1. No category

The above named participant has my permission to
participate in the Dearing Volleyball School. In case
of an emergency, I understand every attempt will be
made to contact the person (s) below:
Name
Phone #’s
________________________________________
________________________________________
If you are unable to contact one of these people, I
give my permission to the attending physician to
render medical treatment to the participant,
including hospitalization (if necessary). Any expense
incurred from illness or injury is the responsibility
of the person signing below.
Signature ________________________________
Date ____________________________________
Insurance Company _______________________
Policy # ________________________________
Photo/Media Release Information
(
) I give permission (
) I do not give permission for
any photos and/or media, both audio & visual, of my
* Commuters only for Session One
* Register Early for discount
* Group Discount also available
Please Enroll _________________________
(camper’s name)
Dearing Volleyball School, Inc.
15 Rochford Drive
Wilbraham, MA 01095
Parents must complete this info !!
Springfield College (MA)
8 Indoor Air-Conditioned Court
The Springfield Elite Camp
July 10-12, 2015
Fri to Sun – weekend format
For Commuters and Overnight
Air Conditioned Dorms !
Grades 8-12 and graduating seniors too !
COMMUTER CAMPS WITH “COACH D”
June 24-27, 2015
9-3:30 PM – Ages 12-18
VALLEY SPORTS CENTER – CANTON, CT
July 14-17, 2015
9-1 PM – Grades 9-12
JCC – SPRINGFIELD, MA
daughter to be used for Dearing Volleyball School for
promotional reasons.
(see website for camp policy)
Signature _________________________
Any violation or abuse of rules & regulations of this camp
Joel B. Dearing, Director
can result in prompt dismissal without refund. This camp
h 413-596-2436 w 413-748-3251
[email protected]
must comply with regulations of the MA Dept of Health
and be licensed by local board of health.
Provide name of teammate to receive brochure
Name ________________________________
Address ______________________________
City/State/Zip _________________________
Moira Long, Elite Camp Co-Director
[email protected]
Visit www.dearingvolleyballschool.com
for detailed information on each session
CAMP DIRECTOR
Coach Dearing had a
career record of
899-384 (1981-2010).
combining women’s
& men’s collegiate
teams in 40 seasons.
Now, teaching fulltime at Springfield
College.
•
•
•
•
•
•
•
AVCA Regional Coach of the Year in
1994, 1996, 2003, 2008
USA Volleyball Level III Certification &
Coaching Accreditation Program CADRE
2013 Volleyball Hall of Fame - Mintonette
Medallion of Merit Award Recipient
Author of Volleyball Fundamentals and
recently published The Untold Story of
William G. Morgan – Inventor of Volleyball
International Clinician in Ireland, Aruba,
Bermuda, China, Argentina
Coached 10 All-Americans at Spfld. College
Led 1996 Springfield College men’s team to
season ending #1 Div. III National Ranking
S
2015 SESSION
INFORMATION
REGISTRATION
Elite Camp: July 10-12 Overnight or Commuter
Name _________________________________
Fri 1-9 PM Sat 9-9 PM Sun 9-3 PM
“Long week-end” format is great for parents too !
Address _______________________________
PAYMENT INFORMATION
ZIP _______Phone_______________________
Age _____ Height ______ HS Grad. Year _____
(as of July ’15)
TUITION COST Elite Camp July 10-12
$ 420 – Overnight camper
includes housing
Fri,Sat All meals Fri Dinner thru Sun Lunch
$300 – Commuter Camper
Years of Experience (circle most recent level)
JV
Freshman
Jr Hi
Beginner
Campers get Supplemental Accident Insurance, Camp
Position/s: (circle one) Setter Libero Attacker
Shirt, (1) ticket to Volleyball & Basketball Halls of Fame
If Attacker (circle one) Left Middle Right/Opp
PAYMENTS & REQUIREMENTS
st
$200 deposit required (non-refundable after July 1 )
Final balance & Medical Form - due June 6
Discounts – Early Application: Apply by
Jan. 1st for $20 discount !
$10 Group Discount - 5 or more from same team
note - use web site for on-line payments
Co-Director, Springfield
Elite Camp, Session Two
Has led her Springfield
College team to 4 straight NCAA
appearances, 2011 / 2013
NEWMAC Coach of the Year
CHECK – IN Fri., July10 12:30-2 PM Camp
CONCLUDES with Awards Ceremony
Sunday, July 12 – 3:00 PM
31 years of proven success - Special Features
Strength & conditioning tips, leadership
training sessions, extra help sessions
High School Name ______________________
Varsity
includes Dinner (Fri ,Sat) Lunch (Sat, Sun)
Coach Moira Long
OUTSTANDING STAFF includes:
Experienced Coaches with strong teaching
credentials, plus counselors
from current
Springfield College women’s team.
Certified Athletic Trainer and R.N. on Staff
City _______________________ST ________
COMMUTER CAMPS WITH
COACH DEARING
Register directly with links below
June 24-27 Valley Sports Center (9-3:30)
http://www.valleysportscenter.com/content
/vsc-volleyball-camp-joel-dearing
July 14-17 at Springfield JCC (9-1)
Personal checks will be accepted for deposits
http://www.springfieldjcc.org/Data/camps/summerc
and any balance payments prior to June 15th.
amp/jcccampdocumentsbr/jccsummercampsbroc/j
AFTER June 15th, all payments must be in the
cc_campform_2015_web.pdf
T-Shirt Size: (circle) Sm Med Lar X-Lar
Please check Overnight or Commuter:
___ Overnight
___ Commuter
Parent E-mail address (required)
______________________________________
Camper E-mail address (optional)
______________________________________
LIST ONE ROOMMATE REQUEST
______________________________________
A $200 Deposit (non-refundable after July 1)
required with application.
Make all checks payable to:
Dearing Volleyball School, Inc.
Mail to:
Joel Dearing
15 Rochford Drive
Wilbraham, MA 01095