2011 BROTHER RICE SPORTS CAMPS 3 Boys Summer Camp 4 Baseball Camp 4 Cheer Camp 5 Basketball Camp 6 Soccer Camp 7 Football Camps 8 Punting & Kicking Camp 8 Wrestling 9 Hockey Camp 9 Tennis Camp 10 Volleyball Camp (Indoor and Sand) 11 Swim/Diving Camp 11 Water Polo Camp 12 Track Camp 13 Rugby Camp ACADEMIC CAMPS 15 Writing Camp 16 Speed Mental Math Camp 16 Android App Development Camp 17 Registration Sheets
2 SPORTS Contact; Mark Klutcharch 773-429-4371; mklutcharch@brrice.org Campers will be divided into three different age groups: 6&7, 8&9, 10&11 year-olds. If your son needs to be moved to another age group to be with friends, please specify on the registration form. They will have fun in a wide range of activities including baseball, basketball, touch football, wiffleball, kickball, soccer and softball. Campers will swim twice a day. Water wings are encouraged for younger swimmers, if needed. Our camper s safety is our #1 concern. There will be contests twice a day giving campers the opportunity to win a can of pop. No camper will be forced to participate in any activity. Any harassment of another camper or bad language will lead to immediate dismissal from camp. Every day each camper will receive milk at lunch and ice cream before they go home. Each boy will receive a Camp t-shirt. Date / Time / Age Groups June 20 22, 8:30am-10am Entering Grades 2 4; June 20 22, 10:30am 12noon Entering Grades 5 8; June 27 29, 10am 12noon Incoming BR Freshmen; $45 Each participant will receive a Brother Rice t-shirt Equipment Bring all baseball related equipment including: glove, bat, cleats, gym shoes, catcher s gear, etc. Attire Please wear baseball pants, hat, and wear protective cup. Please bring gym shoes in the event of inclement weather.
3 Contact: Mark Klutcharch 773-429-4371 mklutcharch@brrice.org The Brother Rice summer campers will have fun in a wide range of activities including baseball, basketball, touch football, wiffleball, dodgeball, kickball, soccer, and softball. Campers will swim twice a day. Water wings are encouraged for younger swimmers, if needed. Our camper s safety is our #1 concern. There will be contests twice a day giving campers the opportunity to win a special drink for lunch. No camper will be forced to participate in any activity. Any harassment of another camper or bad language will lead to immediate dismissal from camp. Every day each camper will receive milk at lunch and ice cream before they go home. Each boy will receive a camp t-shirt. Campers will be divided into three different age groups: 6&7, 8&9, 10&11 year-olds. If your son needs to be moved to another age group to be with friends, please specify on the registration form. Age Boys ages 6 11 Dates Session 1 June 6 10 Session 2 June 13 17 Session 3 June 20 24 Please submit registration form by May 24th in order to receive a confirmation letter containing details of camp procedure. After May 24th, no confirmation letters will be sent out, and you will be called if a session is closed. $150 for 1 week $275 for 2 weeks $400 for 3 weeks $30 deposit required Time 9:30 AM 3:00 PM What to Bring Campers should bring their own lunch, swim suit and towel.
4 Contact: Dan Szmergalski 773-429-4372 dszmergalski@brrice.org Brother Rice Baseball Camp is an opportunity for each player to reach their potential throughout the week. Each session will cover different aspects of the game. Clinic will feature Head Coach Dan Szmergalski and his staff as instructors. Coach Szmergalski is a former collegiate coach whose staff has coaches who played professional baseball, as well as, former collegiate players. Former Brother Rice baseball players will also be in attendance. Camp counselors will include current Brother Rice players. Dates / Times / Age Groups Session 1 June 27 29, 8:30 10 AM Entering Grades 2 4 Session 2 June 27 29,10:30 AM Noon Entering Grades 5 8 Session 3 July 25 27, 10 AM Noon Incoming Brother Rice freshman $50 Each participant will receive a Brother Rice t-shirt. What to Bring All baseball related equipment including: glove, bat, cleats, gym shoes, catcher s gear, etc. Attire Please wear baseball pants, hat, and protective cup. Contact: Karen Harrigan kharrikorn@aol.com Let s Go Rice! Come join the nationally ranked Brother Rice Cheerleaders and learn the fundamentals of competitive cheerleading. Basic motions, jumps and safe stunting will be taught, along with cheers and dances. A drink and light snack will be provided each day. Campers may want to bring an individual water bottle to camp. Parents, be ready for the camper s performance on Sunday at 3:00. We look forward to seeing you there! Age Girls of any age $50 for single participants $80 for two girls from the same family Dates June 4 & 5 Time Noon 4:00 PM
5 Contact: Pat Richardson 773-429-4332 prichardson@brrice.org The Crusader Basketball camp is based on the correct teaching of the fundamental skills every player needs before he can make a contribution to his team. This will be achieved through individual instruction. We guarantee every boy who is willing to work hard and learn will see a measurable improvement in his skills at the end of the session. The staff will work to develop each player to his fullest potential while making the camp an enjoyable experience for all campers. Camp Features Crusaders t-shirt for each camper End of day contests Free throw contest 3-point shooting contest Hot shot contest Two toss backs will be used Exciting basketball highlight films Camp store 2011 12 season passes for all Crusader home games Accolades The Crusaders: 41 All-Catholic League players Nine All-State players Ten Division I College players Coach Richardson: IBCA Coach of the Year seven times Catholic League Coach of the Year four times The Crusaders have won 36 championships, including: Nine Catholic League titles Eleven IHSA Regionals Four IHSA Sectionals One Elite 8 appearance Dates / Sessions Session 1A July 11 15 Boys entering grades 5 & 6 9:00 10:30 AM Session 1B July 11 15 Boys entering grades 7 & 8 10:30 AM Noon Session 1C July 11 15 Incoming Brother Rice freshman 1:00 2:30 PM Session 2A July 18 22 Boys entering grades 5 & 6 9:00 10:30 AM Session 2B July 18 22 Boys entering grades 7 & 8 10:30 AM Noon Session 2C July 18 22 Incoming Brother Rice freshman 1:00 2:30 PM $75 per session $130 for both sessions What to Bring Please wear basketball clothing...shorts, t-shirt, supporter, socks, and gym shoes. Each camper will receive a camp t-shirt. Playing basketball at Br. Rice is an experience second to none in the state of Illinois. The fans, the students, the coaches, and the overall atmosphere make Br. Rice basketball the best program in the state. Bobby Frasor 05
6 Contact: Nick Markulin 773-429-4300 ext 384 nmarkulin@brrice.org For grade school kids. The purpose of the camp is to both introduce players to the game and to improve skills to advanced levels. This is achieved through technique training that the player can repeat independently when they leave camp. Through the one-player, one-ball concept, we are able to maximize training time and expose all campers to the full range of technical skills. During a tactical session, each player learns how to function individually, in small groups, and as a member of the team. At the conclusion of each session, players will experience daily competitive tournament matches. We want each player to be comfortable and challenged by the daily program. Our program will boost the skill level of each player. Dates / Sessions Session 1 July 11 15 1:00 4:00 PM Boys & girls, entering grades 1 8 Session 2 June 13 July 29 (7 week camp) 4:00 6:00 PM Incoming Brother Rice freshman $65 for either camp What to Bring Each camper should bring their own soccer ball (please put your name on it), water bottle and shin guards. Dress appropriately. This camp includes a t-shirt, sport sack bag and mini-juggler ball. Trophies will be awarded for various skills: juggling, passing, shooting, heading, and dribbling. A top collegiate player will attend camp to demonstrate soccer techniques and autograph photos. Every camper will receive a team photo. Daily schedule Warm-up: Dutch training method Individual skills: Taught in match-related and matchcondition methodology Small group training: Technical and tactical applications Large group activity: Combine individual and group tactics in a 4 vs 4 World Cup tournament competition Last day of camp: Parents are encouraged to attend the Skill Show and Award Ceremony
7 Contact: Steve Nye 773-429-4337 snye@brrice.org The Brother Rice Football camp is a non-contact camp designed to further your skill level and mental approach to maximize playing potential. Our goal is to make you a better player and person. You will learn the same techniques that are taught to our Crusader players. Age Boys entering grades 4 8 $55 Dates June 20 23 Rain day June 24th Time 10:00 AM Noon Sacrifice, Commitment, and Effort are the cornerstones of the Brother Rice Football Program. These are the qualities that we emphasize every day during the season and at camp. Incoming Freshman Football Contact: Steve Nye 773-429-4337 snye@brrice.org The entire freshman coaching staff will teach the individual skills that every player needs in order to make a contribution to his team. The camp will provide each player a chance to meet the freshman coaches and become familiar with the Br. Rice offensive and defensive systems. Age Incoming Brother Rice freshman $75 Dates July 11 21 (M Th) Time 6:00 8:00 PM
8 Contact: Brian Wales 773-429-4300 ext. 313 bwales@brrice.org The Punting & Kicking Camp is based on correct and effective skills and methods that are necessary to be a successful place kicker, kickoff specialist, and/or punter. We guarantee that every boy who is willing to work hard in learning these crucial skills and techniques will make a clear improvement by the end of the competition on the final day. The staff will work hard to develop each camper to his fullest potential while illustrating the enjoyable nature of being a kicker. Parents and coaches are welcome to attend the entire camp and are encouraged to ask questions. Come and learn about a position that wins games! Dates / Time / Age Groups July 16 & 17 3:00 6:00 PM Boys entering grades 7 and 8 and incoming Brother Rice freshman $50 What to Bring We recommend each camper wear a pair of shorts and cleats each day. Please bring gym shoes and clothing for rainy weather. Each boy will receive a camp t-shirt. Contact: Jan Murzyn jmurzyn0726@yahoo.com Don t miss this opportunity to be coached by five-time Olympic coach Bill Weick. Kids will be put in scramble situations as well as learn riding and pinning. Dates / Time / Age Groups July 11 13 9:00 AM Noon Boys entering grades 4 8 $50
9 Contact: Brother Rice Athletic Department 773-429-4345 The nature of the game continues to change. Rules now favor speed and skill. The player that can execute at a faster pace has a big advantage. Execution requires a player understanding level of possession and support concepts and knowledge of how to create time and space with or without the puck. Our objective is to teach puck management skills and systems that will allow a player options. This coupled with obtaining a working knowledge of game strategies have proven to be a winning combination. Dates / Times / Age Groups 4 ice sessions in June 2011 Exact dates and times will be announced on the Brother Rice web site Boys entering grades 6, 7, and 8 Location Oak Lawn Ice Arena $55 Each participant will receive a Brother Rice jersey and camp t-shirt Team Accomplishments Our hockey teams have captured nine Catholic League titles, five Kennedy Cup championships and sent several young men to the junior, collegiate, and professional levels. Catholic League: 65, 69, 71, 72, 75, 76, 81, 82, 01 Kennedy Cup: 70, 71 72, 76, 01 Contact: Marty Grogan 773-429-4300 ext. 373 mgrogan@brrice.org Instruction will cover tennis skills: Scoring, Serves, Forehands, Backhands, Volleys and Overheads. A Free t-shirt will be given to each camper. This is a boys and girls co-ed camp with Mother McAuley. Date / Sessions July 11 14 Session 1 8:15 10:15 AM Entering 5 and 6th grade Session 2 10:30 AM 12:30 PM Entering 7th and 8th grade Session 3 3:30 5:30 PM Entering freshman and soph. Session 4 5:30 7:30 PM Entering juniors and seniors $75
10 Contact: Brother Paul Ickes, CFC 773-429-4494 pickes@brrice.org Indoor Volleyball Eligible Participants: Grade School Boys and Incoming Brother Rice Freshmen. We will conduct the camp at Brother Rice north and south gyms. Camp fee includes t-shirt and volleyball (1 per participant). Dates July 25 29 and August 1 5 Time / Age Groups 9:00 10:30 AM Entering 3 6 Grades 10:30 AM Noon Entering Grades 7 and 8 1:00 2:30 PM Incoming Br. Rice freshmen 1 week $75 2 weeks $125 Sand Volleyball Eligible Participants: All grade school boys and girls. We will conduct the camp at Klein Park (Circle Park) Sand Courts in Evergreen Park corner of 97th and Homan. Camp fee includes t-shirt and volleyball (1 per participant). Dates June 20 24 and June 27 July 1 Time / Age Groups 10:00 11:30 AM Grade School Boys and Girls 1 week $75 2 weeks $125 Indoor Tournament Eligible Participants: Boys in grades 4 8 Dates Weekend of April 29 May 1 Sand Tournaments Eligible Participants: Boys in all grades. We will conduct the tournament at Klein Park (Circle Park) Sand Courts in Evergreen Park corner of 97th and Homan. Dates and Times Spring Tournament May 14 (Saturday) 9 AM Noon Fall Tournament September 10 (Saturday) 9 AM Noon
11 Contact: Tony Cichowicz, tony.cichowicz@yahoo.com Celeste Faber, celesteannfaber@gmail.com Coach Tony Cichowicz is currently Head Swim Coach of Brother Rice High School. He graduated from Brother Rice in 1990. While at Brother Rice, Tony participated in the swimming and water polo programs. Tony attended Eastern Illinois University and he swam at the collegiate level for four years. Tony was assistant swim coach for one season in college. After college he played park district water polo for four years. In Coach Tony s first season coaching high school, the team finished fifth in sectionals out of twelve teams. His second season, the team finished fourth in sectionals. Date / Time / Age Groups Swim Session July 18 21 4:00 6:00 PM Boys entering grades 8 12 Diving Session July 18 21 10:00 11:30 AM 5th 9th Grades $30 Each camper will receive a Brother Rice camp t-shirt. What to Bring Swim suit, goggles and a towel. Contact: Bill Mulcrone, Head Water Polo Coach 773-401-2210 Coaching Accomplishments 4 Sectional Championships, 2003, 2004, 2006, 2007 IHSA 3rd Place, 2007 IHSA State Champion, 2003 Sectional Coach of the Year, 2003, 2004, 2006, 2007 Illinois Water Polo Coach of the Year, 2003 Tony Lawless Award, 2003 Cath League Coach of the Year Date / Time / Age Groups Mondays and Wednesdays June 13 July 20 7:00 8:30 PM Boys entering grades 6 8 and high school $120 + $30 American Water Polo fees Player Accomplishments Collegiate All American, 2000 High School All American, 1996 Illinois Water Polo Player of the Year, 1996 First Team All State, 1994, 1995, 1996 Tony Lawless Award, 1996 Cath League Player of the Year All Catholic League, 1994, 1995, 1996 IHSA State Champion, 1994, 1995, 1996
12 Contact: Tom Wazio 773-429-4300 ext. 324 twazio@brrice.org Brother Rice has a strong tradition of excellence in Track and Cross Country. The philosophy of the coaching staff is to teach young athletes the benefits of running and encourage running as a life-long activity, with an emphasis placed on self-improvement. The purpose of the camp is to teach the proper mechanics of running, stretching, nutrition, and an all around healthy lifestyle. Individuals of all levels are welcome. Campers will be taught correct running form as well as racing strategy as it pertains to distances from 100 meters to 3 miles, including relays. Date / Time / Age Groups June 27 30 8:00 10:30 AM Boys entering grades 7 and 8 and incoming Brother Rice freshman $65 This fee includes participation in the camp, certificate of completion, a Br. Rice Track camp T-shirt, use of Br. Rice s all weather track, awards for top athletes at the end of the camp and lunch on the final day. What to Bring Each camper is asked to come prepared each day with t-shirt, shorts and shoes that are suitable for running. Camp Staff The camp will be under the guidance of Mr. Tom Wazio 97, Head Track/Cross Country Coach. Current members of the Br. Rice Track & Field team will assist in the running of the camp and will act as counselors. What You ll Learn Stretch properly to prevent injury. Correct form in order to become a more efficient runner. The basics of physiology as it pertains to rest, recovery, nutrition, and how to attain and keep their bodies in top physical condition. How to train, depending on ability, for events ranging from 100 meters to 3 miles. How to correctly run a relay and the importance of teamwork. Watch videos of high school, college, and elite athletes in order to better understand racing strategy. Listen to Br. Rice graduates, who have earned All-State honors and Division I scholarships, speak on the benefits of running, competition, and their experience as an athlete.
13 Contact: Dave Fee 773.793.0980 feedavid@hotmail.com The purpose of the camp is to introduce rugby to a younger generation of rugby players, both boys and girls! Our camp is non-contact and emphasizes safety and fun, while we remain on the cutting edge of rugby training. Dates / Times / Age Groups June 20 24 3:00 5:00 PM Boys & girls, grades 1 8 $75 What to Bring Each camper should bring their own soccer/football cleats. Dress appropriately. RUGBY is back in the Olympics in 2016, and America will defend the Gold Medal in those Olympic Games. RUGBY in America has exploded! There are currently over 20,000 high school rugby players and close to 600 high school teams across the country. Athletes are choosing to play rugby and America has caught on to this sport that is considered a religion in such countries as Australia, England, France, Ireland, New Zealand, and South Africa. Not to mention the Rugby World Cup draws an attendance only below the Olympic Games and the Soccer World Cup. During any given session, each player learns how to function individually, in small groups, and as a member of the team. At the conclusion of each session, players will experience daily competitive matches. A top United States Rugby Player will attend camp to demonstrate techniques and autograph photos. This camp includes a t-shirt and sport sack bag.
14 ACADEMIC
15 Contact: Michelle England, Honors English Teacher 773-429-4300 ext. 368 mengland@brrice.org Some people love to write, while others hate to write. Some people seek opportunities to write, while others avoid writing at all costs. When students reach high school, however, they need to write. In order to gain confidence in their writing skills, students need to practice writing, they need to write for a specific audience, and they need to share their writing. This summer, students enrolled in the Brother Rice Writing Camp will practice academic writing skills. Over the course of four days young writers will practice grammar and free writing and focus on creating strong thesis statements. Writers will also share the results of their various writing exercises with their fellow participants. During the camp, students will replace dead verbs with lively, interesting action verbs; explore their imaginations with creative writing prompts; and cultivate their abilities by creating potential thesis statements on topics of their choosing. Examining their own writing samples, students will eliminate to be verbs, eradicate run-ons and fragments as needed, and craft stronger, superior sentences. Date / Time / Age Groups Session 1 June 20 23 10:30 AM 12:30 PM Boys and girls entering grades 5 & 6 Session 2 June 27 30 10:30 AM 2:30 PM Boys and girls entering grades 7 & 8 $75 Materials are included.
16 Contact: Cliff Petrak 773-429-4300, ext. 482 Learn to master a multitude of little-known, super-shortcut computational techniques and strategies involving addition, subtraction, fractions, squaring, and multiplication that will leave your calculator-dependent friends in the dust. Campers will receive a copy of Don t Slow Me Down with That Calculator. Date / Time / Age Groups June 20 24 9:00 10:15 AM Boys/girls entering grades 5 9 All ability levels $60 $15 for book to be purchased in class on the first day of camp. Cash or check made to Cliff Petrak Contact: Dr. Jean Mehta 773-298-3392 mehta@sxu.edu Learn to build Android applications using Google s App Inventor. SXU Professor Dr. Jean Mehta will direct undergraduate students to teach this class. No prior programming or design experience necessary. Participants do not need an Android device as all of the work will be completed through the web. Participants should register for a Google account prior to the start of camp. Date / Time / Age Groups July 25 29 9:00 AM Noon Incoming freshman through seniors, boys and girls from any area high school. Location St. Xavier University Warde Academic Center Room S104 $75
BOYS SUMMER CAMP REGISTRATION Please check your camp session below (side 1) Boys Summer Camp Session I June 6 10 Session II June 13 17 Session III June 20 24 Returning camper Camp cost: $150 for 1 week; $275 for 2 weeks; $400 for 3 weeks $30 deposit must accompany registration form. Balance due upon first day of camp. After May 24th a confirmation will not be sent home, and you will receive a phone call if a session is closed. Campers will be divided into three groups according to age: 6 & 7, 8 & 9, 10 & 11. If your son needs to move to another age group to be with friends, please specify below. Please fill out the registration form FULL NAME AGE AT START OF CAMP PREFERRED AGE GROUP ADDRESS EMERGENCY PHONE CITY STATE ZIP E-MAIL T-Shirt Sizes XL L M S Other side D
BOYS SUMMER CAMP REGISTRATION Signature for permission (side 2) Campers are insured by a supplemental insurance program. Campers will be required to provide their own transportation to and from camp. No refunds given after the first day of a camp session or for missed days. Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk. To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school, and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic. I hereby acknowledge that I am the sole judge of my child s physical abilities and condition to engage in this clinic for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my child s best interest. PARENT S SIGNATURE DATE Please make checks payable to: Brother Rice Boys Camp Mail to: Brother Rice High School Attention: Ann Hayes 10001 South Pulaski Road Chicago, IL 60655 To register online, go to: www.brotherrice.org
% SPORTS CAMP REGISTRATION Please check your camp session below (side 1) Baseball Cheer Basketball Soccer Football Punting & Kicking Wrestling Hockey Tennis Indoor Volleyball Sand Volleyball Swimming Diving Water Polo Track Rugby SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE FULL NAME SCHOOL ADDRESS EMERGENCY PHONE CITY STATE ZIP E-MAIL T-Shirt Sizes XL L M S Note that not all camps offer t-shirts. Please check the camp description for more information. SPORTS CAMP REGISTRATION Please check your camp session below (side 1) Baseball Cheer Basketball Soccer Football Punting & Kicking Wrestling Hockey Tennis Indoor Volleyball Sand Volleyball Swimming Diving Water Polo Track Rugby SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE FULL NAME SCHOOL ADDRESS EMERGENCY PHONE CITY STATE ZIP E-MAIL T-Shirt Sizes XL L M S Note that not all camps offer t-shirts. Please check the camp description for more information.
SPORTS CAMP REGISTRATION Signature for permission (side 2) Campers are insured by a supplemental insurance program. Campers will be required to provide their own transportation to and from camp. No refunds given after the first day of a camp session or for missed days. Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk. To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school, and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic. I hereby acknowledge that I am the sole judge of my child s physical abilities and condition to engage in this clinic for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my child s best interest. PARENT S SIGNATURE DATE Please make checks payable to: Brother Rice Name of camp (i.e. Baseball) Camp Mail to: Brother Rice High School Attn: Ann Hayes 10001 S. Pulaski Road Chicago, IL 60655 To register online, go to: www.brotherrice.org % SPORTS CAMP REGISTRATION Signature for permission (side 2) Campers are insured by a supplemental insurance program. Campers will be required to provide their own transportation to and from camp. No refunds given after the first day of a camp session or for missed days. Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk. To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school, and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic. I hereby acknowledge that I am the sole judge of my child s physical abilities and condition to engage in this clinic for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my child s best interest. PARENT S SIGNATURE DATE Please make checks payable to: Brother Rice Name of camp (i.e. Baseball) Camp Mail to: Brother Rice High School Attn: Ann Hayes 10001 S. Pulaski Road Chicago, IL 60655 To register online, go to: www.brotherrice.org
% ACADEMIC CAMP REGISTRATION Please check your camp session below (side 1) Writing Camp Speed Mental Math Camp Android Application Development Camp SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE FULL NAME SCHOOL ADDRESS EMERGENCY PHONE CITY STATE ZIP E-MAIL ACADEMIC CAMP REGISTRATION Please check your camp session below (side 1) Writing Camp Speed Mental Math Camp Android Application Development Camp SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE FULL NAME SCHOOL ADDRESS EMERGENCY PHONE CITY STATE ZIP E-MAIL
ACADEMIC CAMP REGISTRATION Signature for permission (side 2) Campers are insured by a supplemental insurance program. Campers will be required to provide their own transportation to and from camp. No refunds given after the first day of a camp session or for missed days. Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk. To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school, and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic. I hereby acknowledge that I am the sole judge of my child s physical abilities and condition to engage in this clinic for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my child s best interest. PARENT S SIGNATURE DATE Please make checks payable to: Brother Rice Name of camp (i.e. Writing) Camp Mail to: Brother Rice High School Attn: Ann Hayes 10001 S. Pulaski Road Chicago, IL 60655 To register online, go to: www.brotherrice.org % ACADEMIC CAMP REGISTRATION Signature for permission (side 2) Campers are insured by a supplemental insurance program. Campers will be required to provide their own transportation to and from camp. No refunds given after the first day of a camp session or for missed days. Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk. To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school, and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic. I hereby acknowledge that I am the sole judge of my child s physical abilities and condition to engage in this clinic for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my child s best interest. PARENT S SIGNATURE DATE Please make checks payable to: Brother Rice Name of camp (i.e. Writing) Camp Mail to: Brother Rice High School Attn: Ann Hayes 10001 S. Pulaski Road Chicago, IL 60655 To register online, go to: www.brotherrice.org
To learn more about the Summer Camps at Brother Rice, please visit www.brotherrice.org
10001 South Pulaski Road Chicago, Illinois 60655