The College of Saint Rose Women’s Soccer

NCAA Division II Final Four 2008, 2009, 2010, 2011

2011 NCAA National Champions

This clinic is for individuals and teams who want to develop better techniques, improve technical skills, and be trained and evaluated by collegiate coaches.

It is designed for players who want to maximize their potential and have a

desire to play in a successful college program.

Clinic Includes

·        Individual and Group Training, Professional Coaching, Goalkeeper Training

·        Single and Multi-player drills

·        Speed, Quickness, and Agility Training

·        College Selection Process Seminar

Clinic Directors and Staff

·         Laurie Darling Gutheil; Saint Rose Women’s Soccer Head Coach

2009, 2011 NSCAA National Coach of the Year, 2 Time Northeast-10 Coach of the Year, Collegiate All-Star, Developed one of the top Division II programs in the Nation, Coached 18 NSCAA All-Americans to date, 3-Time NSCAA East Region Coach of the Year, NCAA Final Four 2008, 2009, 2010, 2011

·         Jason Gutheil; Saint Rose Women’s Soccer Assistant Coach

            Goalkeeper Trainer, recruiting specialist and evaluator of prospects

·         Jim Lennox, Saint Rose Women’s Soccer Assistant Coach

            Former US Men’s National Team Coach, Former Hartwick College Men’s Head Coach

·         Mark VanLeuven; Saint Rose Women’s Soccer Assistant Coach

            Speed, Strength, and Conditioning Coach, Owner of Athletic Dynamics

·        Lauren Steinberg; Saint Rose Women’s Soccer Assistant Coach, Hudson Valley Empire State Games       Assistant Coach, 2007 NSCAA All-American Goalkeeper

·        Kailey Egbert; Saint Rose Women’s Soccer Assistant Coach, 2008 NSCAA All-American, 2009       Northeast-10 Woman of the Year, 2009 NCAA Woman of the Year Finalist

·        Amanda Deck; Saint Rose Women’s Soccer Assistant Coach, 2008, 2009, 2010 NSCAA 1^st Team All-      American, Northeast-10 Player of the Year

To Register:

          Call: 518-454-2042                 E-mail: gutheill@strose.edu

          Fax: 518-458-5457                           Mail: See address below

          Clinic details will be e-mailed after receipt of registration form

Registration Ends August 9^th, 2012

       The College of Saint Rose Sports Clinic       ______

        Registration & Medical Consent Form           first letter of

                                                                                                                                                                  last name

Clinic Date:   Please Circle       8-11-2012      8-12-2012

Location:        Plumeri Sports Complex               

Sport:              Women’s Soccer                

                                                                                    Circle if Goalkeeper

Participant Name:___________________________   Date of Birth: __________Age:_____

Year of Graduation: _______ Name of School____________________________________________

Home Address:_____________________________________________________________________ City:__________________________________ State:________Zip: _____________________

Parent/Guardian Name: ______________________________________________________________

Phone #: _______________________________       Email:___________________________________

# Years Playing Experience: ___________                Club Team:__________________________             

Allergic Reactions (ie. bee stings):______________________________________________________

Present Medication: ____ _____________________________________________________________

Participant’s Insurance Company:___________________________________________________

Policy Holder: ___________________________________

Policy Number: __________________________________

Will a parent/guardian be staying at the clinic site during this clinic?    __YES    ___NO

If YES, Name: __ _____________________________ Relationship to child: ____________________

If NO, provide contact information in the event of an injury or emergency:

Emergency Contact Name:____________________________________________________________

Emergency Phone #:  ______________________________Cell Phone #: _______________________

MEDICAL RELEASE

The College of Saint Rose and the Athletic Department Release Statement:

I hereby release The College of Saint Rose and all members of the Saint Rose Clinic from any and all claims and liability of any kind of personal injury or property damage due to participation in this camp.

I certify that my child is in good health and is able to participate in physical activities, including this sport. In the event of illness or injury, I grant the Saint Rose representatives the right to take appropriate action for my child’s health and safety and to obtain any necessary medical assistance. I will be fully responsible for any and all medical expenses incurred by my child while attending the clinic. I, the undersigned for ourselves, our heirs, executors and administrators waive, release, and forever discharge The College of Saint Rose and its staff, and assign of and from all rights and claims for damages, injury, or loss to person or property which may be sustained during participation in clinic or camp activities or while at clinic or camp, whether or not damages, injury, or loss is due to negligence.

I have read and freely sign this agreement which shall take effect as a sealed instrument.

Parent/Guardian Signature and Date:

________________________________________________________________  

 Date: ___________________________________________________________

Please make checks payable to:  Saint Rose Women’s Soccer

Send registration and medical waiver form and payment to:

Saint Rose Women’s Soccer Attn: Glenna Magee