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RUSS
OLSEN
(858)
883-2491 |
Return Policies
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©
2009-2016
Great Western Lacrosse
All Rights Reserved
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PO BOX 217,
Poway, California 92074 |
FILLING OUT
THE TEACHING CAMP REQUIRED FORMS
This page is the
step by step walk through for filling out the Summer Teaching Camp
paperwork. If you follow these directions, your application will
be complete and accepted immediately.
To be accepted, Great Western Lacrosse MUST receive Full Payment
or a Deposit of $365.00 and the 3 required forms. Once we
receive the fee and the forms, you have a space reserved in the
camp.
First thing to
do is to print out all of the required forms.
There are (3) three
required forms and (3) three optional forms.
The 3 Required forms needed
1. Teaching Camp Application
2. Camp Combined Waiver
3. Medical Form
The 3 optional forms are
4. Travel Form
(Required if you are flying)
5. SDSU Swim/Pool Waiver
(Required to use the pool)
6. Camp Account Form
(Optional)
All players wishing to attend the Great Western Teaching Camp
MUST submit all of the required forms along with the full payment for
camp no later than July 15th of each year. Follow the
instructions to print the
forms and then hit your back button on
your browser to get back
to this page...
If you haven't printed the
forms already, print them now.
Welcome back.
Please start with the Camp Application.
Camp Application
1. Write the name of the player in the space provided
2. Circle the position of the player. Leaving this blank is not
an
option. Ask the player what position they would like to learn
while
at camp and circle it. Only circle one position.
3. Write your mailing address in the space provided.
4. Write your City in the space provided.
5. Write your State in the space provided.
6. Write your Zip Code in the space provided.
7. Write the players' age in the space provided.
8. Write the players' Date of Birth in the space provided.
9. Write the players' grade in the space provided. Please put
the
grade that they just finished in June NOT the grade
they will be
entering in the Fall.
10. Write in the School or Team of the player in the space
provided.
11. Write in the desired roommate that your player wants to be
roomed with while at Camp. If you do not
have a roommate, we will
pair up single players by age and
grade.
12. Please check the option of your choice for Camp.
- Attending as a Day Camper, put an ' X ' in the
appropriate space.
- Attending as a Overnight Camper, put an ' X '
in the appropriate
space.
13. Please print the Parent's Email clearly without mistakes.
This is how all confirmations and correspondence
from the
Camp will be sent to you. We do not communicate
through the
US Mail, all contact is through Email. Please
list an Email that is
readily used and checked often.
**VERY
IMPORTANT** Some
times mail from the Camp gets deposited into your
spam folder.
Please check your spam folder often for Camp
Emails before
deleting SPAM.
14. If you are NOT a member of US Lacrosse, you must pay an
additional Insurance fee of $25.00. We recommend
that you
register for US Lacrosse as it has its benefits
and it is only
$35.00 (over 15 years) & $20.00 (under 15) for
the year and
covers your player for all off season programs.
They also get
Lacrosse Magazine. If you choose not to be a
member, no
worries, but it will cost you an additional
$25.00 for Camp
Insurance to attend. You must send this fee with
the application.
Failure to do so, will cause your registration to
be delayed.
15. If your player is flying to the Camp and is in need of our
Airport
Shuttle Service, please check the space provided.
You must send
$35.00 with the application. Failure to do so
will delay your
registration. If you decide later that you will
not be needing the
service a refund can be granted prior to July 1st
or the fee can
be deposited into a camp account to be used for
spending
during camp. DO NOT check this if you will be
flying with them and
bringing them to camp yourself.
16. If you are a member of US Lacrosse, please write your
membership number in the space provided along
with the
membership expiration date.
**To find out if your
membership is current, you can go online
to
www.uslacrosse.org
and inquire.
- You can call them
at 1-410-235-6882, extension 102.
- You can Email
them at
membership@uslacrosse.org
- You can also look
on the mailing label of one of your copies
of
Lacrosse Magazine. Right above your name is your
membership number and its expiration date. If it is expired,
go
online to renew it at the website listed above.
**IF YOU LEAVE THIS AREA BLANK, YOU
MUST SEND A CHECK
FOR $25.00 FOR CAMP INSURANCE WITH THE APPLICATION.**
17. Please print the PLAYERS' personal Email clearly. This is how all
future correspondence about Great
Western programs and specials
will be sent to the player
directly.
18. Please read the middle portion of the Application and make
sure that
you understand its meaning. Please call
or Email if there is
something you do not understand.
19. Please sign the application. By signing, you agree to
everything
stated in the above document.
20. Please write in the date of your signature.
21. Please Print the name of the person who is signing this document.
Please print clearly.
22. Please write the parent's cell phone number in the space provided.
23. Please write the parent's home phone number in the space provided.
24. Please write the parent's work phone number in the space provided.
25. Please provide your medical insurance coverage along with
the
policy number in the spaces provided. This
information is for our
Trainer and a Doctor should medical
attention be needed. Leaving
this blank is not an option as you
must have medical insurance
coverage for the player to attend
the camps.
26. Please list an Emergency contact other than the parents
along with
a contact phone number in the spaces
provided. This will be used in
the event of an emergency if you cannot
be reached.
27. Please list in the space provided the amount of the camp fee
you will
be sending with the application by
CHECK. You may
send a deposit
of $365.00 or the full fee of $565.00 with the
application.
**Please note that all fees and forms are due no
later than July 1st of
each year. Failure
to do so will result in a late fee of $25.00 being
assessed.
OR
27a. Please list in the space provided the amount of the camp fee
you will
be sending with the application by
CREDIT CARD paid online. You
may pay a deposit of $380.00 or the full fee of $580.00 online
(A
$15.00 service fee added).
**Please note that all fees and forms are due no
later than July 1st of
each year. Failure
to do so will result in a late fee of $25.00 being
assessed.
**Please also note that all deposits of $365.00
or that portion of your full
payment is
NON-REFUNDABLE for any reason after July 1st
of each year.
28. DO NOT WRITE PAST THIS POINT ON THE
APPLICATION.
THE LOWER AREA IS FOR OFFICE USE ONLY.
Form 1 Completed...Continue to
Form 2.
Great
Western/US Lacrosse Camp Waivers
This is
the amateur athletic waiver and release of liability form. This
form is required by Great Western Lacrosse and US Lacrosse and is
needed by
anyone who wishes to participate in the camp.
Please read the document carefully and completely before signing
LEFT SIDE
US Lacrosse Participant Waiver & Release of
Liability
1. Print the Player's Name.
2. Have the Player sign here.
3. Right in the Player's US Lacrosse Membership Number &
the
expiration date here. If you are not a member, write in N/A
in
the space provided.
4. Write your street address.
5. Write your city, State and zip code in the spaces provided.
6. Print your name clearly in the space provided.
7. Sign your name in the space provided.
8. Write in the date of your signature in the space provided.
9. Print the parents Email clearly in the space provided.
RIGHT SIDE
Great Western Amateur Athletic Waiver & Release of Liability
1. Sign your name in the space provided.
2. Write the date of your signature in the space provided.
3. Write your home phone in the space provided.
4. Write your work phone in the space provided.
5. Write your cell phone in the space provided.
Form 2 Completed...Continue to Form 3.
Medical Form
This form is needed to allow medical personnel at our camp, in
an
ambulance or at the Hospital to affectively treat your player
should they
need medical attention. Please fill out the form as
completely as you can
and please write clearly. Do not leave any
space blank.
1. Please print the players' name in the space provided.
2. Please print the players' date of birth in the space
provided.
3. Please check the appropriate box regarding the players'
gender.
As this is a boys only camp, put an "X" next to the
M...
4. Please print your HOME and WORK phone in the spaces provided.
5. Please print your Family Doctor in the space provided. If you
do
not have a particular Doctor, you can list your HMO or PPO instead.
6. Please print your Doctors' phone number in the space
provided.
7. Please print your Insurance Carrier along with your Insurance
Policy number in the spaces provided.
8. Questions 1 - 10 on the medical form are used to give the
Trainer
and all medical personnel insight into the health of
your child. Be
as thorough as possible and remember that all "YES"
responses
need to be explained in the area below the question on
the form.
You may also use the reverse side of the Medical Form
if you
need more room. Mark an "X" in the space marked YES or
NO
when answering each of the 10 questions.
9. In the space provided, please explain all YES answers to the
above
10 questions. If you answered NO to all the 10
questions, please
print " N / A " in the space provided.
10. Please print all known allergies or sensitivities of your
player in the
space provided. Remember to list insects,
medications, foods, liquids,
materials, etc. This will help the
Trainer and medical personnel
should a problem arise and also to
prevent problems due to allergic
reactions.
11. Please print any medical conditions or limitation that would
be
important to know by Camp and Medical personnel. Please know
that
these forms are confidential and will be seen only by the
Trainer,
Camp Director and Hospital personnel.
12. Please print the Parents' Name and today's date in the
spaces
provided. Please write clearly.
13. Parents please sign your name in the space provided.
14. Please print the desired Hospital you would like your player
transported to should he need medical attention while at Camp.
If you have no preference, you should print "CLOSEST" or "ANY"
in
the space provided.
Form
3 Completed...Continue Optional
Form 1.
Travel Form
Optional unless you are
flying to camp and need Airport transfers
This form gives us the necessary information about your son's
flight to
and from San Diego for camp. We need accurate
information about his
flight so we can secure him from the
Airport and get him onto the shuttle
bound for camp.
1. Please print the players' name in the space provided.
2. Please check the appropriate box regarding the players'
gender.
3. Please mark either Round Trip of One-way in the spaces
provided.
4. Please print the Airline
you will be flying, the Flight Number of your
arrival, the date
of Arrival and the Arrival time into San Diego in the
spaces provided.
5. Please print the name of your departure city and any
connecting
cities during your flight in the spaces provided. If you have
a direct
flight put N/A in the line asking for a connecting city.
6. If you need return Airport Shuttle Service, please print the
departure Airline you will be flying, the Flight Number
of your
departure, the date of departure and most importantly,
the
departure time leaving San Diego in the spaces
provided.
7. Please print any other pertinent information about your child's
travel
that you think is important for the Camp to know. This
is a good place
to put the names of any other players he might be traveling
with.
8. Please read the next statement on the form and write your
initials in the space provided. By
initialing this space, you agree
to the statement listed above.
9. Please read the following statements carefully and
completely.
10. Parents please sign the form in the space provided.
11. Parents please print your name and list today's date in the
spaces provided.
12. Please print you phone number and the parents Email in the
spaces provided.
**DO NOT WRITE BELOW THE LINE, THIS AREA IS FOR OFFICE USE
ONLY...
Form
5 Completed...Continue to Form 6 which is optional but is
required if your
son will be using the SDSU
Pool while at camp.
SDSU Swim/Pool Waiver
This form is optional but without it, your son will not be able
to use the
state of the art Aquaplex Pool Complex while at camp. The
Aquaplex is
a separate entity from the Housing Department
and require their own
waiver.
1. Print the Name
of the Campers Parent or Guardian.
2. Print the date that the camp you will be attending begins.
3. Print your address, with City, State and Zip Code.
4. Print your daytime phone number with area code.
5. Print your cell phone number with area code.
6. Print the camper's name.
7. Put your initials at the right of the page after your have
read items
1 - 4 on the waiver.
8. Put your initials at the right of the page after your have
read items
5 - 7 on the waiver.
9. Put your initials at the right of the page after your have
read items
8 - 12 on the waiver.
10. Put your initials at the right of the page after your have
read item
13 on the waiver.
11. Sign the
Waiver.
12. Write the date you signed the waiver.
Form
6 Completed...Continue to Form 7.
Camp Account Form (Optional)
This form is for your convenience. We have a system where you
can
deposit money into an account that can be used by your child
while at
Camp. This eliminates the risk of money being stolen or
lost. It allows
your child to use the account at any time during
camp without the
exchange of cash. It also eliminates gambling
and unauthorized sales.
This service is optional and any amount
can be deposited into the
account.
ACCOUNT RULES
1. No money can be taken out of the account by the player
without
mutual consent of the parent and the Director. This means a
player cannot withdraw cash while at camp.
2. Money in excess of $10.00 that remains in the account at the
conclusion of the camp will be returned either at check-out
or in
the mail within 10 days of the camps conclusion. All checks
sent
or given in return of account money must be cashed within 30
days of the date on the check so we can balance our books.
3. Money can be deposited at any time by mail before camp,
during
check-in at camp and during the camp week.
All Forms
are now Complete...
Send them, along with any checks to the
address listed below.
Great Western Lacrosse
PO
BOX 217, Poway, California 92074
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Click on the
Student-Athlete Showcase above for information about Boys College
Lacrosse Recruiting help.
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For individual
Teaching Camp Information Pages, Click any of the blue boxes below
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