BELIEVE TO ACHIEVE WHAT THE MIND BELIEVES, THE BODY WILL ACHIEVE. A Letter from the Camp Director - Taylor Johnson. Camp Facility

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BELIEVE TO ACHIEVE WHAT THE MIND BELIEVES, THE BODY WILL ACHIEVE Figure Skate Camp December 27-29, 2016 Camp Facility Maas Ice Arena 112 21 st St SW Watertown, SD Camp Contact Information: Camp Director: Taylor Johnson sk8coachjohnson@yahoo.com Camp Committee Members: Carey Ziegler, Becky Reeves, Sheri Raap, Alana Huck, and Kari Marlow Club Webpage: www.watertownfigureskateclub.com Reminders What To Bring: Yoga mat/pilates mat/towel for off-ice stretching and dance classes Sneakers and comfortable clothing for skating and off-ice programs Layered clothing, light gloves, thin socks, light jacket, anything that will make you comfortable for training classes. A Letter from the Camp Director - Taylor Johnson Dear Skaters, Welcome to Believe to Achieve Winter Skate Camp presented by the Watertown Figure Skate Club. We are very proud to provide a winter camp that is designed to accommodate skaters of all ages and abilities, from beginner to international competitors. Whether you aspire to improve your skating skills for individual or team competitions or you skate for fun, our camp can help you reach your personal skating goals. Believe to Achieve has an exceptional coaching staff with many years of experience and expert knowledge in both USFS and ISI skating programs. Coaches are trained in all disciplines of figure skating and will help you to improve your skating skills in an encouraging fun and safe environment while challenging skaters to take chances and try some new techniques! Our classes are designed to ensure that each skater develops in a safe environment from first time beginners to high level competitors. Campers will also be supervised throughout their stay by friendly and energetic counselors and parent volunteers. We have many great things planned for the skaters during camp and are looking forward to meeting each one of you. 1

Camp Packages: Tuesday and Wednesday December 27-28, 2016 --- Camp Commuter $225.00 Skater Check-In 8:00am, Camp from 8:30am-5:00pm Tuesday and Wednesday Both Days Tuesday and Wednesday December 27-28, 2016 --- Resident Camper $290.00 Skater Check-In 8:00am, Camp from 8:30am-5:00pm Tuesday and Wednesday Both Days, and Dinner Tuesday at the Lodge. Accommodations: Pepper Slough Lodge Henry, SD http://www.peppersloughlodge.com. Inside is a full kitchen, multiple bathrooms, rooms with bunk beds and/or full size beds. There will be a counselor staying with the skaters. Tuesday December 27, 2016 --- 1 Day Commuter $120.00 Skater Check-In 8:00am, Camp from 8:30am-5:00pm Wednesday December 28, 2016 --- 1 Day Commuter $120.00 Skater Check-In 8:00am, Camp from 8:30am-5:00pm Thursday December 29, 2016 --- Basic Skills Skating Camp $65.00 USFS Basic 1 Pre-Freeskate and/or ISI Pre-Alpha Delta Level Skaters Only Skater Check-In 8:00-8:20am, Camp from 8:30am-3:30pm Camp Schedule and Classes: Camp begins each day with a 30-45 minutes of on-ice warm-up consisting of strength conditioning, power skating, edge control, and Moves in the Field. Each class is led by a certified professional. After the first session depending on which group the skater is placed in they will move to another on-ice program or get changed for one of our off ice programs. On and Off Ice Classes: Jumps and Spins Learn and perfect different spins and jumps and ways to improve entry, exit, body position and speed. Moves in the Field Emphasize edge quality, control, extension, flow and presentation. Presentation and choreography Explore ways to add expression and body movement to create interesting, fun, and visual appeal to programs. Power Skating Improve strength, endurance and control. Classroom Fun, Interesting, and informative topics will be presented to enhance skating knowledge of the sport of figure skating. Additional Camp Professional and Program: Megan Wight: WFSC Believe to Achieve Boot Camp Coach Certified BodyPump, Turbo Kick and Piyo Coach Online Fitness Coach, Group Fitness, and Boot Camp Instructor 2

Meet Our Skating Camp Coaches: Taylor Johnson Camp Director Watertown Figure Skate Club Director USFS Junior MIF, Junior Freeskate, 2 nd Figure, and Pre-Bronze Dance 15 years of Coaching Experience Professional Ice Skating Tour Show Skater Nutcracker on Ice State, Regional, and International Competition Competitor Senior Ladies Competitor and Medalist Ice Show and Competition Director Guest Skater for Mexican Government Holiday Show Rodrigo Menendez Technical Pole Harness Specialist 3-Time Mexican National Champion Alternate for the 1998 World Figure Skating Championships 1998 Youth Olympic Games Gold Medalist (Mexico) Toured with Disney on Ice 9 Years Toured with Holiday on Ice PSA Registered Rating in FS USFS Category A Coach Amy Flater White Bear Lake Sports Center Skate School Coordinator USFS Senior MIF, Junior Freeskate, 4 th Figure, Bronze Dance, ISI Freestyle 8 25 years of Coaching Experience State and ISI World Team Competitor Ice Show and Competition Director PSA Rated in Moves in the Field and Freestyle Darren Browning - Certified Personal Trainer ISSA Head Trainer Anytime Fitness Minot ND From 2015-2016 Off Ice coach in Metepec MX - 2012-2013 Head Off Ice Instructor Lerma Mx - 2012-2013 Dry Land Instructor for Sharks Hockey Team, Lerma Mx. 2012-2013 Off Ice coach for The Magic City Figure Skating Club - Minot ND 2013-2016 Theater On Ice Team Coach - Magic City Spotlights in Minot ND. Theater on Ice 2016 Nationals Open 10th place out of 22 3

Registration Form Skater s Name Age Address City State Zip Parent s/guardian s Name Daytime Phone Cell Phone Email Address ISI Test Level* USFS Basic Skills/Freeskate Level* USFS MIF * USFS Freeskate Level* T-Shirt Size: Youth: S M L Adult: S M L XL Private Lesson Request Camp Director will confirm private lesson schedule for all coaches prior to December 18, 2016. Coach Fees for each private lesson - $20.00 per 20 Minute Lesson. Lessons will be scheduled in the order in which requests are received. Each skater may request up to 3 lessons with our trained coaching staff, not guaranteed first requested coach for each lesson. Additional private lessons may be available upon check-in. All private lessons must be paid at check-in. Please select coach(s) and number of private lessons: *Coach Taylor Johnson *Number of Private Lessons (please circle): 1 2 3 *Coach Rodrigo Menendez (Tue/Wed Only) *Number of Private Lessons (please circle): 1 2 3 *Coach Amy Flater *Number of Private Lessons (please circle): 1 2 3 *Coach Darren Browning (Tue/Wed Only) *Number of Private Lessons (please circle): 1 2 3 1 Private Lesson at $20.00 2 Private Lessons at $40.00 3 Private Lessons at $60.00 Registration Details Registration Forms Due December 7, 2016. OR Christmas Surprise Camp Registration Due December 1 st! Camp Fees are refundable only with medical verification and prior to December 17, 2016. No other exceptions will be made. Surprise your skater with a Camp package for Christmas! Pre-Pay $45.00, we will ship you a Believe to Achieve ¼ Zip Jacket, brochure, and personalized certificate for your skater to open Christmas Day! Camp Package Tuesday and Wednesday December 27-28, 2016 --- Camp Commuter $225.00 Tuesday and Wednesday December 27-28, 2016 --- Resident Camper $290.00 Roommate Preference: Tuesday December 27, 2016 --- 1 Day Commuter $120.00 Wednesday December 28, 2016 --- 1 Day Commuter $120.00 Thursday December 29, 2016 --- Basic Skills Skating Camp $65.00 Christmas Surprise Package (Believe to Achieve ¼ Zip Jacket, Brochure, Certificate) --- $45.00 4

Waiver and Release In consideration of being allowed to participate in any way in the Believe to Achieve Figure Skating Camp related events and activities, agree/give my consent for my child (as parent or guardian) to participate. I acknowledge that ice skating is inherently dangerous, I agree that Believe to Achieve, their agents, servants, and employees shall not be liable to me (my child) for any injury or damage, however caused, resulting directly or indirectly from my child s participation in the camp whether incurred on the ice or otherwise in or about the buildings at any time preceding, during or subsequent to the camp and I hereby discharge Believe to Achieve, their agents, servants, and employees from all actions, claims, and demands I (my child) may have for any such injury and damage. I further acknowledge and agree that Believe to Achieve and camp do not insure and will not be expected, at any time to insure, the safety or the proper state of repair of my child s equipment used by my child during the camp; and that Believe to Achieve does not and shall not be considered to guarantee or warranty the instructional materials used by it during the camp. I also understand that my agreement, releases, and discharges herein shall bind my heirs, legal representatives, and assigns, and shall endure to the benefit of Believe to Achieve their agents, servants, and employees and their successors. Parent or Guardian s Signature Date Phone # EMERGENCY MEDICAL INFORMATION Medical Insurance Policy# Family Physician Phone# Family Dentist Policy# Please list any Medical Conditions Allergies/Medications I hearby authorize the acting representative of Believe to Achieve or any physician and/or member of the medical staff of any hospital or emergency treatment center to render medical treatment, which in his/her best judgement may be deemed necessary in the care of. I do hereby release, indemnify, and agree to hold harmless Believe to Achieve from all costs and/or liability arising from medical treatment or transportation. Parent or Guardian s Signature Date MEDIA RELEASE Sometimes a newspaper reporter may ask to interview or take pictures of camp participant(s). There will also be times when pictures and/or information about the camp will be posted on the Believe to Achieve /WFSC web page. Believe to Achieve periodically uses photographs of camp participants in its advertising/marketing material. This media release statement will serve as permission to use such information as needed. I acknowledge and agree that Believe to Achieve reserves the sole and exclusive right to use any photographs taken during the camp for advertising and/or instructional purposes, without cost or charge whatsoever to Believe to Achieve. Camp Participant s Name Parent or Guardian s Signature Date Camp fees are due by December 7, 2016 OR December 1, 2016 for Christmas Surprise Package Please make your check or money order payable to: Watertown Figure Skate Club. Mail To: Watertown Figure Skate Club c/o Taylor Johnson 138 S. Lake Dr Watertown, SD 57201 Payments postmarked after December 7, 2016 will be subject to a $50.00 late fee upon check-in. Returned checks are subjected to bank charges. Pay Pal is available upon request if paying with debit card only. 5