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14 th Annual Camel Lacrosse Camp Sponsored by www.aelacrosse.com Boys Ages 8-14 July 20- 24, 2009 Dave Cornell Men’s Lacrosse Coach CONNECTICUT COLLEGE 860-439-2564 (Office) 860-439-2516 (Fax) [email protected] APPLICATION (Please fill out a separate application for each camper) Please check appropriate box indicating the amount you have enclosed with your application. PLEASE PRINT One week cost $200.00_________ Deposit $100.00__________ Two or more in family @ $175.00each__________ GOALIE DISCOUNT $100.00__________ Note: No other discounts apply to goalies. NAME________________________________ _____Phone(Home/ Office)__________________________ ADDRESS_____________________________ _____CITY/STATE/ ZIP___________________________ E- MAIL________________________________ ____ HEIGHT______ WEIGHT_______ AGE (as of 7/20/09)______ POS_____ YRS EXPER ________ GRADE IN FALL ‘09_______ PARENT/GUARDIAN SIGNATURE ____________________________________ ______ Signing here indicates your agreement to allow the camp to provide emergency and routine medical care for your child. This is also a consent form that says you are aware of the inherent risks associated with a contact sport such as lacrosse. You also agree that your child will heed all rules and regulations of the camp or face dismissal without refund. Make checks payable to: ATLANTIC ELITE LACROSSE COST: $200.00 for the week. Discounts include $175 per camper for 2 or more from same family and for Conn College faculty and staff families. GOALIES are discounted $100! (They must play goalie for the entire camp). You can register up until July 10 th , 2009, but earlier is better for the camp planning. DEPOSIT: A $100.00 deposit must accompany your application to ensure your spot in this increasingly popular camp. This deposit of $100 is non-refundable after July 3 rd , 2009. REFUNDS: If you decide not to come to camp after paying in full or a deposit before July 3 rd , you will receive a full refund. If you pull out of camp, but EQUIPMENT NEEDED All campers must have helmet, arm or elbow pads, shoulder pads, soccer-type or molded rubber cleats, mouthpiece, gloves and stick. hockey helmets w/mask are OK, as are hockey shoulder pads. Note: The camp does not provide loaner equipment. Try Replay Sports or ask local youth camp directors to direct you to children who have equipment in your town who may not be attending. Please return application with deposit or full payment to: Dave Cornell, Director Men's Lacrosse Office 270 Mohegan Ave. New London, CT 06320-4196 Remember the dates for next Summer! JULY 19-23, 2010 Note: Schedule is subject to change. For inclement weather, camp will be held in Luce Fieldhouse. If we can’t notify you in advance, a coach will be waiting by fields at 8:45 am to instruct you to drop campers at Luce Fieldhouse. We will only go inside in the event of an electrical storm or a downpour. If the weather is too hot, we will continue with regular a.m. schedule and provide an ample number of water breaks in the shade. The P.M. session could start later if we keep the campers in the Fieldhouse longer to avoid sun exposure. STATE CERTIFICATION: The Camel Lacrosse Camp is fully licensed by the State of Connecticut. The camp is staffed by
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14 th Annual Camel Lacrosse Camp Sponsored by aelacrosse

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APPLICATION (Please fill out a separate application for each camper) Please check appropriate box indicating the amount you have enclosed with your application. PLEASE PRINT One week cost $200.00_________ Deposit $100.00__________ Two or more in family @ $175.00each__________ - PowerPoint PPT Presentation
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Page 1: 14 th  Annual Camel Lacrosse Camp Sponsored by  aelacrosse

14th AnnualCamel

Lacrosse CampSponsored by

www.aelacrosse.com

BoysAges 8-14July 20-24,

2009Dave CornellMen’s Lacrosse Coach

CONNECTICUT COLLEGE860-439-2564 (Office)860-439-2516 (Fax)

[email protected]

APPLICATION (Please fill out a separate application for each camper) Please check appropriate box indicating the amount you have enclosed with your application. PLEASE PRINTOne week cost $200.00_________ Deposit $100.00__________ Two or more in family @ $175.00each__________GOALIE DISCOUNT $100.00__________ Note: No other discounts apply to goalies.NAME_____________________________________Phone(Home/Office)__________________________ADDRESS__________________________________CITY/STATE/ZIP___________________________E-MAIL____________________________________ HEIGHT______ WEIGHT_______ AGE (as of 7/20/09)______ POS_____YRS EXPER ________ GRADE IN FALL ‘09_______PARENT/GUARDIAN SIGNATURE

__________________________________________Signing here indicates your agreement to allow the camp to provide emergency and routine medical care for your child. This is also a consent form that says you are aware of the inherent risks associated with a contact sport such as lacrosse. You also agree that your child will heed all rules and regulations of the camp or face dismissal without refund.Make checks payable to: ATLANTIC ELITE LACROSSE

COST:$200.00 for the week. Discounts include $175 per camper for 2 or more from same family and for Conn College faculty and staff families. GOALIES are discounted $100! (They must play goalie for the entire camp). You can register up until July 10th, 2009, but earlier is better for the camp planning. DEPOSIT: A $100.00 deposit must accompany your application to ensure your spot in this increasingly popular camp. This deposit of $100 is non-refundable after July 3rd, 2009. REFUNDS: If you decide not to come to camp after paying in full or a deposit before July 3rd, you will receive a full refund. If you pull out of camp, but do not notify camp prior to July 3rd you will forfeit the deposit. If you come to camp and then pull out, you forfeit deposit.

EQUIPMENT NEEDEDAll campers must have helmet, arm or elbow pads, shoulder pads, soccer-type or molded rubber cleats, mouthpiece, gloves and stick. hockey helmets w/mask are OK, as are hockey shoulder pads. Note: The camp does not provide loaner equipment. Try Replay Sports or ask local youth camp directors to direct you to children who have equipment in your town who may not be attending.

Please return application with deposit orfull payment to:

Dave Cornell, DirectorMen's Lacrosse Office270 Mohegan Ave.New London, CT 06320-4196

Remember the datesfor next Summer!JULY 19-23, 2010

Note: Schedule is subject to change. For inclement weather, camp will be held in Luce Fieldhouse. If we can’t notify you in advance, a coach will be waiting by fields at 8:45 am to instruct you to drop campers at Luce Fieldhouse. We will only go inside in the event of an electrical storm or a downpour. If the weather is too hot, we will continue with regular a.m. schedule and provide an ample number of water breaks in the shade. The P.M. session could start later if we keep the campers in the Fieldhouse longer to avoid sun exposure.STATE CERTIFICATION: The Camel Lacrosse Camp is fully licensed by the State of Connecticut. The camp is staffed by medical personnel and pool personnel approved by the State.

Page 2: 14 th  Annual Camel Lacrosse Camp Sponsored by  aelacrosse

CAMP STORE/LUNCHEach day campers will have a choice to bring a lunch or order a pizza or grinder from a local restaurant. Lunches will be refrigerated by camp staff at drop-off time. Orders will also be taken at drop-off time. Orders must be prepaid. The Camp Store will be open daily offering soda, juice, candy, and chips. Lacrosse specialty items will also be available: t-shirts, shorts, tank tops, hats, and visors.

TURF FIELD - SILFEN FIELD•9 fields all overlooking Long Island Sound!•Dayton Ice Arena (indoor lax)•Conn College Lott Natatorium (pool)•Fitness & Wellness Center•Charles B. Luce Fieldhouse *3 indoor courts that form an indoor field *Locker Rooms for campers *Air-conditioned meeting room for video viewing/analysis

CONNECTICUT COLLEGE OFFERSThe beautiful New London campus has some of the most aesthetically pleasing facilities among all New England colleges. We use all of these facilities, especially off-the-field at the hottest part of the day. They include:

CAMP PHILOSOPHYTeaching is the philosophy of this camp. Ourexperienced staff has been selected for theirability to teach. Our coaches are experts inlacrosse and are committed to our philosophy. It is our goal that through our camp you will make significant strides towards becoming a more confident, informed, and skilled lacrosse player. Our commitment to a low staff:camper ratio supports our mission (2008 ratio was 1:8).

THE PROGRAMThe Camel Lacrosse Camp combines anemphasis on individual skills with a progression of small-sided team concepts into controlled scrimmage/game situations. Depending on the enrollment in each camp, campers are divided by age and ability to make an appropriate experience. Our wealth of fields on campus allow us to break down camper groups for the best learning environment. The following are highlights of the lacrosse program:

•Individual skills, including goalie work•Video •Team concepts•Indoor box games•Outdoor games

SPECIALTY TOPICS Face-off Play Shooting Individual D/O Crease play (D/O) The Lax Challenge : fastest shot, longest throw, most accurate shot.

SWIMMINGThere will be a recreational swim session each day supervised by certified lifeguards. This is for SWIMMERS ONLY. Bathing suit and towel must be provided. The swim session is normally after the AM session.

DAILY SCHEDULE:8:45am Drop off at Fields9:00am ON FIELD- skills11:00am End AM session11:15-12:40 Pool, Lunch, Video12:45pm Specialty Talks1:30pm ON FIELD- team concepts3:00pm End PM teaching session3:15-4:15pm GAMES4:15pm Pick up at Fields

CAMP DIRECTORSDave Cornell - Head Coach Connecticut CollegeCoach Cornell became the 4th head coach in the historyof the program after spending two season as thedefensive coordinator at Notre Dame. While at Notre Dame, Cornell coached a defense that lifted the Irishto the 2006 NCAA playoffs. Cornell’s coaching careerbegan at Gettysburg College where he spent four yearsas an assistant coach after being a 2-time All-Americanmidfielder for the Bullets. He was named the head coach at Muhlenburg College in 2001 where he started the program from scratch and recorded wins in theirfirst two seasons as a varsity program in 2003 and 2004.

Topher Grossman ’05 - Asst Coach Connecticut CollegeCoach Grossman returned to his alma mater in the summer of 2007 after coaching stints at Adrian Collegeand the Trinity-Pawling School. Grossman was votedMVP 3-times by his teammates for his work in net for the Camels. He garnered All-American as well as Academic All-American honors during his senior season. Coach Grossman is the Offensive Coordinator for the Camels.

Dave Howes ’93 - Asst Coach Connecticut CollegeCoach Howes rejoined the Connecticut College lacrosseprogram in the fall of 2007 after years at the helm of the Fitch High School men’s varsity lacrosse team. Howes is a teacher at the ISAAC School in New London and is the Defensive Coordinator for the Camels.

Page 3: 14 th  Annual Camel Lacrosse Camp Sponsored by  aelacrosse

POTASSIUM IODIDE (KI) FACT SHEET AND PERMISSION FORMThe State of Connecticut is making Potassium Iodide tablets (KI) available to child care facilities and youth camps within the 10-mile emergency –planning zone around Millstone Power Station in Waterford, CT. KI is a form of iodine. It helps to protect the thyroid gland when there is a chance that you might be exposed to a harmful amount of radioactive iodine. In the rare event of a nuclear emergency, your child care provider will be directed when to administer KI through the Emergency Alert System (EAS). Children in child care and youth camps are of the age most likely to suffer the effects of radioactive iodine. Your childcare program or youth camp must obtain your written consent in order to administer KI pills to your child/children. Please remember that the administration of KI to your child under these emergency conditions is voluntary. Contraindications:*Your child should not take Potassium Iodide if he/she is allergic to iodine.*Your child should not take Potassium Iodide if he/she has chronic hives.*Although a single tablet of KI should be tolerated by most people, some (particularlyadults), with a number of rare diseases and conditions should discuss this issue withtheir physicians. These conditions include:*Hypocomplementemic vasculitis, possibly as a component of lupus or chronic hives,*Autoimmune thyroid disease, such as Graves disease. Potential side Effects:Please consult with your pediatrician if your child experiences any of these side effects:*Minor upset stomach*RashPOTASSIUM IODIDE (KI) CHILD MEDICATION AUTHORIZATION FORMName of Child:__________________________________ Date of Birth:__________________Street_______________________________________________________________________City:_________________________________ State:_______ Zip:______________________Please indicate your authorization or refusal by marking the appropriate line below:_______YES, I want my above named child to be administered KI by my provider when:The Governor declares a nuclear emergency, AND individuals in specified area, that includes this child care facility/youth camp, are advised by the Emergency Alert System (AES) to take the Potassium Iodide (KI) tablets AND I understand that the ingestion of Potassium Iodide (KI) under these circumstances is voluntary._______NO, I do NOT want my above named child to be given Potassium Iodide (KI) by my provider in the event of a nuclear emergency. I have been advised in writing by the facility about the contraindications and the potential side effects of taking Potassium Iodide. I understand that it is my responsibility to notify my provider in writing if I desire to change my authorization as indicated above._________________________________________ ___________________(Parent/Guardian Signature) (Date)

Page 4: 14 th  Annual Camel Lacrosse Camp Sponsored by  aelacrosse

STATE PROCEDURES REGARDING MEDICATIONSCampers must surrender all medication, EVEN OVER-THE-COUNTER MEDICATION (i.e.Tylenol, Advil, etc) to our Medical Staff at check-in, to be placed in a locked medical box for the duration of the camp. Campers may self-administer prescribed medications when needed with documented parental and authorized prescriber permission. Prescription medications must be in pharmacy prepared containers and labeled with the name of the child, name of the drug, strength, dosage, frequency, authorized prescriber or dentist’s name and date of the original prescription. Over-the-counter medication must be in the original container and labeled with the child’s name.I hereby request that the following medication be self-administered by:___________________________________________________, during Camel Lacrosse Camp.(PLEASE PRINT CAMPER’S NAME) (DATE) 

I understand that I must supply the youth camp with the prescribed medication in it’s original container and properly labeled by a physician/pharmacist. Over the counter medication shall be labeled with the child’s name by the Parent/Guardian(s) at check-in. I understand that this medication will be destroyed if not picked up within (1) week following the end of this session of camp.Name of Medication:______________________________________________________________

Times of Administration:_____, _____, _____ Dates of Administration: ___/___/___ to ___/___/___Is this a controlled drug?__________________ Authorized Prescriber or Dentist Information:Name (PRINT):_________________________________ Phone #:_____________________________Street Address:____________________________ City/Town:______________________ State:_____Authorized Prescriber or Dentist Signature:________________________________________________Parent/Guardian(s) Name (Printed):____________________________Parent/Guardian(s) Signature:_________________________________Relationship to child:________________________________Phone Number:_________________