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2019 Camp Dates are July 15 - July 18 at Clover Dell. 6:00 pm - 8:00 pm *players will be grouped by age/grade and skill level *Rainout location - Smith Cotton Junior High Gym Deadline: June 28, 2019 To reserve your spot Contact: Amanda Blackburn For team registration please contact Sam Jones at 660-620-7772 e-mail: [email protected] Located in Sedalia, Missouri at Clover Dell Soccer Park REGISTER TODAY! Player Name: Circle One: Beginner Recreational Level Competitive Goalie Competitive Team Name: Gender (circle) M F Age: Date of Birth: / / Address: City: State: Zip: Phone: ( ) Parent/Guardian: E-Mail: Camp T-shirt Size (circle) YS YM YL / AS AM AL Make Checks Payable to: PKSA Complete Waiver and Registration information attach your check or money order and mail to: PKSA Soccer Camp 1940 W Timber Ridge Dr. Sedalia, MO 65391 or drop off by Pummill’s Sporting Goods Insurance and Medical Care Waiver of Liability and Disclaimer: To induce Paul Klover Soccer Association (PKSA) to accept registration and permit participation in camp activities by the named indi- vidual, the parent/guardian of said individual hereby give my consent and agree to release, indemnify and hold harmless PSKA, its coaches and representatives, from any claim rising out of injury to the named individual. I also hold harmless PKSA, its coaches, and representatives, from any claim arising out of injuries or conditions caused by or aggrivated by my refusial to obtain medical treatment based on reli- gious or philosophical beliefs. Emergency Authorization: I the undersigned parent/ guardian of the participant, a minor, hereby authorize the couches of PKSA to se- cure all medical treatment in the event that I cannot be contacted. I further authorize any attending physician to render any and all medical care, which he/she may deem necessary. I, the undersigned parent/guardian of the participant certify that my child is physically fit to attend this camp. Parent/Guardian Signature: Emergency Name: Emergency Phone: Date: Total Amount Enclosed: $ $60.00 per participant YOUTH SOCCER CAMP
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Player Name: Circle One€¦ · Shawn Cairer Smith-Cotton H.S. Girls Coach oPlayed at Smith-Cotton 94-97 oSFCC 98-99 (1st Team All-American, National Player of the Year) o2000-02

Jul 10, 2020

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Page 1: Player Name: Circle One€¦ · Shawn Cairer Smith-Cotton H.S. Girls Coach oPlayed at Smith-Cotton 94-97 oSFCC 98-99 (1st Team All-American, National Player of the Year) o2000-02

2019Camp Dates are July 15 - July 18 at Clover Dell.

6:00 pm - 8:00 pm*players will be grouped by age/grade and skill level*Rainout location - Smith Cotton Junior High Gym

Deadline:June 28, 2019

To reserve your spot

Contact: Amanda BlackburnFor team registration please contact Sam Jones at 660-620-7772

e-mail: [email protected]

Located in Sedalia, Missouri atClover Dell Soccer Park

REGISTER TODAY!Player Name:Circle One: Beginner Recreational Level Competitive Goalie

Competitive Team Name:

Gender (circle) M F Age: Date of Birth: / /

Address:

City: State: Zip:

Phone: ( )

Parent/Guardian:

E-Mail:

Camp T-shirt Size (circle)

YS YM YL / AS AM AL

Make Checks Payable to: PKSAComplete Waiver and Registration information attach your check or money order and mail to:PKSA Soccer Camp1940 W Timber Ridge Dr.Sedalia, MO 65391or drop off by Pummill’s Sporting GoodsInsurance and Medical CareWaiver of Liability and Disclaimer: To induce Paul Klover Soccer Association (PKSA) to accept registration and permit participation in camp activities by the named indi-vidual, the parent/guardian of said individual hereby give my consent and agree to release, indemnify and hold harmless PSKA, its coaches and representatives, from any claim rising out of injury to the named individual. I also hold harmless PKSA, its coaches, and representatives, from any claim arising out of injuries or conditions caused by or aggrivated by my refusial to obtain medical treatment based on reli-gious or philosophical beliefs. Emergency Authorization: I the undersigned parent/guardian of the participant, a minor, hereby authorize the couches of PKSA to se-cure all medical treatment in the event that I cannot be contacted. I further authorize any attending physician to render any and all medical care, which he/she may deem necessary. I, the undersigned parent/guardian of the participant certify that my child is physically fit to attend this camp.

Parent/Guardian Signature:

Emergency Name:

Emergency Phone:

Date:

Total Amount Enclosed:$$60.00 per participant

YOUTHSOCCERCAMP

Page 2: Player Name: Circle One€¦ · Shawn Cairer Smith-Cotton H.S. Girls Coach oPlayed at Smith-Cotton 94-97 oSFCC 98-99 (1st Team All-American, National Player of the Year) o2000-02

Coachin TAFF Chris Lawson Rockhurst H.S. o Played at Sacred Heart 84-87, SFCC 88-89,

Park University 90-91 o Head Coach at Rockhurst since 1994o 14 consecutive final fours, 13 final fours in 17 yearso 5 State Championships in 98, 99, 07, 08 & 2010o Four time state & regional coach of the yearo Coached over 90 Division I, II, Ill & NAIA players,

two NSCM All Americans & four MLS players o Trains over 150 keepers each year in KC.

Eddie Horn

Mike Howard Rolla High School, Boys and Girls Head Coach o 20 District Championships, 12 Conference

o 9 time District Coach of the Year, 5 time SouthwestfJioomgk:>�tl�,& Yli�� Ml1ne ls00eFour

o Coach of the Year. 2005 National Coach of theYear Finalist

Jefferson City High School Soccer Coach o Graduated from S-C in 1983, played at

UAB and then transferred to Missouri Southern, assistant Coach at S-C, one Final

o Four appearance in 1989, 16 year tenure atJefferson City High School.

Shawn Cairer Smith-Cotton H.S. Girls Coach o Played at Smith-Cotton 94-97o SFCC 98-99 (1st Team All-American, National

Player of the Year)o 2000-02 IP-Fort Wayneo Head Coach 06-present Smith-Cotton

Ethan Weller Smith-Cotton Boys Soccer Coach o Smith-Cotton 2009-present (3 cont - 1 districttitle)

o Sacred Heart-Asst. Coach 2001-2003§ �m�c:Hll:t��o�cwi�6-09

Additional Staff Members: Travis Cairer - Boys/Girls Soccer Coach

Sam Jones - Smithton High School Boys Soccer Coach Michael Desmond - Smith Cotton High School

Soccer Assistant Coach Adam Murray -Smith Cotton High School

Soccer Assistant Coach Sam Braverman - William Jewel Soccer

Nick Waite - Lewis & Clark Community College, Alton, IL Jason Howard

For Ages: Entering 1st Grade through

Entering 12th Grade for the 2013-2014 school year

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Goalkeeper Session Technical review Low diving/deflections Medium height diving Angle play Footwork/plyos Dealing with crosses Passing & receiving Dealing with back passes Breakaway technique and tactics Defending restarts Striking and Finishing Placement shooting Receiving balls 1 v 1 fakes & feints Chipping & Lobbing Long range power shooting Volleys & half-volleys Heading for goal Near & far post runs Attacking numbers up and down Defending Team and Individual Defending Man to man marking Zonal marking

Cost: $60.00 per participant * * All Participants Must Bring Own Ball,

Water and Proper Soccer Gear * *

Meredith BrickCoaching Experience:

• Assistant coach for Cillicothe High School’s boys and girls soccer programs

• Graduate assistant/goalkeeper coach at Lindenwood University Belleville in Belleville, IL

• Head coach for S-C girls’ soccer program• Assistant coach/goalkeeper coach for S-C boys’ soccer program

Playing Experience:• Goalkeeper at Central Methodist University, 4 years

More guest coaches to be announced at a later date.

For Ages: Entering 1st Grade through Entering 12th Grade for the 2019-2020 school year.

Jaime BeltranCoaching Experience:

• Head Soccer Coach at SFCC• Collegiate head coach in NJCAA and NAIA, 9 years• NJCAA Division I national tournament appearance• High School varsity head coach, 8 seasons• Staff Coach & Director Coaching with various clubs

Darrin GoodsonLicensing/Coaching Education: USSF National D licenseCoaching Experience:

• PKSA Youth• Sedalia Select• CBFC• Carrera Soccer Club• Futura Academy• Futura/Milan Academy• FCKC premiere, 2 state cup runner ups• Revolution FC, U12, U15, and High School Girls

Playing Experience: • PKSA since 4 years old• Hustlers• Sidekicks• Heartland Nationals• S-C 1989 Final 4 team• SFCC All Region 15 honors

Sam Jones Coaching Experience:

• Sacred Heart Varsity Head Coach• 2016 and 2017 Region Coach of the Year• 2016 3rd Place State Finish• 2017 2nd Place State Finish

Playing Experience:• McPherson College, 1999-2000• Bethany College, 2001-2004• 2 x Academic All-American• KCAC All-Conference

Jake HerrickLicensing/Coaching Education: National D LicenseCoaching Experience:

• Youth Competitive Coach (10 + years, ages 8-19)• Revolution FC Current Club President• High School Referee, 9 years

Playing Experience:• Smith-Cotton High School Player, 1st team All Region,

District, and Conference

CoachingSTAFF

Adam Murray Coaching Experience:

• Smith-Cotton High School Girls Head Coach• Smith-Cotton High School Boys Assistant Coach

Ethan WellerCoaching Experience:

• Smith-Cotton Boys Soccer Coach• Smith-Cotton Asst. Coach, 2006-2009• Sacred Heart Asst. Coach, 2001-2003

Playing Experience:• Smith-Cotton, 1994-1997

Dan MartinLicensing/Coaching Education: United Soccer Coaches member, Level Six Diploma, Goalkeeper Level Three Diploma, Director of Coaching Diploma, Missouri Youth Soccer Certification, Special Top Certification in mental toughness, Dutch Style of Play Philosophy School CertificationCoaching Experience:

• Assistant soccer coach for the boy and girl’s teams at Notre Dame Regional High School in Cape Girardeau, MO

• 2017 state championship and 23-1 record• Coaching director for United Soccer of Southeast Missouri in Jackson, MO• Coordinated camps, leagues, training sessions, coaches, and tournaments• Boy and girl’s head soccer coach at Cape Girardeau High School• United Soccer Coaches

Playing Experience:• SFCC, 2000-2001• Division I soccer at the University of Louisville, 2002-2003