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Culver Academies Summer 2005 |
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Culver Academies Distance Running Camp
@ Culver Academies Campus – Culver, INJune 19 – 23, 2005 August 8 - 12, 2005
Purpose of this camp
Who will be at Culver?
Speakers/coaches at the June camp (August camp speakers on the web site in April)
You will train all over the campus – around the lake – on the rolling hills of the golf course – through the wooded trails – on the country roads Coaches: if interested in attending for a day, contact Michael Chastain ---- Coach cost per day: $40
Information @:www.culver.org (Cross Country) Direct link: http://www.culver.org/students/sports/CrossCountry/camp/camp.asp Campus map site:http://www.culver.org/visitors/maps/index.htm
If you fly in: transportation will be made available from South Bend Regional Airport on Sunday, June 19 & Monday, August 8 @ 2:30 pm and to the airport on Thursday, June 23 & Friday, August 12 @ noon ($25 fee) You must inform camp director of airline, flight number & arrival time (must be earlier than 2:30)
The following is included in your camp fee:
Daily Camp Schedule6:45 am Wake up 7:00 am Morning workout 8:00 am Breakfast 8:45 – 10:45 Instruction 11:15 am-12:15 pm Lunch 1:00 pm – 3:30 pm Instruction/training/activity 4:00 pm – 5:30 pm Afternoon workout 6:00 pm Dinner 7:00 pm – 9:30 pm Instruction/fun activity 10:30 pm Lights out
Check-in & registration @ Culver Academies Sunday, June 19 & Monday, August 8 from 2:30 pm – 4:30 pm at the McMillen Recreation Center lobby
Check out after 10:30 am on Thursday, June 23 & Friday, August 12
Fees include lodging in dorms, meals (11) – Sunday dinner through breakfast on Thursday, camp t-shirt, instruction
Personal items needed bring clothing & foot gear for at least 8 workout sessions, spikes, swim suit, toiletries, pillow, linens, blanket, towels, washcloths, soap – no laundry will be done while @ camp
Camp information/location/directions: The Culver Academies is located in north-central Indiana – about 35 miles south of South Bend & 100 miles north of Indianapolis. The Academies’ campus is about 9 miles west of U.S. 31 on Indiana 10.
Coaches: if interested in attending for a day, contact Michael Chastain. Coach cost per day: $40 Call 574-842-8395 or email Michael Chastain at [email protected] Access www.culver.org for general Academies information & go to the Cross Country web page for camp info Direct link: http://www.culver.org/students/sports/CrossCountry/camp/camp.asp Camp Fees (circle one)Space reservation fee: send a non-refundable $75 reservation fee by April 30, 2005 June camp: full fee due by May 31, 2005 August camp: full fee due by June 15, 2005
Send this page & fee to: (check or money order payable to: “Culver Educational Foundation”)
Culver Academies Distance Camp 1300 Academy Road #106 Culver , IN 46511-1291
Culver Academies Distance Running Camp Camp Registration – 2005Sunday - Thursday (June 19 – June 23) Monday – Friday (August 8 – August 12) (some states may not allow their athletes to attend this camp) Name _______________________________________ School _______________________________________ Home address___________________________________ ___________________________________ Home phone ___________________________________ Email address: __________________________________ Child’s age: ______ Grade in school for 05-06: ______
Gender: M F T-shirt size: S M L XL Best performances: Event time ___________ ____________ ___________ ____________ ___________ ____________
THE CULVER EDUCATIONAL FOUNDATION CONSENT AND RELEASE AGREEMENT Distance Running Camp In consideration of permission to participate in, or continue participating in, the activities and programs of The Culver Educational Foundation, and to use its facilities, I hereby acknowledge and agree as follows:
I recognize that my child’s participation in the Distance Running Camp is with some risk of bodily injury. I accept those risks with full knowledge of the dangers involved, and hereby certify that I know of no physical or medical problems that would increase my child’s risk of illness or injury, as a result of participating in the Distance Running Camp. In the event of an injury or sudden illness, I consent to the administration of first aid and resuscitative measures performed on my child’s behalf by trained or qualified personnel. I assume full responsibility for all medical expenses incurred as a result of injuries suffered by my child’s participation in the Distance Running Camp. My health insurance provider is ______________________, Group No. ____________. I agree that my child’s participation in the Distance Running Camp is strictly voluntary, and that the Camp Directors , Michael Chastain and Joe Mendelson or their staff, will directly supervise my child. Further, I agree that my child must comply with the requests, directions, and instructions of the individuals offering this Distance Running Camp, and his/her failure to do so may result in his/her removal from the program. I understand that supervised lodging and transportation may be provided while my child is participating in this camp, and that the use of additional training facilities, including weight training and swimming activities, may be provided as well. I further understand that meals, snacks, or refreshments may be provided, and I have listed below any and all items that my child should not be given. No alcoholic beverages or non-prescription drugs are to be brought with the athlete or used by the athlete while at this camp. Any prescription medication for your child must be remain locked in the lock box in the dorm room and only used by your child under the prescription terms. I hereby release and discharge The Culver Educational Foundation, its agents, students, coaches, employees, representatives, the building and grounds owners, any related entities, and all others from any and all liability, responsibility, loss, damage, costs, claims, and causes of action (including, but not limited to, those for bodily injury, death, and property damage or loss to me and/or my child) arising out of or resulting from my child’s use of or presence upon these facilities and/or participation in this camp, specifically including, but not limited to, any and all liability, responsibility, loss, damage, costs, claims, and/or causes of action that arise from or are caused by the negligence or fault of The Culver Educational Foundation, its agents, students, coaches, employees, representatives, the building and grounds owners, any related entities, or other participants in the Distance Running Camp program. I understand that my child will use many facilities at the Academy including McMillen Athletic Center, Lowenstine Pool, Lake Maxinkuckee , Academy Grounds, as well as wooded trails and area country roads. I have read the entire Consent and Release Agreement and accept the conditions stated herein as a requirement for my child’s participation in this camp. Camp dates: June 19 th-June 23 rd, 2005 or Aug 8 th-Aug 12 th, 2005 (reminder: some state may not allow a high school athlete in this August camp)
PARENT SIGNATURE _____________________ PRINTED NAME _____________________ DATE _____________________ EMERGENCY # _____________________ HOME TELEPHONE _____________________ CHILD’S NAME _______________________ DATE OF BIRTH _______________________ DATE OF CAMP (circle one): June August Circle one: Resident camper Commuter
List any food, beverage or medicinal products your child may not have or is allergic to:
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