour kitchen, and possibly win the title Ultimate Ace of Bakes!

J. WEEK OF JUNE 28, 2010 •GRADES 4 – 6Girls - First Discoverywith Carmel Fantelli Dreaming about writing a children’s book? You’vecome to the right place! There is a story in everyone of us, a story that only YOU can tell in a waythat only YOU can tell it. With Girls First Discoveryinspiration is everywhere – in the classroom,on stage, on field trips and excursions, andbetween the pages of books! The classroomwill nurture the writer in a print-richenvironment. The daily interaction betweenpeers and Mrs. Fantelli is a unique experiencewhere campers will immerse themselves in awriter’s workshop to write and illustrate that storyjust waiting to emerge. Campers will gain a sense of pride and accomplishment at their very own author signing celebrating their book publication!

K. WEEK OF JUNE 28, 2010 • GRADES 5 – 7It’s Time to Speak Your Mindwith Gay JanisHave you ever wanted to win an argument with your friends, teachers, or even parents? Have you ever desired to prosecute or defend a favorite character from a storybook tale or to walk into your classroom confidently knowing that you were about to make a presentation that would impress your classmates and instructor? It’s Time to Speak Your Mind is just the opportunity for you. This class, which will be varied, fast paced, and fun, will give you the tools you need to succeed in a variety of speaking situations. You will learn the basics of courtroom procedure while you prepare the case of a character taken from history or a storybook for both the prosecution and defense. You also will practice a standup comedy routine, a dramatic presentation, and even pair off witha friend for duo interpretation. Finally, you will learn techniques that will make you a morepersuasive speaker. On the last day of class, show off your newfound skills when you present your work to an invited audience of family and friends. So come out and discover your voice,and confidence while participating in a fun-filled week of speaking.

Pick & choosefrom the

following camps.

These camps canbe combined withour other camps.


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L. WEEK OF JULY 5, 2010* • GRADES 5 – 8All the World’s a Stage with Matthew GreenfieldOwn the stage by mastering the actor’s basic skills: overcoming fear, warming up, reducing tension, breathing, articulating, projecting,understanding and using stage directions, creating illusion, andimprovising. The benefits of this class will go beyond the basics of theatre. Campers will learn to be relaxed and confident in situations that require thinking on their feet, projecting their personality, and working well in groups. These activities will enable campers to bring their own creativity to the stage and to use these basic skills to prepare a short production for the final day of class.

M. WEEK OF JULY 5, 2010* • GRADES 6 – 8Keepers of Light and Time: The Magic ofPhotography with Mark MostCome and learn what photography is all about. In this class we will cover the history and importance of photography and how it impacts our world. We will start by building our own pinhole cameras and using them while learning basic theory. We will work in the traditional darkroom and create our own photos. Next we will progress to the age of digital photography and students will be encouraged to bring their digital cameras to better understand how to use them. We will learn how to use the computer as our digital darkroom and to download photos and manipulate them using Photoshop. This camp will give everyone a chance to learn skills that will benefit them no matter what type of photography they want to do.

N. WEEK OF JULY 12, 2010 • GRADES 3 – 6Parlez-vous Français? with Margaret Dool Do you speak French? Come and learn the basics of the French language, learn about the French culture, and have FUN learning a second language. Students are involved in many creative activities such as reading books in French, labeling drawings of themselves, singing French songs, learning colors through finger painting, and celebrating Bastille Day on July 14th while feasting on French food. This camp is for beginners only, those who have taken no previous French classes.

O. WEEK OF JULY 12, 2010 • GRADES 3 – 7Dream It. Plan It. Make It. with Joe Tait In “Dream It. Plan It. Make It.” the big idea is simple to describe butlimitless in its scope: students entering third through seventh grades need only to bring their urge to create an art piece or series of art pieces. Over the course of five days, students will create a strategy for their piece of art with the guidance of an experienced instructor and artist. Mediumoptions include sculpture in clay, Sculpey or Model Magic; acrylicpainting on canvas or paper; drawing in pastel, pencil, chalk or ink on paper; assemblage using paper, wood, or parts from a large collection of found objects available for construction. Combinations of these mediums are encouraged. In this camp, the vision of the young artist is the big idea.

P. WEEK OF JULY 12, 2010 • GRADES 5 – 83D Masterpiece Design Shopwith Cynthia Lowry Students will explore a myriad of sculptural material from clay to plaster. If you like to get your hands dirty and be creative while having fun this camp is for you. Students will create a stone and glass mosaic, and choose from various clay pieces including basic pinch pots to more advanced techniques using slip and glaze.

Q. WEEK OF JULY 12, 2010 • GRADES 5 – 8Take a Hike – In the Natural Worldwith Jeff Klein Get ready for excitement and adventure as we explore the forests, creeks, ravines, and marshes of our “backyard.” This summer wewill explore Northeast Ohio’s natural world through hikes andorienteering. Working with energetic science teachers in nature’sclassroom, our explorers will uncover the ecology and geology that makes Northeast Ohio such a great place to live. Join other campers as we get outside, get muddy, and have a great time. Trips are held rain or shine, so dress for the weather and get ready for some serious fun.

* Four-day week because of holiday.


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R. WEEK OF JULY 19, 2010 • GRADES 3 – 6Fun with Piñataswith Joyce Ware Children from all Spanish instructional levels will learn how to make their own piñata from scratch. We will incorporate Spanish songs and vocabulary. The last day of camp will be a fiesta, and one piñata will be broken with goodies for all!

S. WEEK OF JULY 19, 2010 • GRADES 5 – 8And Sew On …with Cynthia Lowry Students will learn the basics of crocheting by creating a dish towel, knitting by creating a scarf, and sewing by creating a hand-sewn pillow.

T. WEEK OF JULY 19, 2010 • GRADES 4 – 6Become a Botanist for a Weekwith Meg AndersonDo you like to dig in the earth and uncover the mysteries you find there? Miracles of life, science experiments, and eating scrumptious plants will capture your curiosity during this weeklong foray into the world of botany. Not only will we use gardening tools, but we will employ scientific tools, such as microscopes to investigate soil, seeds, and the creepy crawly critters that share thegarden. Campers will also create mini gardens that can be taken home to grow, and we will use other harvested materials to make crafts.

U. WEEK OF JULY 19, 2010 • GRADES 4 – 6Boys - First Discoverywith Carmel Fantelli Dreaming about writing a children’s book? You’ve come to the right place! There is a story in every one of us, a story that only YOU can tell in a way that only YOU can tell it. With Boys First Discovery inspiration is everywhere – in the classroom, on the ball field, on stage, on field trips and excursions, and between the pages of books! This camp will nurture the writer in a print-rich environment. The daily interaction between peers and Mrs. Fantelli is a unique experience where campers will immerse themselves in a writer’s workshop to write and illustrate that story justwaiting to emerge. Campers will gain a sense of pride and accomplishment at their very own author signing celebrating their book publication!

V. WEEK OF JULY 26, 2010 •GRADES 3 – 6Create Your Own Moviewith John Overman Team up to create your own short movie, inventyour own character, and brainstorm an amazingstory concept. Campers will take on all aspects offilm production: scriptwriting, acting, costuming,filming, and editing video. While “Harry Potter”and “Twilight” remain popular, you can have funwhile learning how to make your own five-starfilm. No previous experience is necessary. Youcan even take home a memorable DVD of yourwork. Sign up soon because space is limited.

W. WEEK OF JULY 26, 2010 • GRADES 4 – 6For the Love of Poetrywith Bob Gralnick Immerse yourself in the world of poetry! Read, experience, and write in a variety of poetic styles. Open your mind to the world of incredible imagination and the love of the written word. Expand your vocabulary and ability to be descriptive in ways you never thought were possible. Poets are deep thinkers who express themselves in ways that make words paint pictures that come to life. Poets are people who use words in the way an artist uses paint on a canvas. Enjoy the fun and exciting way young people can express themselves. Come in, come in, come in and don’t dream it; be it!


Pick & choosefrom the

following camps.

These camps canbe combined withour other camps.

For more information about Weekly Camps, please contact Brian Minotas

at (440) 684-4580 or by email [email protected].

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Travel the world and celebrate other traditions with the globetrotting Gilmour campers. Countless memories will be made during ourPreschool Camp experiences. Virtual travels will be documented in each child’s personal scrapbook with pictures, photos, recipes anddifferent keepsakes along their way. Gilmour Academy’s preschool camps are for children ages 3-5. Engaging weekly themes will appeal to all campers and will integrate music, cooking, arts, drama, storytelling, and fitness exercise. Swimming will be great in Gilmour’s new natatorium. Nature walks, creative play, field trips, hands-on science, ice skating, tennis, taekwondo and the outdoor playground equipment and sports are incorporated into the program. Both half- and full-day sessions are offered for your convenience. Each group is supervised by a degreed teacher and senior counselors. Before- and after-camp care is available. Our longer camp hours are ideal for working parents.

PRESCHOOL ODYSSEY 2010 WEEKLY CAMPSROCK & ROLL AROUND THE WORLD

Get ready to “rock” as we explore the many ways our bodies can bend and twist! We will “roll” doing beginner tumbling movements such as forward and backward rolls. Gilmour’s gymnastic instructor Mrs. Katie Clark will use music and rhythm to keep your child moving and grooving.

I’D LIKE TO TEACH THE WORLD TO SING… AND PLAYAfrica, Israel, Nepal, and Ireland! Let’s discover and create a world ofmusical experiences. The children’s experiences will involve listening,moving, singing, and playing in this musical environment.

STARS & STRIPES AMERICAHop on the Gilmour caravan as we make pit stops along some of our country’s great national landmarks. We will explore what our country has to offer and join in a celebratory 4th of July parade. “Get your kicks on Route 66.”

ANIMAL PLANETRoar! Grrrr! Woof! Squeak! Animals will take over Gilmour during the 4th week of wild adventure! Get up close and personal with these fuzzy, slimy, furry, and scaly creatures as we safari to the zoo and trample through the rainforest during this week of wild adventure.

COLOR MY WORLD MAGICALExamine the wonders of science. Design your own roller coaster, growmagical seeds, and take steps into a 3D world. Mind stretching andimagination abounds while campers discover the scientific world around them.

WE ARE THE WORLD CHILDREN’S THEATREIt’s showtime at the Lancer Theatre. Your little thespians will channel their creative energy on the stage. The final curtain will close on your child’stheater experience with a group performance to showcase their talents.

DATESWEEK 1: 6/14WEEK 2: 6/21

WEEK 3: 6/28WEEK 4: 7/5*

WEEK 5: 7/12WEEK 6: 7/19

Week 7: 7/26

HALF DAY: 8:30 a.m. - 12:30 p.m. • $225/per week • FULL DAY: 8:30 a.m. - 4:00 p.m. • $350/per week

For additional information on Gilmour Academy Preschool Camp, please contactKathie Lipowski at (440) 684-4574, or by email at [email protected].

$225 nonrefundable deposit • All camp fees are due in full by June 1, 2010.


*Four-day week because of holiday

WORLD UNDER THE SEAYour mermaids and little Neptunes will navigate through a week of underwater excursions. From shipwrecks to undiscovered treasures,

your child will swim in our very own enchanted Blue Lagoon, also known as Gilmour’s new natatorium.

June 14 - August 13 • Camps run weekdays 8:30 a.m. - 4:00 p.m. and include lunch • Cost $350/per weekA $350 nonrefundable deposit is required with all registrations. All camp fees are due in full by June 1, 2010.

MULTI-SPORTS CAMP: Our goal is to provide a positive, enthusiastic, and enjoyable camp experience for participants while they sample a multitude of sports, activities and field trips. Camp may include the following activities: baseball, softball, swimming, golf,basketball, volleyball, skating, broomball, soccer.AGE GROUP: Boys & Girls 5-14 years old - Campers will be divided by age group.EQUIPMENT: shorts, sneakers, change of clothes, swimsuit/trunks and sunscreen. Gilmour provides most necessary equipment, but you are welcome to bring your own.

GOLF CAMP: The golf instructional staff is dedicated to achieving the ultimate goal of helping your child learn and enjoy the sport of golf in a fun and safe environment. In addition to Gilmour Academy’s on-campus driving range, short game area and putting green, campers will play nine holes of golf on the final day of camp. All campers will have an in-depth video analysis of their swing.AGE GROUP: Boys & Girls 5-14 years old - Campers will be divided by age group.EQUIPMENT: Golf clubs (putter, wedge & driver) & bag, golf balls, sneakers or golf shoes, change of clothes & swimsuit/trunks (when needed)

BASEBALL CAMP: The goal of the Gilmour Academy Baseball Camp is to provide quality instruction for improvement of a player’s team and individual skills in a positive, enthusiastic and enjoyable environment.AGE GROUP: Boys & Girls 5-14 years old - Campers will be divided by age group.EQUIPMENT: Baseball glove & pants, sneakers & athletic supporter; bat, spikes, and batting glove are optional.

OUTDOOR ADVENTURE PROGRAM: This program for girls and boys is designed to focus on developing skills in a varietyof activities and adventure trips. Camp may include the following activities: hiking, fishing, orienteering, rock climbing, canoeing, survival skills, arts & crafts, team building and an overnight camping trip.AGES GROUP: Boys & Girls 7-14 years old

CAMPS INCLUDEMEALS: Lunch is provided every day.EXTRA ACTIVITIES: Each week, the campers will also be able to participate in a number of activities which may include: swimming, skating, field games, and indoor games.CAMP STAFF: Camp staff may include current Gilmour Academy staff and students as well as college athletes.

THE FACILITIESOne NHL-size ice rink • Gym • Pool • State-of-the-art football/soccer field with Pro-Grass Turf • Two baseball fieldsIndoor fieldhouse the size of a football field • 144-acre campus • Practice green and driving range with sand trap.

*Week’s activities are subject to change. Camp schedule and general information will be mailed approximately one week prior to your selected camp. In addition to the excellent facilities at Gilmour, transportation is provided for campers to specialized training at such places as the Golf Dome, batting cages, golf range, local golf courses and Swings-N’-Things.

Registration after June 1st will be taken on an availability basis and will require full payment at the time of registration.Please call (440) 449-7490 or (440) 449-7491 for availability.


Week 7: 7/26

June 14 - August 13 • Camps run weekdays 8:30 a.m. - 4:00 p.m. and include lunch • Cost $350/per weekA $350 nonrefundable deposit is required with all registrations. All camp fees are due in full by June 1, 2010.

Gilmour Hockey Schools allow for intensive skill-specific training for players who love the game of hockey and desire to be the best at their positions. Players—both boys and girls—are grouped by age and ability to help build confidence and develop their skills.HOCKEY/BASEBALL CAMP: Hockey Baseball Camp provides a unique opportunity for players to receive individual and teaminstruction in both sports. The camp focuses on skills that will enable players to improve their individual performance. LEARN-TO-PLAY HOCKEY CAMP: This is an instructional program for new or nearly-new hockey players. It is recommended thatparticipants have a basic skating background. The emphasis of this program is on developing an appreciation of ice hockey through skill development and fun on-ice activities. Ask us about our Rental Equipment Program.HOCKEY/GOLF CAMP: Whether you are a beginning golfer or a seasoned competitor, this camp provides an atmosphere of safe, informa-tive and fun instruction. Campers will receive excellent hockey and golf training provided on the Gilmour campus and at the Golf Dome.“ONE-ON-ONE” DEFENSEMAN CAMP: We choose to call this specialized defensemen camp “One-on-One” because all of the bestdefensemen have the ability to consistently win one-on-one situations. This is the foundation of their game and allows defensemen to be the backbone of any team.“SHOOT AND SCORE”: The number one focus of this camp is to score goals. Scoring strategies covered include, wrist shots, snap shots, back hands, dekes, tips and rebounds. We will teach the basics of on ice vision, awareness and reading the goaltender. Become a goal scorer!“THE PUCK STOPS HERE” GOALTENDING CAMP: The most important position on ice is the goaltender. “The Puck Stops Here” (PSH) has developed an innovative program that fosters confidence while significantly increasing the goaltender’s ability to stop the puck. The PSH staff believes that goaltenders need to find a style that fits their size, flexibility, quickness and creativity.HIGH INTENSITY TRAINING – “H.I.T.”: The High Intensity Training Camp is Gilmour’s signature hockey camp. It is one of the best camps in North America when ice time, instruction, and cost are compared. Players skate close to FIVE hours a day. The instructional staff demands hard work physically and mentally. All drills are designed to increase the players’ speed, as well as their ability to read and react quickly. The “H.I.T.” Camp is for players who have developed a solid base of fundamentals and want to keep improving.SKILLS DEVELOPMENT PROGRAM – “S.D.P.”: This is the best camp for players who wish to improve their knowledge and skills necessary to play this fast-paced game. The “S.D.P.” camp provides three hours of ice time each day and over 25 hours of total instruction time.POWER SKATING CAMP: Power skating is the most overlooked skill in hockey. Our staff will teach the techniques necessary to improve stride, agility, speed, quickness, and power. The focus will be on proper use of edges to maximize speed and body control. This camp offers approximately four hours of on-ice instruction per day. Additional off-ice instruction will focus on leg strength and balance.THE STAFF: Training techniques in all sports have improved tremendously. We have made a commitment to utilizing instructors who have played the game at high levels and know how to impart that knowledge to the age group they are teaching. Gilmour offers staff who can demonstrate, instruct, and then provide appropriate drills. Most players need to see it, hear how to do it and then practice the skill. Gilmour Academy’s Summer Hockey School staff provides an atmosphere that is conducive to learning and improving skills.

Registration after June 1st will be taken on an availability basis and will require full payment at the time of registration.Please call (440) 449-7490 or (440) 449-7491 for availability.


July 5 - July 10 • Monday through Saturday • Cost Day Camper $400/Overnight Camper $500A $350 nonrefundable deposit is required with all registrations. All camp fees are due in full by June 1, 2010.

PROGRAM INCLUDES:• On-ice training • 5 ice sessions daily • Puck skills development: passing, shooting, stick handling • Scrimmage to allow the players to just play!• Skating skills development, posture, stride, balance (including video breakdown)• Team play: concepts of 1 on 1, 2 on 1, 2 on 2, 3 on 2, zone, entry, fore checking, defensive positioning• Small area games to allow the development of puck skills and decision making in a reduced area that is competitive and fun

OFF-ICE PROGRAM INCLUDES:• Team building activities to stress team work and problem solving skills• Shooting area activities to develop the different shots used in hockey• Video that will include a skating skills breakdown of each player and video on the game of hockey• Classroom that will include visual instructional aides to help the players learn systems, body positioning, and the rules of the game

STAFF: On-ice staff will include coaches from Gilmour Academy Girls Prep team and female college players

TYPICAL DAY:

BREAK DOWN: We want every player to be challenged within her ability level. The camp will be divided into two groups by age and experience.

RELATED INFORMATION:Check-in time is between 3:00 - 4:00 p.m. Eastern time on July 5. First meal served will be 4:30 p.m. on Monday evening. Last meal will be 8:00 a.m. on Saturday. Commuters will join the camp at 8:00 a.m. and should stay with us all day.Equipment Needed - All players including goaltenders must provide and properly wear their own full legal equipment (helmets, pads, sticks, gloves, etc.)

Medical Insurance - EACH PARTICIPANT MUST HAVE HER OWN MEDICAL INSURANCE. A medical and liability release statement including vital medical information can be found in the back of this booklet. It must be completed and signed by both parents or guardians and returned with registration. No camper may participate without this completed form.Confirmation Mailing - You will receive an email confirming your registration in the Girls Hockey Camp.Transportation Assistance - Contact Jackie King at (440) 449-7489.

Enrollment will be held to 60 players to provide the best coach-to-player ratio. Applications accepted ona first-come, first-served basis. For more information, call Rick Filighera (440) 449-7489.


7:00 AM - Breakfast 8:00 AM - On-ice skating 9:00 AM - Team building10:00 AM - On-ice skills11:00 AM - Shooting area

12:00 PM - Lunch 1:00 PM - Team play on-ice 2:00 PM - Video 3:00 PM - Small area games on-ice 4:00 PM - Classroom

5:00 PM - Dinner 6:15 PM - Group 1 scrimmage 7:30 PM - Group 2 scrimmage

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YOU H

EAR A

BOUT O

UR C

AM

PS? _____________________________________________________________________

ALL CA

MPS RU

N FRO

M 8:30 a.m

. to 4:00 p.m. • LU

NC

H IN

CLU

DED

EVERY DAY.

There will be no cam

p Monday, July 5, 2010, in observance of the July 4 holiday.

A $50 discount for enrollm

ent during this week w

ill be applied.A

$350 nonrefundable deposit is required with all registrations. • A

ll camp fees are due in full by June 1, 2010.

No refunds w

ill be given once camp begins.

Register online at ww

w.gilm

our.orgC

hoose from the follow

ing weeks. • $350/per w

eek

o

All Seven W

eeks o

Week 1: 6/14

o W

eek 2: 6/21 o

Week 3: 6/28

o

Week 4: 7/5*

o W

eek 5: 7/12 o W

eek 6: 7/19 o

Week 7: 7/26


o

PLEASE CH

ECK IF YO

U REQU

IRE TRAN

SPORTATIO

N: $75 PER FA

MILY PER W

EEK.

BEFO

RE AN

D A

FTER CA

MP C

ARE ($5.00 Per H

our): o 7:15 - 8:30 a.m

. o 4:00 - 6:00 p.m

. o BO

TH

SHIRT SIZE: o

S (6-8) o M

(10-12) o L (14-16) o

XL (18-20)

METH

OD

OF PAYM

ENT: o

Visa o M

astercard o D

iscover o A

merican Express

o Personal check

(payable to Gilm

our Academ

y) TO

TAL:$__________________

Card N

umber: ____________________________________________________________ Exp. D

ate: ___________________

Signature: _______________________________________________________________ Verification Code______________

(Required for all credit card payments)

______________________________________________________________________________________________________ Signature of Parent/G

uardian Date

PLEASE BE SURE TO FILL OUT ADDITIO

NAL PARENT RELEASE AND EMERGENCY M

EDICAL AUTHORIZATIO

N FORM

S IN THE BACK OF THIS BO

OKLET.

WEE

KLY

CA

MPS

(thi

rd g

rade

- ei

ghth

gra

de)

APP

LICA

TIO

N F

OR

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MIS

SIO

N

• J

UN

E 14

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LY 3

0Fo

r mor

e in

form

atio

n ca

ll Br

ian

Min

otas

at (

440)

684

-458

0

CA

MPE

R’S

NA

ME

____

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____

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____

____

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STRE

ET

CIT

Y

STA

TE

ZI

P

AGE

(AS

OF

06/0

1/10

) ___

____

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_

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NTH

S __

____

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__

BIR

THD

AY _

____

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LL 2

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(

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____

____

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____

____

____

____

____

____

____

____

____

____

____

____

____

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SPEC

IAL

REQ

UES

T: I

f pos

sibl

e, p

leas

e gr

oup

my

child

with

___

____

____

____

____

____

____

____

____

____

____

____

____

____

___

WH

ERE

DID

YO

U H

EAR

ABO

UT O

UR

CA

MPS

? __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

ALL

CA

MPS

RU

N F

ROM

8:3

0 a.

m. t

o 4:

00 p

.m.

• L

UN

CH

INC

LUD

ED E

VERY

DAY

.Th

ere

will

be

no c

amp

Mon

day,

July

5, 2

010,

in o

bser

vanc

e of

the

July

4 h

olid

ay.

A $

50 d

isco

unt f

or e

nrol

lmen

t dur

ing

this

wee

k w

ill b

e ap

plie

d.A

$35

0 no

nref

unda

ble

depo

sit i

s re

quire

d w

ith a

ll re

gist

ratio

ns.

• A

ll ca

mp

fees

are

due

in fu

ll by

June

1, 2

010.

No

refu

nds

will

be

give

n on

ce c

amp

begi

ns.

Regi

ster

onl

ine

at w

ww

.gilm

our.o

rgC

hoos

e fr

om th

e fo

llow

ing

wee

ks.

• $

350/

per

wee

k •

The

se c

amps

can

be

com

bine

d w

ith o

ur o

ther

cam

ps.

*Fou

r-da

y w

eek

beca

use

of h

olid

ay.

o P

LEAS

E C

HEC

K IF

YO

U RE

QU

IRE

TRA

NSP

ORT

ATIO

N:

$75

PER

FAM

ILY

PER

WEE

K.

BEF

ORE

AN

D A

FTER

CA

MP

CA

RE ($

5.00

Per

Hou

r):

o 7

:15

- 8:3

0 a.

m.

o 4

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m.

o

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(6-8

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o

L (1

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MET

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a

o M

aste

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ver

o

Am

eric

an E

xpre

ss

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erso

nal c

heck

(pay

able

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ilmou

r Aca

dem

y)

T

OTA

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____

____

____

_

Car

d N

umbe

r: _

____

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____

____

____

____

____

____

____

____

____

____

____

___

Exp

. Dat

e: _

____

____

____

____

__

Sign

atur

e: _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__ V

erifi

catio

n C

ode_

____

____

____

_

(Req

uire

d fo

r all

cred

it ca

rd p

aym

ents

)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

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____

____

____

____

____

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____

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gnat

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of P

aren

t/G

uard

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Dat

e

PLEA

SE B

E SU

RE T

O FI

LL O

UT A

DDIT

IONA

L PA

RENT

REL

EASE

AND

EM

ERGE

NCY

MED

ICAL

AUT

HORI

ZATI

ON

FORM

S IN

THE

BAC

K O

F TH

IS B

OO

KLET

.

o A

. And

the

Beat

Goe

s O

n - 6

/14

o B

. Be

a D

igita

l Roc

k St

ar -

6/14

o C

. Beh

ind

the

Cur

tain

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14o

D. S

o Yo

u Th

ink

You

Wan

t To

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ce?

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1o

E. C

reat

e Yo

ur O

wn

Mov

ie -

6/21

o F

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of B

akes

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21o

G. K

eepe

rs o

f Lig

ht a

nd T

ime

- 6/2

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H. S

tar i

n Yo

ur O

wn

Mov

ie -

6/28

o I.

Ace

of B

akes

- 6/

28o

J. G

irls—

Firs

t Dis

cove

ry -

6/28

o K

. It’s

Tim

e to

Spe

ak Y

our M

ind

- 6/2

8o

L. A

ll th

e W

orld

’s a

Sta

ge -

7/5*

o M

. Kee

pers

of L

ight

and

Tim

e - 7

/5*

o N

. Par

lez-

vous

Fra

nçai

s? -

7/12

o O

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am It

. Pla

n It.

Mak

e It.

- 7/

12o

P. 3

D M

aste

rpie

ce D

esig

n Sh

op -

7/12

o Q

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e a

Hik

e - 7

/12

o R

. Fun

with

Piñ

atas

- 7/

19o

S. A

nd S

ew O

n . .

. -

7/19

o T

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tani

st -

7/19

o U

. Boy

s—Fi

rst D

isco

very

- 7/

19o

V. C

reat

e Yo

ur O

wn

Mov

ie -

7/26

o W

. For

the

Love

of P

oetr

y - 7

/26

PRESCH

OO

L CAM

P (Ages 3 - 5)

APPLICATIO

N FO

R AD

MISSIO

N • JU

NE 14 - JU

LY 30For m

ore information call Kathie Lipow

ski at (440) 684-4574

CA

MPER’S N

AM

E _____________________________________________________________________________ M _____ F _____

AD

DRESS ___________________________________________________________________________________________________


AGE (AS O

F 06/01/10) ____________ MO

NTH

S ____________ BIRTH

DAY __________________________________________

SCH

OO

L ATTEND

ED ___________________________________________________G

RAD

E (FALL 2010) ______________________

MO

THER’S N

AM

E ____________________________________________________________________________________________

HO

ME PH

ON

E ( ) ______________ CELL PH

ON

E ( ) ______________ BU

SINESS PH

ON

E ( ) _______________

FATHER’S N

AM

E _____________________________________________________________________________________________

HO

ME PH

ON

E ( ) ______________ CELL PH

ON

E ( ) ______________ BU

SINESS PH

ON

E ( ) _______________

EMA

IL AD

DRESS _____________________________________________________________________________________________

SPECIA

L REQU


ith __________________________________________________________

WH

ERE DID

YOU H

EAR A

BOUT O

UR C

AM

PS? _____________________________________________________________________

There will be no cam

p Monday, July 5, 2010, in observance of the July 4 holiday. A

$25 discount for half-day and $50discount for full-day enrollm

ent during this week w

ill be applied. Lunch is provided for both half- and full-day enrollment.

A $225 nonrefundable deposit is required w

ith all Preschool Cam

p registrations.A

ll camp fees are due in full by June 1, 2010. • N

o refunds will be given once cam

p begins.


w.gilm

our.orgC


ing weeks.

o

Week 1: 6/14

o W

eek 2: 6/21 o

Week 3: 6/28

o

Week 4: 7/5*

o W

eek 5: 7/12 o W

eek 6: 7/19 o

Week 7: 7/26


o

Half-D

ay: 8:30 a.m. - 12:30 p.m

. • $225/per week o

FULL-D

ay: 8:30 a.m. - 4:00 p.m

. • $350/per week

,ALL PRESCH

OO

L CA

MPERS M

UST H

AVE REACH

ED AG

E 3 ON

OR B

EFORE JU

NE 15, 2010, A

ND

MU

ST BE TO

ILET TRAIN

ED.

TRAN

SPORTATIO

N IS N

OT AVA

ILAB

LE FOR PRESC

HO

OL C

AM

PERS.

BEFO

RE AN

D A

FTER CA

MP C

ARE ($5.00 Per H

our): o 7:15 - 8:30 a.m

. o 4:00 - 6:00 p.m

. o BO

TH

SHIRT SIZE: o

S (6-8) o M

(10-12)

METH

OD

OF PAYM

ENT: o

Visa o M

astercard o D

iscover o A

merican Express

o Personal check

(payable to Gilm

our Academ

y) TO

TAL:$__________________

Card N

umber: ____________________________________________________________ Exp. D

ate: ___________________




uardian Date

PLEASE BE SU

RE TO FILL O

UT AD

DITIO

NA

L PAREN

T RELEASE AN

D EM

ERGEN

CY MED

ICAL A

UTHO

RIZATION

FORM

S.

SPO

RTS

CAM

P (A

ges

5 - 1

4)

APP

LICA

TIO

N F

OR

AD

MIS

SIO

N

• J

UN

E 14

- A

UG

UST

13

For m

ore

info

rmat

ion

call

(440

) 449

-749

0

CA

MPE

R’S

NA

ME

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

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___

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___

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STRE

ET

CIT

Y

STA

TE

ZI

P

AGE

(AS

OF

06/0

1/10

) ___

____

____

_

MO

NTH

S __

____

____

__

BIR

THD

AY _

____

____

____

____

____

____

____

____

____

____

_

SCH

OO

L AT

TEN

DED

___

____

____

____

____

____

____

____

____

____

____

____

____

GRA

DE

(FA

LL 2

010)

___

____

____

____

____

___

MO

THER

’S N

AM

E __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

HO

ME

PHO

NE

(

)

___

____

____

___

CEL

L PH

ON

E (

) _

____

____

____

_ B

USI

NES

S PH

ON

E (

) _

____

____

____

__

FATH

ER’S

NA

ME

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

HO

ME

PHO

NE

(

)

___

____

____

___

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L PH

ON

E (

) _

____

____

____

_ B

USI

NES

S PH

ON

E (

) _

____

____

____

__

EMA

IL A

DD

RESS

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

SPEC

IAL

REQ

UES

T: I

f pos

sibl

e, p

leas

e gr

oup

my

child

with

___

____

____

____

____

____

____

____

____

____

____

____

____

____

___

WH

ERE

DID

YO

U H

EAR

ABO

UT O

UR

CA

MPS

? __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

ALL

CA

MPS

RU

N F

ROM

8:3

0 a.

m. t

o 4:

00 p

.m.

• L

UN

CH

INC

LUD

ED E

VERY

DAY

.Th

ere

will

be

no c

amp

Mon

day,

July

5, 2

010,

in o

bser

vanc

e of

the

July

4 h

olid

ay.

A $

50 d

isco

unt f

or e

nrol

lmen

t dur

ing

this

wee

k w

ill b

e ap

plie

d.A

$35

0 no

nref

unda

ble

depo

sit i

s re

quire

d w

ith a

ll re

gist

ratio

ns.

• A

ll ca

mp

fees

are

due

in fu

ll by

June

1, 2

010.

No

refu

nds

will

be

give

n on

ce c

amp

begi

ns.

Regi

ster

onl

ine

at w

ww

.gilm

our.o

rgC

hoos

e fr

om th

e fo

llow

ing

wee

ks.

• $

350/

per

wee

k •

The

se c

amps

can

be

com

bine

d w

ith o

ur o

ther

cam

ps.

*Fou

r-da

y w

eek

beca

use

of h

olid

ay.

o P

LEAS

E C

HEC

K IF

YO

U RE

QU

IRE

TRA

NSP

ORT

ATIO

N:

$75

PER

FAM

ILY

PER

WEE

K.

BEF

ORE

AN

D A

FTER

CA

MP

CA

RE ($

5.00

Per

Hou

r):

o 7

:15

- 8:3

0 a.

m.

o 4

:00

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o

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TH**

No

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re o

r af

ter

cam

p ca

re a

vaila

ble

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thes

e w

eeks

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MET

HO

D O

F PA

YMEN

T:

o

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a

o M

aste

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d

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isco

ver

o

Am

eric

an E

xpre

ss

o P

erso

nal c

heck

(pay

able

to G

ilmou

r Aca

dem

y)

T

OTA

L:$_

____

____

____

____

_

Car

d N

umbe

r: _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Exp

. Dat

e: _

____

____

____

____

__

Sign

atur

e: _

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__ V

erifi

catio

n C

ode_

____

____

____

_

(Req

uire

d fo

r all

cred

it ca

rd p

aym

ents

)

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Si

gnat

ure

of P

aren

t/G

uard

ian

Dat

e

PLEA

SE B

E SU

RE T

O FI

LL O

UT A

DDIT

IONA

L PA

RENT

REL

EASE

AND

EM

ERGE

NCY

MED

ICAL

AUT

HORI

ZATI

ON

FORM

S IN

THE

BAC

K O

F TH

IS B

OO

KLET

.

o Ju

ne 1

4 - 1

8 •

Base

ball

o Ju

ne 2

1 - 2

5 •

Gol

fo

June

28

- Jul

y 2

• Sp

orts

o Ju

ly 6

- 9

• Sp

orts

*o

July

12

- 16

• Sp

orts

o Ju

ly 1

9 - 2

3 •

Out

door

adv

entu

reo

July

26

- 30

• O

utdo

or a

dven

ture

o A

ugus

t 2 -

6 •

Spor

ts**

o A

ugus

t 9 -

13 •

Spo

rts*

*

HO

CK

EY SCH

OO

LS (Ages 4 - 14)

APPLICATIO

N FO

R AD

MISSIO

N • JU

NE 14 - A

UG

UST 13

For more inform

ation call (440) 449-7490

CA

MPER’S N

AM

E _____________________________________________________________________________ M _____ F _____

AD

DRESS ___________________________________________________________________________________________________


AGE (AS O

F 06/01/10) ____________ MO

NTH

S ____________ BIRTH

DAY __________________________________________

SCH

OO

L ATTEND

ED ___________________________________________________G

RAD

E (FALL 2010) ______________________

MO

THER’S N

AM

E ____________________________________________________________________________________________

HO

ME PH

ON

E ( ) ______________ CELL PH

ON

E ( ) ______________ BU

SINESS PH

ON

E ( ) _______________

FATHER’S N

AM

E _____________________________________________________________________________________________

HO

ME PH

ON

E ( ) ______________ CELL PH

ON

E ( ) ______________ BU

SINESS PH

ON

E ( ) _______________

EMA

IL AD

DRESS _____________________________________________________________________________________________

SPECIA

L REQU


ith __________________________________________________________

WH

ERE DID

YOU H

EAR A

BOUT O

UR C

AM

PS? _____________________________________________________________________

ALL CA

MPS RU

N FRO

M 8:30 a.m

. to 4:00 p.m. • LU

NC

H IN

CLU

DED

EVERY DAY.

A $350 nonrefundable deposit is required w

ith all registrations. • All cam

p fees are due in full by June 1, 2010.N

o refunds will be given once cam

p begins.


w.gilm

our.orgC


ing weeks. • $350/per w

eek • These camps can be com

bined with our other cam

ps.

o PLEASE C

HEC

K IF YOU REQ

UIRE TRA

NSPO

RTATION

: $75 PER FAM

ILY PER WEEK.

BEFO

RE AN

D A

FTER CA

MP C

ARE ($5.00 Per H

our): o 7:15 - 8:30 a.m

. o4 :00 - 6:00 p.m

. o BO

TH*N

o before or after camp care available for these w

eeks.M

ETHO

D O

F PAYMEN

T: o Visa o

Mastercard o

Discover o

Am

erican Express

o Personal check

(payable to Gilm

our Academ

y) TO

TAL:$__________________

Card N

umber: ____________________________________________________________ Exp. D

ate: ___________________




uardian Date

PLEASE BE SURE TO FILL OUT ADDITIO

NAL PARENT RELEASE AND EMERGENCY M

EDICAL AUTHORIZATIO

N FORM

S IN THE BACK OF THIS BO

OKLET.

o June 14-18 • Learn-to-play

o June 14-18 • H

ockey/Baseball Ages 6-10

o June 14-18 • H

ockey/Baseball Ages 11-14

o June 21-25 • H

ockey/Golf “H

appy Gilm

our Ages 6-10

o June 21-25 • H

ockey/Golf “H

appy Gilm

our Ages 11-14

o June 28-July 2 • “Triple Threat” Forw

ard Camp A

ges 6-10o

June 28-July 2 • “Triple Threat” Forward Cam

p Ages 11-14

o June 28-July 2 • “The Puck Stops H

ere” Goaltender Cam

p Ages 6-14

o July 12-16 • D

efenseman Cam

p Ages 6-10

o July 12-16 • D

efenseman Cam

p Ages 11-14

o July19-23 • “Shoot and Score” A

ges 6-10 NEW

o July19-23 • “Shoot and Score” A

ges 11-14 NEW

o July 26-30 • H

igh Intensity Ages 6-10

o July 26-30 • H

igh Intensity Ages 11-14

o A

ugust 2-6 • Skills Developm

ent Ages 6-10*

o A

ugust 2-6 • Skills Developm

ent Ages 11-14*

o A

ugust 9-13 • Power Skating A

ges 6-10*o

August 9-13 • Pow

er Skating Ages 11-14*

GIR

LS H

OC

KEY

CA

MP

(Age

s 6

- 18)

A

PPLI

CATI

ON

FO

R A

DM

ISSI

ON

•

JU

LY 5

- JU

LY 1

0Fo

r mor

e in

form

atio

n ca

ll Ri

ck F

iligh

era

(440

) 449

-748

9

CA

MPE

R’S

NA

ME

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STRE

ET

CIT

Y

STA

TE

ZI

P

AGE

(AS

OF

06/0

1/10

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MO

NTH

S __

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BIR

THD

AY _

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SCH

OO

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TEN

DED

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DE

(FA

LL 2

010)

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(

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ON

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USI

NES

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ON

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ER’S

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SPEC

IAL

REQ

UES

T: I

f pos

sibl

e, p

leas

e gr

oup

my

child

with

___

____

____

____

____

____

____

____

____

____

____

____

____

____

___

WH

ERE

DID

YO

U H

EAR

ABO

UT O

UR

CA

MPS

? __

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A $

350

nonr

efun

dabl

e de

posi

t is

requ

ired

with

all

regi

stra

tions

• A

ll ca

mp

fees

are

due

in fu

ll by

June

1, 2

010.

No

refu

nds

will

be

give

n on

ce c

amp

begi

ns.

Regi

ster

onl

ine

at w

ww

.gilm

our.o

rg

Choo

se fr

om d

ay c

amp

(fro

m 8

:00

a.m

. unt

il en

d of

scr

imm

age)

or

over

nigh

t cam

p.En

rollm

ent i

s lim

ited

so p

leas

e re

gist

er e

arly

. Sig

n in

is o

n M

onda

y, Ju

ly 5

, 201

0.

o D

ay c

ampe

r •

$400

• 8

:00

a.m

. unt

il en

d of

scr

imm

age

o O

vern

ight

cam

per

• $5

00 •

Mon

day

thro

ugh

Satu

rday

Enro

llmen

t will

be

held

to 6

0 pl

ayer

s to

pro

vide

the

best

coa

ch-to

-pla

yer r

atio

. Ple

ase

call

Rick

Fili

gher

a at

(440

) 449

-748

9 fo

r ava

ilabi

lity

or fo

r any

que

stio

ns y

ou m

ay h

ave

conc

erni

ng th

e gi

rls h

ocke

y ca

mp.

MET

HO

D O

F PA

YMEN

T:

o

Vis

a

o M

aste

rcar

d

o D

isco

ver

o

Am

eric

an E

xpre

ss

o P

erso

nal c

heck

(pay

able

to G

ilmou

r Aca

dem

y)

T

OTA

L:$_

____

____

____

____

_

Car

d N

umbe

r: _

____

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Exp

. Dat

e: _

____

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Sign

atur

e: _

____

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____

____

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____

____

____

____

____

____

____

__ V

erifi

catio

n C

ode_

____

____

____

_

(Req

uire

d fo

r all

cred

it ca

rd p

aym

ents

)

____

____

____

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____

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____

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Si

gnat

ure

of P

aren

t/G

uard

ian

Dat

e

PLEA

SE B

E SU

RE T

O FI

LL O

UT A

DDIT

IONA

L PA

RENT

REL

EASE

AND

EM

ERGE

NCY

MED

ICAL

AUT

HORI

ZATI

ON

FORM

S IN

THE

BAC

K O

F TH

IS B

OO

KLET

.

PARENTAL PERMISSIO

N AND

RELEASE/IND

EMN

ITY FOR

STUDENT PARTICIPATIO

N IN SCHO

OL-SPO

NSO

RED ACTIVITIES

I, ___________________________, state that I am the parent or legal guardian of ______________________

_____________, (my “C

hild”), a day camp participant at G

ilmour A

cademy, an O

hio Not-for-Profit C

orporation located at 34001 C

edar Road, Gates M

ills, Ohio 44040 (the “School”), and that in consideration of the agree-

ment by the School to perm

it my C

hild to participate in any and all School-sponsored activities, do state that: This docum

ent is provided in place of and to accomm

odate me and to replace individual authorization for each

School-sponsored activity. School-sponsored activities include but are not limited to all athletic events, extracur-

ricular activities, field trips and intra-campus activities.

1. I am aw

are of the nature of School-sponsored activities and understand there are risks/dangers attendant to m

y Child’s participation;

2. I hereby agree to permit m

y Child to participate in any and all such School-sponsored activities unless I advise

the School in writing beforehand that I revoke m

y permission for a particular activity or activities;

3. I warrant that there is accident and health insurance coverage for m

y Child that w

ill cover my C

hild while par-

ticipating in all such School-sponsored activities;4. In the event of a m

edical emergency, and after reasonable attem

pts have been unsuccessful to reach me, I

hereby give permission for the representative of the School in charge of the School-sponsored activity to ar-

range for/and/or authorize emergency m

edical treatment for m

y Child;

5. I agree to release, indemnify, protect, defend and hold harm

less The School, its teachers, administrators,

trustees, supervisors, agents, employees, and all private persons or organizations volunteering services w

ithout charge to supervise or chaperone m

y Child w

hile participating in the School-sponsored activities, from any claim

or liability of w

hatsoever kind or nature, including but not limited to personal injury, including loss of life, or loss

of any kind and/or property damage, court costs, attorneys’ fees and interest, as a result of m

y Child’s participa-

tion in the School-sponsored activities. I do not agree, however, to such release in the case of gross negligence

or willful or intentional inappropriate actions or inactions by em

ployees of the School which harm

my C

hild;6. I agree that The School, its teachers, adm

inistrators, trustees, supervisors, agents, employees and all private

persons or organizations volunteering services without charge, m

ay terminate m

y Child’s participation in any

School-sponsored activities if my C

hild fails to behave or act in accordance with the School’s rules and/or regu-

lations on conduct, fails to follow the instructions and/or directions of teachers, adm

inistrators, trustees, super-visors, agents, em

ployees and all private persons or organizations volunteering services, or evidences conduct deem

ed to be detrimental to or incom

patible with the interest, com

fort or welfare of those participating in the

School-sponsored activities including students, School representatives and supervisors as determined by the

representative of the School in charge of the School-sponsored activity. Accordingly, I hereby authorize sum

mer

Cam

p Directors and other respective adm

inistrators to administer and enforce disciplinary action in the event of

any violation of or noncompliance w

ith such rules and/or regulations by my C

hild.

__________ ____________________________________

___________________________________ D

ate Signature of Parent or Legal G

uardian Signature of Parent or Legal Guardian

FULL PAYMENT is due w

ith the completed registration form

on or before June 1, 2010.A

ny photos or video tape footage taken of your child are used for Gilm

our Academ

y camp purposes only.

Images m

ay be used for promotional or educational purposes only.

GIL

MO

UR A

CAD

EMY

EMER

GEN

CY M

EDIC

AL A

UTH

ORI

ZATI

ON

PURP

OSE

: To

enab

le p

aren

ts a

nd g

uard

ians

to a

utho

rize

the

prov

isio

n of

em

erge

ncy

trea

tmen

t for

cam

pers

who

bec

ome

ill

or in

jure

d w

hile

und

er s

choo

l aut

horit

y, w

hen

pare

nts

or g

uard

ians

can

not b

e re

ache

d.

Stud

ent I

nfor

mat

ion:

Last

Nam

e

Fi

rst N

ame

M

iddl

e N

ame

D

ate

of B

irth

Gra

de L

evel

Stre

et A

ddre

ss

C

ity

St

ate

Zi

p

Hom

e Ph

one

Stud

ent I

nfor

mat

ion:

Mot

her/

Gua

rdia

n N

ame

O

ccup

atio

n

Busi

ness

Pho

ne

Cel

l Pho

ne

Fath

er/G

uard

ian

Nam

e

Occ

upat

ion

Bu

sine

ss P

hone

C

ell P

hone

Nam

e of

Prim

ary

Hea

lth In

sura

nce

ID

Num

ber

Gro

up N

umbe

r

If I c

anno

t be

cont

acte

d an

d it

is a

dvis

able

to s

end

my

child

hom

e du

e to

min

or il

lnes

s, o

r for

em

erge

ncy

trea

tmen

t due

to in

jury

, he/

she

can

be re

leas

ed in

the

cust

ody

of (I

hav

e no

tified

this

per

son

of th

is li

stin

g):

1. N

ame

Rela

tions

hip

A

ddre

ss

Phon

e

2. N

ame

Rela

tions

hip

A

ddre

ss

Phon

e

Part

1: T

o G

rant

Con

sent

- In

the

even

t tha

t the

par

ents

/gua

rdia

ns c

anno

t be

reac

hed,

I he

reby

gra

nt c

onse

nt fo

r the

follo

win

g m

edic

al c

are

prov

ider

s an

d lo

cal h

ospi

tal t

o be

cal

led:

Phys

icia

n

Hos

pita

l

Phon

e

Den

tist

Ph

one

Eye

Doc

tor

Phon

e

In th

e ev

ent r

easo

nabl

e at

tem

pts

to c

onta

ct m

e ha

ve b

een

unsu

cces

sful

, I h

ereb

y gi

ve m

y co

nsen

t for

(1) t

he a

dmin

istr

atio

n of

any

tr

eatm

ent d

eem

ed n

eces

sary

by

abov

e na

med

doc

tors

, or,

in th

e ev

ent t

he d

esig

nate

d pr

efer

red

prac

titio

ner i

s no

t ava

ilabl

e, b

y an

-ot

her l

icen

sed

phys

icia

n or

den

tist;

and

(2) t

he tr

ansf

er o

f my

child

to a

ny h

ospi

tal r

easo

nabl

y ac

cess

ible

Cur

rent

Med

icat

ion

bein

g ta

ken:

Dis

abili

ties:

A

llerg

ies:

Rece

nt Il

lnes

s/In

jury

/Sur

gery

:

M

ost R

ecen

t Tet

anus

Sho

t:

Oth

er M

edic

al In

form

atio

n:

Imm

uniz

atio

n Up

date

:

Sign

atur

e of

Par

ent/

Gua

rdia

n___

____

____

____

____

____

____

____

____

____

____

Dat

e___

____

____

____

__

Part

2: R

efus

al o

f Con

sent

- D

o no

t com

plet

e Pa

rt 2

if y

ou c

ompl

eted

Par

t 1I D

O N

OT g

ive

my

cons

ent f

or e

mer

genc

y m

edic

al tr

eatm

ent o

f my

child

. In

the

even

t of i

llnes

s or

inju

ry re

quiri

ng e

mer

genc

y tr

eat-

men

t, I w

ish

the

scho

ol a

utho

ritie

s to

take

the

follo

win

g ac

tion:

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

_

Sign

atur

e of

Par

ent/

Gua

rdia

n___

____

____

____

____

____

____

____

____

____

___

D

ate_

____

____

____

____

summer camp

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