non-profit org. U.S. Postage PAID Clarion, PA Permit No. 2 of Pennsylvania fields one of the strongest NCAA Division II swimming and diving programs in the United States. Both teams consistently place in the top five nationally, and the women s team has won nationals eight times. That tradition has influenced the highly successful Golden Eagle Swimming and Diving Camps. 2009 Athletic Camps This year will mark the 36 th Annual Stroke Development and Diving Camps. Many of our camp graduates have distinguished themselves in USS and YMCA nationals as well as on the high school, college, and Olympic levels. Our goal is to encourage and assist every camper to reach his or her full potential. We hope you decide to join us in this tradition of excellence at. Four individual camps available each of the following dates: F June 7-11 F June 14-18 F June 21-25 F June 28-July 2 F July 12-16 F Cost: $350 per weekly session. Recommended for ages 10 to 18 years. Registration deposit $100. $325 for second child in family, additional weeks, or groups of 10 or more submitted together. Includes coaching, room, board, camp T-shirt, stroke outlines, and awards. Great Gift Idea! Swimming and Diving Camps of Pennsylvania 840 Wood Street Clarion, PA 16214-1232 Stroke Development Camp Best choice for anyone with competitive swimming experience in a USS club, school team, summer club, YMCA, or any organized swim team. The camp offers 80 percent technique work and 20 percent workout training. l Provides stroke improvement through films, lectures, outlines, demonstrations, and videotaping, both on the surface and from the underwater window. l Works on starts, turns, stroke mechanics, flexibility, and strength training. l Provides each swimmer with a surface and underwater videotape analysis of his or her strokes and turns. l Works on attitudes pertaining to sportsmanship, nutrition, dedication, commitment, etc. l Provides each swimmer with worthwhile recreational opportunities. Elite Camp Best for anyone who has participated in a moderate to heavy yardage program who would like to maintain this training level while improving stroke technique. The camp offers 80 percent workout training and 20 percent technique work. l Provides two strenuous workouts per day. l Provides daily strength and flexibility training. l Provides stroke improvement through films, lectures, outlines, demonstrations, and videotaping both on the surface and from the underwater window. l Provides each swimmer with a surface and underwater videotape analysis of his or her strokes and turns. l Provides each swimmer with worthwhile recreational opportunities. Combination Camp Best for any swimmer who feels the need for stroke technique work and training workouts for refinement of their swimming skill. The camp offers 50 percent technique work and 50 percent workout training. l Combines the goals and benefits of stroke and elite camp in a balanced fashion. Diving Camp Best for any diver who has had springboard diving experience. l Provides instruction in all required dives and appropriate optional dives. l Introduces new dives by using the spotting belt on the port-a-pit when the diver is ready. l Provides each diver with an individual videotape analysis of dives. l Provides each diver with worthwhile recreational experiences.
Rt. 220 General Information 1. Campers are assigned according to preferences on the application. Be sure to list a second and third choice. If only one specific week is possible for you, be sure to indicate it on your application. 2. Residence hall rooms are assigned two or three per room, with girls and boys on separate floors. 3. Enrollment is limited each week to: Stroke-50, Elite-30, Combination-36, and Diving-25. Swimmers may be moved to the camp best suited for their abilities. Tippin Natatorium Facilities and Equipment Swimming A six-lane, 25-yard competitive pool with deck and balcony area for dry land work; a complete Colorado timing system, including computerized pace clock; an underwater window for videotaping strokes and turns; and strength facilities, including free weights, machines, stretch cords, and exercise area. Diving Separate diving well (42-by-42-by-12 feet deep) with two one-meter maxiflex boards and one threemeter maxiflex board; one port-a-pit with a duraflex board, foam rubber landing pit, and an overhead spotting belt. Location Sessions are conducted at of Pennsylvania, in Clarion, Pa., just two miles off, Exit 64, in Northwestern Pennsylvania. OHIO Interstate 79 Erie Franklin Pittsburgh WEST VIRGINIA Clarion Rt. 219 Johnstown PENNSYLVANIA Rt. 36 Rt. 220 Altoona NEW YORK State College Williamsport Harrisburg Interstate 81 Interstate 81 NE Ext. Scranton Allentown Philadelphia www.clarion.edu Camp Staff Mark VanDyke, ninth-year Clarion head swimming coach, begins his 21 st year coaching the Golden Eagles Swimming and Diving Camps. VanDyke swam at Seneca Valley H.S. and Clarion University, under former Clarion coach Bill Miller, achieving All-State and All- American status. While at Clarion, he held numerous team records in backstroke, freestyle and IM. More than 20 years of coaching have produced many national top-16 rankings and state champions. He emphasizes the importance of stroke development in young swimmers. Dave Hrovat, diving coach, has brought a wealth of knowledge and experience to the Diving Camp for the past 20 years. He was a Pennsylvania state high school diving champion, Atlantic Coast Conference champion and diver of the year, and NCAA Division I All-American. He has been named NCAA Division II Diving Coach of the Year 16 times in 18 years. In 18 years, his divers have earned 186 All-American awards including 29 national champion finishes. Christina (Tillotson) Sheets, ninthyear assistant swimming coach, graduated from Clarion in 1999. She was a NCAA Division II National Champion in the 200 IM and the 100 breaststroke, 28-time All-American, and is the school record holder in the 200 and 400 IMs. Tilly graduated from Dallastown Area H.S. and, and received a master s degree in sports administration from Ball State University. Her philosophy follows that of former coaches VanDyke and Miller, focusing on perfection of stroke technique and an emphasis on quality. Bill Miller, former head coach, continues working at the Golden Eagles Swimming and Diving Camps. His responsibilities include stroke analysis through video-taping and classroom discussion. Bill s legacy features an extremely successful career at Clarion, winning Conference and NCAA Coach of the Year honors as well as other coaching awards. Additional Staff: Other staff members include Frank Supancic, Warren Harding High School; Dave Sheets, Duquesne University; and Kim Hrovat,, and Jimmy McGee. Winners are ordinary people with extraordinary determination Swimming and Diving Camps Please enroll me in the Golden Eagle Swimming & Diving Camp. It is understood that, the directors, or anyone connected with the school will not assume any responsibility for accidents, medical or dental, or any other expenses incurred as a result of accidents. E-mail Age (June 1) Grade (September 2009) q Boy q Girl Home telephone number Area Code Roommate preference (if any) Check T-shirt size (men s sizes): q small q medium q large All four camps are held on these same dates (please indicate the week or weeks of your choice): m June 7-11 m June 14-18 m June 21-25 m June 28-July 2 m July 12-16 Stroke Development Elite Combination Diving First choice q q q q Second choice q q q q Third choice q q q q Payment Type: q Check q Money Order Check Number Enclose a $100 non-refundable deposit. All checks (money orders preferred) must be made payable to of Pennsylvania. Mail to Swimming and Diving Camps, of Pennsylvania, 840 Wood Street, Clarion, PA 16214-1232. Please send camp information to my friends: Street Complete address During the past 39 years, the Clarion men s team has won the conference 24 times and the women s team has won the conference title 26 times in 33 attempts. With this outstanding record, it s not hard choosing Clarion as your camp of choice this summer! Coach Van Dyke Please complete the application carefully. Your acceptance may be delayed if information is incomplete. City State Zip Complete address For more information, contact: Coach Mark Van Dyke, Swimming and Diving Camps, 840 Wood Street, Clarion, PA 16214-1232, visit our Website at www.clarion.edu, or call 814-393-2457. Cost: $350 per weekly session. $325 for second child in family, additional weeks, or groups of 10 or more submitted together. It is the policy of of Pennsylvania that there shall be equal opportunity in all of its educational programs, services, and benefits, and there shall be no discrimination with regard to a student s or prospective student s race, color, religion, sex, national origin, disability, age, sexual orientation/affection, veteran status or other classifications that are protected under local, state, and federal laws. Direct equal opportunity inquiries to Assistant to the President for Social Equity, of Pennsylvania, 207 Carrier Administration Building, Clarion, PA 16214-1232, 814-393-2109.
Informed Consent Release and Express Assumption Risk I,, Parent or Guardian of ( of Parent or Guardian) ( of Child) desire for my child to participate in Sports Camp at on. (Dates) I realize injuries can be a consequence or participation in this activity and no amount of reasonable supervision or use of the facility will prevent injury. I appreciate the character of the risk involved and I voluntarily assume on behalf of my child all risk of possible death, harm or injury. I understand and appreciate that such injury could also include, without limitation, serious or permanent injuries to all bodily organs and functions. I am aware of the risk of participation in this designed activity. I have carefully considered how the possible consequences of injury may impact my child s life, and I choose to accept this risk and allow him/her to participate in the designated activity. In accepting this risk, I expressly and explicitly release, discharge and waive any and all responsibility of Foundation, Inc., of Pennsylvania, Pennsylvania s State System of Higher Education, the Commonwealth of Pennsylvania and the employees, officials or agents of any and all of the foregoing, pursuant or pertaining or related to, or arising from, in any manner, injuries to my child as a result of his/her participation in this activity. By my signature below, I certify that I completely understand this document. Signature of Parent of Guardian Date Witness Date
Summer Sports Camp Medical Information of Athlete Telephone ( ) Please check camp(s) you plan to attend (M: men, W: women, I: individual, T: team) q Baseball q Basketball: MI q Basketball: MT q Basketball: WI q Basketball: WT q Cross Country q Diving q Football: Kids q Football: Midget q Football: Youth q Football: T q Football: 7-on-7 q Soccer: I q Soccer: Goal q Soccer: T q Softball q Swimming q Tennis: Day q Tennis/Swim q Tennis Tourney q Volleyball: I q Volleyball: Set. q Volleyball: Spec. q Volleyball: T q Wrestling: Fund. q Wrestling: Elite q Wrestling: ST 1 q Wrestling: ST 2 q Wrestling: T q Wrestling: F/S Date(s) Attending Camp: From / / to / / From / / to / / COMPLETE ALL SECTIONS Please print 1. Home Social Security No. City State Zip Date of Birth 2. Father/Guardian Mother/Guardian Social Security No. Social Security No.. Employer Employer Please indicate another person that is likely to know where you can be contacted: Relationship Telephone ( ) If you plan to be away from home the week your son/daughter is in camp, please indicate times and procedure that you may be contacted. FEES FOR MEDICAL TREATMENT INCURRED BY YOUR SON/DAUGHTER WHILE AT CAMP WILL BE THE RESPONSIBLE OF THE PARENT/GUARDIAN. AN INSURANCE POLICY WILL NOT BE INCLUDED IN THE CAMP FEES. IF YOUR SON/ DAUGHTER SHOULD REQUIRE MEDICAL TREATMENT WHILE AT CAMP, AND YOU WISH THE COST FOR TREATMENT TO BE COVERED UNDER YOUR MEDICAL INSURANCE PLAN, PLEASE PROVIDE THE FOLLOWING INFORMATION. 3. Basic Medical Major Medical Company or Plan Company or Plan Policy Number Group Number Policy Number Group Number Please complete the information on reverse side of this form
Is the athlete on any medication of any kind? q Yes q No If YES, please list medication(s), reason for taking, and any special instructions Drug Allergies or Sensitivities Other Allergies Does the athlete require special medical needs? q Yes q No If YES, please explain: Please read BOTH statements below and sign the ONE of your choice! DO NOT SIGN MORE THAN ONE! Both parents/guardian should sign one of the following sections. If one of the parents is unavailable, the signature of the available parent is sufficient. However, if the parents are divorced, only the parent having custody of the athlete should sign. If the athlete has a legal guardian(s), the guardian(s) should sign. 1. If my son/daughter needs medical attention while at summer sports camp at, it is my wish that I be contacted before any medical procedures are performed, unless immediate emergency treatment is necessary to save my son/daughter s life, or to prevent permanent debilitating injury. Parent(s)/Guardian(s) Date / / 2. If my son/daughter needs medical attention while at summer sports camp at, it is my wish that the treatment be begun while efforts are being made to contact me. So that treatment will not be delayed, I consent to any medical procedures that the attending physician believes to be appropriate, with the understanding that efforts will continue to be made to contact me. I also accept responsibility for all costs related to such treatment. *Exceptions. If there are any medical procedures that you do not want performed until you are contacted, please list them in the space provided. Otherwise, write none. Parent(s)/Guardian(s) Date / / If the athlete is 18 years of age, he/she must also sign this agreement Date / /