Tools of a Champion

TURBO Santa Barbara 2017 Water Polo Camp 2017 G 4 c W 2 TURBO Santa Barbara

/ Total tuition for sessions is $695/645 ($485/445 day camper), 6 0

e 7 minus any applicable discounts for teams/special e

r Water Polo

, circumstances, needs to accompany this application. . P

l t Circle Choice of Session: W

o a Camp

i B Session 1 June 25-28 C

Session 2 July 5-8 r

Session 3 July 8-12 a

e Session 4 July31-Aug 4 Session 5 August 4-7 Send check or money order payable to: Wolf Wigo 465 Cool Brook Lane, Goleta, CA 93117 Questions: Email Wolf at: [email protected] Camp Participant: Name______Address______City ______State ____ Zip _____ Open to Boys and Girls Phone ______Age_____ M or F______Resident and Day Campers USWP /AWP#______exp. Date______Directed by: High School/Club______Yr. in school____ Wolf Wigo, World Champion, Position______Three time Olympian Roommate preference______T-shirt: S M L XL Parent Information: Mother/Guardian Name______Daytime Phone ______Father/Guardian Name______Daytime Phone______Main Contact Email______Location: Parent’s Insurance Co.______University of California, Santa Barbara Insurance Policy #______I hereby authorize the directors Santa Barbara Water Polo Camp to act for me according to their best judgment in any emergency requiring medical attention for my child. I hereby waive and release Santa Barbara Water Polo Camp. I know of no medical mental or physical problem which might affect my child’s ability to safely participate in this camp. (if medical or physical limitations do exist, attach a separate sheet and explain.) I will be responsible for any medical or other charges in connection with my child’s attendance at camp. In addition, by completing this application I /We hereby waive all liability of the Santa Barbara Water Polo Camp, its agents and employees against any and all liability, claims, judgments, or demands for damages arising as a result of Questions?? injuries sustained by the applicant during or as a result of any course taken by the applicant at the Santa Barbara Water Polo Camp. SANTABARBRAWATERPOLCAMPS.COM

Parent/Guardian Signature: ______Date:[email protected] The Santa Barbara Water Polo Camp is designed to help Medical Information prepare your athletes for the rest of their water polo Transportation – UCSB is located off the 101 in Participant’s Name______career. The camp is designed to have a direct impact on Goleta, just north of Santa Barbara. Transportation your overall game. While fitness is a key aspect to a (Please Print) is available for campers traveling to and from the USWP/AWP # ______great water polo player our philosophy focuses on local airport, train or bus station. All transportation fundamental position and ball skills. Therefore, the Medical Treatment Authorization camp will combine fitness, both swimming and leg requests must be received in writing two weeks I/We being the legal guardians of the above strength, coupled with an intense review of all prior to the first day of camp. A 10$ round trip fee applicant authorize Santa Barbara Water will be assessed for this service (prorated $5 for fundamental aspects of the game. From basic defensive Polo Camp and its agents to ensure the well one-way travel). position, to drive shooting to 2m “O” to 6vs5 shooting to being of the applicant. 2m “D” to 5v6 base defensive position. The Goalkeeper Academy is run by Olympic goalkeepers Ages – The camp is open to athletes 10-18 years of ______Genai Kerr and Andy Stevens and will focus on goalie age. For athletes under 12 years of age strong (Parent or Guardian Signature) (Date) specific movement and most importantly leg strength. swimming ability and a basic knowledge of the game are required. Insurance: All participants are required to World Class Staff: Santa Barbara Water Polo Cancellations – Your session fee, minus a $100.00 have coverage for accidental injury. Please Camp staff is made up of Olympians, NCAA non-refundable administrative fee, will be refunded complete the health care information below: Division I coaches, and U.S. National Team without questions if cancellation occurs before June 5, Players. Your athlete will be trained by the top 2008. Refunds will not occur after this time. Health Insurance Carrier: ______coaches, providing them individualized instruction, Furthermore, campers who voluntarily leave camp or evaluation, competition, and specialized techniques who are sent home for disciplinary reasons will not be necessary to refine the athlete’s competitive and refunded money and will be sent home at their parent’s Policy Number: ______physical skills. expense. Wolf Wigo-Director Things to bring: I approve of my child’s attendance at Turbo 3 x Olympian Please come prepared in the following: sheets, Santa Barbara Water Polo Camp and certify Pan American Champion pillow, blankets tennis shoes, hat, sunscreen, water that he/she is in good health and able to bottle, suit, goggles, notebook/pencil and the World Champion participate in the program activities. I (am/am Head Coach UCSB Men’s willingness to work hard, learn new techniques, and not) attaching a statement explaining special Bradley Schumacher have lots of fun. Linens can be rented for 25$. 2 x Olympic Gold Medalist ALL SESSIONS: physical limitations and/or required World and Pan American Champion Check In resident campers: medication. Please indicate if your child suffers Head Coach SET WPC 12-3 @ Tropicana Del Norte* on first day from allergies, asthma, diabetes, restricted Genai Kerr Noon Pick up at Campus pool on last day activities, etc. In further consideration of Santa 2004 USA Olympian Day Camper – 3:45 Check in @ Campus Pool Barbara Water Polo Camp accepting this **Additional National Team Players and Division I coaches. Check out Noon Campus pool last day. application, I/we hereby agree to save and *Subject to change indemnify and keep harmless Santa Barbara Location: UCSB Varsity Swimming Pool Water Polo Camp, its agents, and employees against any and all liability, claims, judgments Camp Features: or demands for damages arising as a result of  In-water instruction from Olympians injuries sustained by the applicant during or as  Camp “t-shirt” a result of any course given the applicant of the  Daily Competition Santa Barbara Water Polo Camp.  Position Specific Training: 2m “D”, 2m “O”, Goal Keeping, and Driving. ______(Parent or Guardian Signature) (Date) Questions??  Tips and tricks for success at all levels. [email protected]