CITY ADDRESS PARENT/GUARDIAN NAME REGISTRATION FORM Payable to: TOTAL ENCLOSED: SCHOOL PHONE NUMBER EMAIL ADDRESS please complete the consent form on back side of registration of side back on form consent the complete please CAMP FEE: CAMP $200 This camp shallbeopen to by any limited only andallentrants, PLAYING EXPERIENCE (CHECKALLTHAT EXPERIENCE PLAYING APPLY) 400 South Orange Ave.400 SouthOrange NJ07079 •SouthOrange, •HeadVolleyballSeton HallUniversity Coach KRIS ZEITER number, level age,grade and/orgender. Varsity Jr. Varsity Modified with application. with $50 non-refundable deposit is required required is deposit non-refundable $50 $ STATE T-SHIRT SIZE(CIRCLE ONE) T-SHIRT S MLXL Club Beginner YMCA GRADE (FALL ‘11) BIRTHDATE ADULT ZIP

SETON HALL VOLLEYBALL 400 South Orange Ave. South Orange, NJ 07079

CAMP STAFF CAMP SCHEDULE: MEDICAL RELEASE Registration will take place Monday, June 27 from 8:15am - 8:45am in KRIS ZEITER Event Walsh Gymnasium lobby at . Head Coach, Seton Hall University The daily camp schedule includes: Organization Conducting Event Kris has completed five seasons as the head 9:00am - 11:30am Skill Training and Drills women’s volleyball coach at Seton Hall Participant’s Name 11:30am - 12:30pm Lunch Break University, an NCAA Division I institution in the 12:30pm -3:00pm Game Play . He guided the Pirates Address to their first back-to-back winning seasons in a Camp features include 7:1 player to coach ratio, emphasis on skill City State Zip decade in 2006 and 2007, and to consecutive technique, position work and specialized drills, competitive team play, appearances in the BIG EAST Championship in doubles and triples competition, team building activities. Contact person in case of emergency: 2009 and 2010. Kris has coached four All-BIG EAST performers. Prior to his arrival at Seton Hall, Kris spent two seasons as the head coach Awards presentation will take place at 2:30pm on June 29th. Parents Name Relation at Iona College, a Division I program in the Metro Atlantic Athletic Conference. are encouraged to attend. In his first year, he guided the Gaels to their first MAAC Championship title Phone and berth in the NCAA Women’s Volleyball Tournament. Iona took on the nation’s top-ranked team, Nebraska University, in the first round. WHAT TO BRING: Medical conditions, impairments and allergies of which the staff of the Additionally, Kris spent five seasons as the head women’s volleyball coach Plenty of playing clothes (shorts, t-shirts, socks, undergarments). Bring Organization and/or Seton Hall University should be aware: and assistant men’s volleyball coach at Concordia College, his alma mater. sturdy, comfortable playing shoes to minimize foot problems. Be sure Kris has over 10 years of experience with various camps, including the Gold to break shoes in before camp. New shoes can cause foot discomfort all Medal Squared camps run and owned by Carl McGowan (former BYU coach), week. We also highly recommend wearing knee pads. The camp is not Marv Dunphy (Pepperdine coach) and Doug Beal (USA Olympic coach and responsible for lost items. Have all your clothing marked. USAV CEO). He has also worked camps at Penn State University in addition (insert “none” if none) to various high schools. MEALS: I understand and agree that some activities occurring as part of or incidental Each day, the campers will get a lunch break from 11:30am - 12:30pm. to the Event may be of a hazardous nature and/or include physical and/or They will be required to bring their own packed lunches from home ALLIE YAEGER - Camp Director strenuous activity. Understanding this, I state that I have no medial condition and will eat in the lobby area outside of Walsh Gymnasium under the or impairment, including the use of mediation that might inhibit my active Assistant Coach, Seton Hall University supervision of the camp staff. The last day of camp will feature a pizza participation in the Event named above. Allie just completed her fourth season with party provided by the staff, so it will not be necessary to pack a lunch the Seton Hall volleyball program, with her that day. primary coaching focus on defense and serve In the case of an injury or medical emergency, I authorize the staff or receipt. Previously, she coached at Binghamton employees of Organization and/or the Seton Hall University to render first aid University for two seasons, where the Bearcats and/or obtain whatever medical treatment he/she deems necessary for my twice finished second in conference play REFUND POLICY: welfare. I further understand and agree that I will be financially responsible and made back-to-back appearances in the All cancellations made prior to on-campus registration may receive a for all charges and fees incurred in the rendering of said treatment regardless of whether my medial insurance would cover such charges and fees. America East Conference Championships. The 2005 squad took home the refund. After on-campus registration has been completed, there will be championship trophy and advanced to the NCAA Tournament for the first time NO REFUNDS, including early dismissals. I understand, have read, and agree to the terms and conditions of this release. in school history as a Division I program. Allie graduated from Wright State University where she was an outside CAMP REGULATIONS: hitter and libero. Playing libero as a senior, she was named the conference Good conduct is expected of all campers with respect to social and moral Print Name Defensive Player of the Year, First Team All-Midwest Region and Honorable responsibilities. General training rules will be in effect for all campers. Mention All-America. Any breach of good conduct or training rules, as judged by the camp Allie has also coached for the Dayton Junior Volleyball Club, twice leading staff, will result in immediate expulsion from camp. Signature teams to the Junior Olympics, including a 10th place finish in 2003. SECURITY: Date (If participant is under the age of 18, Parent/Legal guardian’s signature) ALSO FEATURING 24-hour adult supervision is provided and includes the following: 24- hour campus security, certified athletic trainer, and frequent attendance •Seton Hall University past and present players I am the parent or legal guardian of the minor checks. •Other qualified coaches with collegiate experience and am signing this release on behalf of the minor. (Print child’s name)