CAMP INVITATION ACCEPTANCE Current England National Team Players and Name: ______West Ham United Academy Graduates Address: ______West Ham United City: ______State: ______Zip: ______International Date of Birth: ______Male/Female ______Preferred Playing Position: ______Academy Parent’s E-mail: ______
Parents’ Names: ______
Daytime Number: ______
Home Phone: ______
Room mate Requests______
T-shirt size (circle) YM YL AS AM AL AXL Are any of the player’s Parents or Grandparents born in or from a FRANK LAMPARD JOE COLE Country in the European Union? YES/NO
If Yes, where: ______
Overnight Camper - $450
Airport Pickup - $20
Airport Drop of - $20
Commuter - $385
TOTAL $ ______
MAKE CHECK PAYABLE TO: West Ham United Football Academy USA
Return check and form to:
West Ham United International Academy.3000 Northfield Place, Suite 600, Roswell, GA 30076
Credit Card Authorization: (VISA, Mastercard) MICHAEL CARRICK RIO FERDINAND Cardholder’s Name ______2010 NATIONAL Account No: ______CAMP Exp. Date: ______Authorized Signature: JULY 21st-24th I give the camp permission to use any camp related photos of my child for camp publicity. I hereby authorize the directors of the West Ham United International Academy National Camp to act for me ac- MANASSAS, VA cording to their best judgement in an emergency requiring medical attention. I hereby waive and release West Ham United Football Acad- emy USA Inc., West Ham United Football Club and the West Ham United International Academy. I know of no mental or physical prob- lems which may afect my child’s ability to safely participate in this camp. I will be responsible for any medical and other charges in con- BY INVITATION ONLY nection with my child’s attendance at the West Ham United Interna- tional Academy National Camp.
The Camper is covered by:
Insurance Company: ______GLEN JOHNSON Policy No.: ______JERMAIN DEFOE www.westhamacademyinternational.com ______
Parent or Guardian Signature (above line) 2010 NATIONAL CAMP
CAMP DIRECTOR CAMP FAQ’s LOCATION
HOW DO I REGISTER AND PAY? The Camp will be under the Direction of legendary West The 2010 National Camp is being hosted by Inter- Ham United Academy Director Tony Carr. He will be as- You can register online via www.westhamacademyinternational.com or national Academy Partner Club Northern Virginia sisted by Assistant Academy Director, Paul Hefer and you can complete this form and mail with a check to: West Ham United Royals/Majestics. West Ham United Ladies Head Coach, Tony Marshall. International Academy. 3000 Northfield Place, Suite 600, Roswell, GA 30076
Tony Carr, West Ham United FC, WILL I RECEIVE CONFIRMATION? Academy Director. Yes, you will receive confirmation via email.
Tony Carr is one of the most influential figures in English DOES EACH CAMPER NEED TO HAVE MEDICAL INSURANCE? football. It is not just that seven of the England squad likely Yes, campers are required to have their own medical insurance. There to travel to the 2010 FIFA World Cup have come under his will be at least one medical trainer in attendance for the full duration guidance - Glen Johnson, John Terry, Rio Ferdinand, Frank of the camp. Lampard, Michael Carrick, Joe Cole and Jermain Defoe - but WHAT TIME IS ARRIVAL AND FINISH? because he is committed to the grassroots of the game. Check in will be at the host hotel between 12pm and 1.30pm (please For four decades he has given back to the sport after seeing note lunch will not be provided on day 1). Camp will end at 11.30am his own playing dreams dashed by injury and he has created on the last day. an outstanding legacy. WHAT SHOULD I BRING?
Former West Ham United CEO Scott Duxbury paid tribute to Campers should bring toiletries, tennis shoes, cleats, daily training clothes, swim suit and all other soccer related equipment. Each player Carr's terrific achievement and his ongoing commitment to will receive an International Academy ball and t-shirt. finding the Hammers greats of the future. He said: WHAT MEALS ARE PROVIDED FOR COMMUTERS?
"Tony has helped establish West Ham United as a club com- Commuters will receive lunch and dinner. A daily schedule detailing Players will be under 24 hour supervision and will mitted to producing young talent that can rise all the way where and when to drop of/pick up commuters will be handed out at stay at the Comfort Inn, Dumfries, VA. Parents are registration. through the ranks to our first team. It is also not just about welcome to make their own reservations at the furthering their football ability on the pitch but also the way IS THERE TRANSPORTATION TO THE HOTEL? hotel. he and his staf help prepare the players to be the best they can be - at whatever level they may ultimately reach." There is a $20 charge for all airport pickups/drop ofs for either Washington Dulles, Reagan or Baltimore airports. Please indicate when Full Address: 16931 Old Stage Road, Dumfries, registering. VA, US, 22025 Phone: (703) 445-8070 WHAT HAPPENS IF I HAVE TO CANCEL REGISTRATION? Fax: (703) 445-8075 There is a $100 cancellation fee. All cancellations must be in writing. NO REFUNDS after July 1, 2010. NO REFUNDS will be given to campers who leave camp voluntarily or are removed for disciplinary reasons.
HOW WILL I KNOW IF MY SON/DAUGHTER HAS BEEN SELECTED TO TRAVEL TO ENGLAND FOR THE ACADEMY EXPERIENCE?
All players will receive an individual evaluation mailed to them within 3 weeks of the end of camp. A number of players will be invited to train at the West Ham United Academy in London in 2011. The selec- tion of these players will be based on the judgement of the West Ham United Academy coaches.