Release / Waiver Form I hereby give my child permission to participate in the Southern Chester County Soccer Camp. I certify that he/she is physically fit and capable of participation in strenuous physical activity. I understand that Southern Chester County Soccer Camp, its director and its staff are not responsible for any accident or injury to my son/daughter from or in connection with the camp and any of its activities.

Parents / Guardian's

Signature: ____________________________

Date of signature______________________

Authorization to Consent to Medical

Treatment

"In the event that medical attention/treatment is required for __________________

(son/daughter), I authorize Southern Chester County Soccer Camp, its director

and its staff to give consent to such medical attention/treatment when efforts to

contact me are unsuccessful. I understand that every reasonable attempt will be

made to contact me."

Parent's/Guardian's Name :( please print)

_________________________________________

Parent's/Guardian's Signature: _________________________________________

Date: _______________

Emergency Phone Number: _________________

Medical Insurance Carrier:

_________________________________________

Insurance Policy#: _________________________

Family Physician: __________________________

Phone Number____________________________

List any special instructions to follow in case of injury or medical conditions staff

should know:

_________________________________________

_________________________________________

_________________________________________

_________________________________________

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. 19

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2019 Southern Chester

County Soccer Camp

July 29th thru August 2nd

Grades 1 thru 10

Ages 6 thru 16

Unionville High School

Kennett Square, Pa.

Players will be divided into groups based

on age and ability.

.

The purpose of the staff at the Southern Chester County Soccer Camp is to

meet the demands of the beginner as well as the more serious soccer

player in an intense but fun environment. We will use technical and tactical

training as well as creative skill games in developing our campers' skills.

Playing experience although helpful is not a requirement. Our goal as a staff

is to make our students have an appreciation of the game of soccer and to

take what they have learned and apply it to their soccer development.

Registration

• Boys and Girls – Grades 1 thru 10 - ages 6 thru 16

• Campers will be grouped based on age and ability.

• We will attempt to keep teams together to train upon requested.

• Registration will be limited due to facility and staffing. It will be

on a first-come basis.

• All Campers registering 14 days before the start of camp will be

guaranteed to receive a soccer ball and a camp shirt.

• Campers might want to bring a snack and a drink. Water will

be available.

Some of the topics to be covered

Technical sessions Tactical Sessions

• Feints and Dribbling • Principals of Attack

• Receiving • Principals of Defense

• Passing • Combination Play

• Finishing • Possession

• Crossing • Runs off ball

• Transitional Play

Sample Camp Schedule

9:00 Camp begins

9:00- 10:00 Technical Sessions

10:00- 10:45 Technical/Tactical Sessions

10:45 - 12:15 Tactical Sessions

12:15 - 1:00 Full or Short Sided Games

1:00 Camp Ends

Parents should pick up campers at 1:00. Camp will end at

12:30 on Friday.

Rich Garber

Camp Director

• Unionville High School Varsity Coach

• Former Unionville Girls Varsity Coach

• USSF "A" Licensed Coach

• NSCAA Priemer Diploma

• Former Delaware ODP State Staff Coach

• Health/PE Teacher – Patton Middle School

Camp Fee payable to: Richard Garber

1st Child

$165 per individual before June 15th

$175 per individual after June 15th

Second Child

$150 second Child in Family before June 15th

$160 second Child in Family after June 15th

3 or More Children

$115 third child in family before June 15th

$125 third child in family after June 15th

Examples:

2 children for a week - $335 (175+160)

3 children for a week - $460 (175+160+125)

($10 off per child before June 15th)

Full payment or a $90 nonrefundable deposit per camper.

Deposit should be sent with registration.

Team Price:

• If 8 or more players attend from a travel team, a

reimbursement of $15.00 will be given. Please specify what team

you are on.

• Coaches: If you have a specific topic /topics, please contact

the director.

Contact information

Camp e-mail: uhssoccer1@verizon.net

Camp Phone number: 610-639-8227

Southern Chester County Camp

2019 Application

Please Print Clearly

Name ________________________

Address______________________

City/State/Zip __________________

Phone ___________

Circle one - Male Female

Birthdate _________ Age________

Grade/Fall 2019 __________

School District ______________

Travel Team/Coach______________

_______________

Camp T-shirt Size: (circle one) YM YL AS AM AL AXL

Ball Size #4 #5

Parent's/Guardian's Information:

Name: _________________________

Address: ________________________

_______________________________

_______________________________

Home Phone: ____________________

Work Phone: ____________________

Do you want e-mail confirmation?

Yes No, not necessary

E-mail _________________________

Office use only

Payment: ___________

Check # ___________ Date ___________

All Campers registering 14 days before the start of camp will be

guaranteed to receive a soccer ball and a camp shirt.

2019 Kennett-Unionville Titans Football and Cheerleading Registration is OPEN!

Programs are available for ages 4-13 including Flag Football programs for 4-7 year olds, a Rookie Tackle program for beginning 7 year olds, and Cheer squads for all experience levels.

Titans in all programs are taught skills and techniques in an environment that challenges them to be their personal best while emphasizing teamwork and sportsmanship.

REGISTER NOW and take advantage of our early bird discount of $15 per child between May 1st-31st: http://kutitans.leag1.com/

**Practice begins the first week of August 1, 2019**

The Kennett-Unionville Titans serve the youth of Kennett Consolidated and Unionville-Chadds Ford School Districts.

New! Crazy Coding with Rad Robots (C)

Slime of My Life (S)slime every day, in addition to exploring an array of amazing science! In the half day morning camp we will make chalkboard slime and all new color changing slime and magnetic slime! In addition, we’ll build inventions like catapults, discover how electricity and circuits work by making conductive dough, and explore biology as we extract DNA from a banana and dissect an owl pellet. Stay for the full day and we’ll examine anatomy as we make a model lung and observe a real sheep heart, continue our exploration of circuits as we send messages via Morse code and build a metal detector to test objects to see if they are conductors or insulators, and explore wonders of the earth as we erupt a volcano and experiment with pollination.

Far Out Space Academy (F)-

ing about Newton’s Laws of Motion, and complete a mission to Mars as you design and build your own model space station. Full day campers will continue to use their astronaut wits as we build air powered nano-rovers, make craters and dry ice comets, and work in engineering teams to construct space capsules that will be used to launch “eggstronauts”! Come join us on our mission through outer space!

Potions, Powders & Polymers (P)

types of light. Stay for the full day and we’ll reveal many mysteries of science as we investigate creepy creatures, learn troll tricks, capture a rainbow in a bottle, make instant snow, mix up glowing slime and conduct lab tests on mystery substances.

Take a Dive (T)Dive into the world of marine biology and oceanography! In our half day camp you’ll dissect a real shark, participate in a

at sea with a homemade solar still, create a kelp forest and make your own submarine. Stay for the full day camp and come face-to-face with some unique sea creatures! You’ll complete a squid dissection, bring to life genuine Triassic Triops, conduct a whale adaptations lab, and examine many weird wonders that live under the sea!

Jr. Investigative Team (I)“Hey there, future Science Explorers, do we have the camp for you!” Join our team of curious tiny-techs as we explore a new theme

to their environments and make colorful sidewalk chalk! Children are never too young to be scientists! Half day only.

from those listed below. Locations who take their own registrations have a "CALL" listed next

Camp Times & Prices

9AM - 3:30PMFull Day Camp $399.00/wk.

AM noon

AM noon

Half Day Camp $229.00/wk.PM PM

PM PM

AM PMFull Day Camp $320.00

Half Day Camp $189.00/wk.

These reduced prices apply to all 4-day camp weeks noted on the schedule.

AM CAMPS PM CAMPS

AM CAMPS PM CAMPS

Come and explore the world of robots! Each camper gets a robot to customize and control as they make a spin art machine, play a bumper car game or complete a fun challenge. Campers will learn about Tangible Programming, Inputs, Outputs and Algorithms while controlling robotic behavior using complex sensors. Campers will take home a cool mini robot with a line tracking sensor. This awesome hands on experience will leave your child saying “Domo arigato.”

6/10/19 6/17/19 6/24/2019 7/1/2019 7/8/2019 7/15/2019 7/22/2019 7/29/2019 8/5/2019 8/12/2019BERKS COUNTY, PAAlbright College 1621 N. 13th St., Reading PA 19604 F

CALL Bear Creek Mountain Resort 101 Doe Mountain Lane, Macungie PA 18062 - Science & Adventure camps 866-754-2822

S - AM Adventure- PM

(no camp 7/4 or 7/5)

P - AM Adventure- PM

F - AM Adventure- PM

Earth Guards - AM Adventure- PM

T - AM Adventure- PM

Third Rock - AM Adventure- PM

C - AM Adventure- PM

Boyertown Museum of Historic Vehicles 85 South Walnut St., Boyertown PA 19512 T (no camp 7/4) C

GoggleWorks 201 Washington St. Reading PA 19601; Full day only of Art and Science from 9-4.

Glass or Metals & Jewelry in AM; P-

PM

Ceramics or Printmaking in AM;

S-PM

Science Explorers Headquarters 110. W. Wyomissing Ave., Mohnton PA 19540 C-AM (M-Th) I-AM (M-Th) T - AM (M-Th)

St. John's United Church of Christ 257 West Walnut St. Kutztown PA 19530 PBUCKS COUNTY, PA

Grey Nun Academy 1750 Quarry Rd., Yardley PA 19067 S TMcDonald Elementary 666 Reeves Ln. Warminster, PA 18974 Check ScienceExplorers.com for topics and dates.CHESTER COUNTY, PA

CALL Downingtown Area Recreation Downingtown PA 19335 610-269-9260 I-AM,S-AM (M-Th) P-AM (M-Th)Owen J. Roberts Middle School 881 Ridge Rd., Pottstown PA 19465 F (M-Th) P (M-Th)Phoenixville Civic Center Held at Renaissance Acad., 40 Pine Crest St., Phoenixville PA 19460 T- AM Renaissance Academy 40 Pine Crest St., Phoenixville PA 19460 P F I - AMSS Peter & Paul School 1327 Boot Rd., West Chester PA 19380 P CTree House World 1442 Phoenixville Pike, West Chester PA 19380 SUnited Sports Training Center 1426 Marshallton-Thorndale Rd., Downingtown PA 19335 SUpland Country Day School 420 W. Street Rd., Kennett Square PA 19348 SValley Forge Military Academy 1001 Eagle Rd., Wayne PA 19087 T SWesttown School 975 Westtown Rd., West Chester PA 19382 S, I-AM, D-PM PCUMBERLAND COUNTY, PA

CALL Camp Hill Rec. 2145 Walnut St., Camp Hill PA 17011 717-737-4548 T - AM S - AMCumberland Co. Historical Society 21 North Pitt St., Carlisle PA 17013 T SMessiah Collge 1 College Ave., Mechanicsburg PA 17055 SDAUPHIN COUNTY, PA

Hershey Gardens 170 Hotel Rd., Hershey PA 17033 S I-AM D-PM (no camp 7/4)

F

WITF 4801 Lindle Rd., Harrisburg PA 17111 P-AM I-AMDELAWARE COUNTY, PA

Grange Estate 143 Myrtle Ave, Havertown PA 19083 I-AM (M-Th) S-PM (M-Th)

Neumann University Bachman Main Bldg., One Neumann Dr., Aston PA 19014 F Pendle Hill 338 Plush Mill Rd., Wallingford PA 19086 SSacred Heart Academy 480 Bryn Mawr Ave., Bryn Mawr PA 19010 PSt. Thomas the Apostle 430 Valleybrook Rd., Glen Mills PA 19342 TLANCASTER COUNTY, PAEmerald Foundation 2120 Oregon Pike, Lancaster PA 17601 SThe New School of Lancaster 935 Columbia Ave., Lancaster PA 17603 T CMONTGOMERY COUNTY, PAGreen Lane Park 2144 Snyder Rd., Green Lane PA 18054 T-AM (M-Th)Immaculate Conception 602 West Ave., Jenkintown, PA 19046 C - AM P - AMLimerick Township Linfield Fire Station, 1077 Main St., Linfield PA 19468 S T

CALL Plymouth Township Parks & Rec. 2910 Jolly Rd., Plymouth Meeting PA 19462 Residents reg. w/twp. http://www.plymouthcommunitycenter.org/; Non-res.reg. w/SE

P T

Spring Mountain Ski Area 757 Spring Mount Rd., Schwenksville PA 19478 SThe Wetherill School 1321 Beaumont Dr., Gladwyne PA 19035 I- AM, I- PM

CALL Upper Gwynedd Parks & Rec. Community Ctr., 1 Parkside Place, North Wales PA 19454 215-699-7777 TCALL Upper Dublin Parks & Rec. 801 Loch Alsh Ave., Ft. Washington, PA 19034 215-643-1600 x3242 T (AM)

PHILADELPHIA COUNTY, PAFriends Select School 17th and Benjamin Franklin Parkway, Philadelphia PA 19103 P S

CALLGermantown Friends School 31 W. Coulter St., Philadelphia PA 19144,

https://www.germantownfriends.org/student-life/summer-campsT, I-AM F

St. Peter's School 319 Lombard St., Philadelphia PA 19147 S TDELAWAREHoly Cross School 631 S. State St., Dover DE 19901 P

CALL Independence School 1300 Paper Mill Rd., Newark DE 19711 302-239-9050 T S, I -AMTower Hill School 2813 W 17th St., Wilmington DE 19806 S PNEW JERSEYAvalon Elem. 32nd and Ocean Dr., Avalon NJ 08202 T-AM S-AM, I-AM

CALLBorough of Haddon Heights 625 Station Ave., Haddon Heights NJ 08035 856-546-2585 S-PM, I-PM (M-

Th, 1pm-4pm)CALL Moorestown Township 803 N. Stanwick Rd., Moorestown NJ 08057 856-776-6000 x 18151 P (8:30-3:30)CALL Moorestown Friends School 110 E. Main St., Moorestown, NJ 08057 856-235-2900 T- PM

Child’s Name Birthday / /

EnteringGrade #

Parent/Guardian E-mail

(required for confirmation & camp forms)

(required)

Full Address

School Your Child Attends:

How Did You Hear About Us?

CAMPRATES

Location

Phone ( ) - Alt. Phone ( ) -

Week of /

/

/

TopicHalf / Full

Cost

Half / Full

Half / Full

1)

2)

3)

Subtotal

Discounts

Tee-shirt Size (included with registration)

Youth Small (6-8) Youth Medium (10-12)Adult MediumAdult Small

Youth Large (14-16)

TOTAL COST

Please make checks payable to: Science Explorers Inc. DO NOT send cash.

Payment MethodCheck (enclosed)

Visa

DiscoverMastercard

Name on Card

CC# Exp. /

Medical Information about your child

Bee sting allergies Nut Allergies Other

Important Medical Info

Please list and attach any other relevant and important medical information about your child on a separate sheet of paper.

Image ReleaseScience Explorers has my permission to film and/or photograph my child for promotional purposes. YES NO

The following people are authorized to pick my child up from SE Camp:

My child has permission to participate in the Science Explorers program.By signing this registration form, I grant permission and release Science Explorers and its

affiliates from any and all liability relating to or arising from Science Explorers camp program.

Date /Sign here

One week prior to camp start date. $25.00 Processing Fee for Refunds before Camp Session Begins. $35.00 Processing Fee for all returned checks. There is a minimum number of participants required for camps to run. Class size is also limited. Your registration confirmation will be emailed to you at the email address you provide. If you do not receive it, please call 877-870-9517. Locations that take their own registrations are responsible for sending confirmations.

Please mail to: 110 W. Wyomissing Ave., Mohnton PA 19540

PARENTS ARE RESPONSIBLE FOR SNACKS, LUNCH AND PROMPT DELIVERY AND PICK-UP OF CHILDREN

No refunds for any reason will be issued once a session has begun.

See www.ScienceExplorers.com for the latest information on available dates, topics and locations, or to download additional registration forms.

Early-Bird Discounts:Register between March 1-April 30, 2019:

After April 2019 Multi-camp discounts apply. Register for more than 1 camp week

and

CALL

Note: (M-Th) or (T-F) denotes 4-day camp weeks

(See Front Page)

Week of Camp