V 3 SOCCER TOURNAMENT Sunday, March 8

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1 soccer Staff V 3 SOCCER TOURNAMENT Sunday, March 8 Age Groups: Girls: U6, U8, U10, U12, U14** Boys: U6, U8, U10, U12, U14** **Per NCAA rules, all participants must be in 8th grade or below. Any team found to have high school participants will be disqualified immediately with no refund. Cost: $120 per team per tournament day. $100 per team per tournament day if: A club registers 2 or more teams** $80 per team per tournament day if a team registers before January 1st **Applications & checks for multiple teams must be received in the same envelope Roster Change: A team can make up to 2 changes on the day of the tournament. Any more will incur a $50 per player charge. Format: 3 v 3 (3 field players) Roster Size: Max of 6 players per team (No exceptions will be granted) Game Time Two 10-minute halves REGISTER EARLY visit cmusportscamps.com To Download Registration Packet Open to any and all entrants The cost of any awards are included in the cost of attendance. CMU is an AA/EO institution (see For ADA accommodations, call (989) at least one week before the event. Peter McGahey Head coach Led Central Michigan to a top three finish in the Mid-American Conference in his first season at CMU, going 8-3 in conference action. Serves as head coach of the US Youth Soccer Region II Girl s Olympic Development Program. Serves as a Michigan US Soccer National Training Center staff coach McGahey served as the Technical Director for the Colorado Fusion Soccer Club from Was the State Director of Coaching and Player Development for the Oklahoma Soccer Association from McGahey compiled a record of (.755) as head coach of Minnesota State. Cassie Weik Assistant coach/academy Director Graduate Assistant Coach at Minnesota State last season. Served as an Olympic Development Coach in Minnesota. Four-year letterwinner at Minnesota State including three bids to the NCAA tournament and a trip to the Elite Eight during senior year. Joe Nemzer Assistant coach Oversees the goalkeepers, helping a current Chippewa to second team All-MAC honors in She finished the season with eight shutouts, the fifth-most in program history. Serves as a Michigan US Soccer National Training Center staff coach, as a US Youth Soccer Olympic Development Program Region II Goalkeeping Staff Coach and a Michigan Olympic Development Program Age Group Head Coach Age group Head Coach with Midland Soccer Club

2 TEAM NAME: AGE GROUP: DATE ATTENDING: Please mail the following registration packet to: Cassie Weik, CMU Intercollegiate Athletics, Rose Center, Mt. Pleasant, MI or Fax to: (989)

3 Central Michigan University Indoor Winter 3 v 3 Soccer Tournament Coach s Name: Street Address: City: State: Zip: Day Phone: Evening Phone: Coach s Address: Asst. Coach or Manager: Phone: Asst. Coach s / Manager s Address: APPLICATION DEADLINE: Two weeks prior to tournament date. "CMU 3 v 3 Tournament" Divisions (please check age groups that your team is registering for) GIRLS Sunday, March 8 th BOYS Sunday, March 8 th U-6 U-12 U-6 U-12 U-8 U-14 ** U-8 U-14 ** U-10 U-10 Remember to include the following items: Team Application Player Roster Medical Release/Waiver of Liability for each registered player. Concussion waiver for each registered player Check (Make checks payable to Central Michigan University ) Please mail all of the above items to: Cassie Weik, CMU Intercollegiate Athletics Dept- Rose Center, Mt. Pleasant, MI or Fax Number: (989) Registration is open to any and all participants, but will be based on first-come first-serve basis dependent upon division availability. Registration will close two weeks prior to the start of the tournament. Selected teams will be notified as soon as possible. The tournament schedule will be released one week from scheduled tournament date. The value of any awards is included in the cost of attendance.

4 Central Michigan University Consent to Treat (MUST BE COMPLETED OR PARTICIPATION IS NOT PERMITTED) Player Name: Grade (Fall 2014) Street Address: City State Zip Gender: M / F (circle one) List any medical conditions that camp personnel should be aware of: (PLEASE USE ADDITIONAL PAGES AS NECESSARY) List any medication currently taking: List any allergies: In case of emergency please contact: Name ( ) Daytime phone ( ) Name Nighttime phone I hereby give my permission for CMU sports medicine staff athletic trainers, Central Michigan University Health Services, and Central Michigan Community Hospital to provide any needed medical treatment for my son/daughter while he/she is attending the sports camp. I specifically, give my permission for necessary and emergency care to be given to (name of camper) by Central Michigan Community Hospital and other medical treatment providers. I attest that my son/daughter has had a physical within the last twelve months and that the physical disclosed no medical conditions, other than those listed above, that would make participation in this sports camp a risk. I hereby acknowledge that participation in this sports camp and related activities is at the sole discretion and judgment of the parent or guardian and involves an inherent risk of personal injury. I, on behalf of my son/daughter, hereby assume all such risk. Signature (Parent or Guardian) Photographic Release Form Date I, the parent or legal guardian of a child participating in Sport Camps/s sponsored by Central Michigan University ( CMU ), hereby authorize CMU and those acting pursuant to its authority to: (a) Record my child s likeness and voice on a video, audio, photographic, digital, electronic or any other medium; (b) Use my child s name in connection with these recordings; (c) Use, reproduce, exhibit or distribute in any form (e.g. print publications, video tapes, CD-ROM, Internet/WWW or any other form now or hereafter developed) these recordings for any purpose that CMU, and those acting pursuant to its authority, deem appropriate, including promotional or advertising purposes. I understand that all such recordings, in whatever medium, shall remain the property of CMU. Signature (Parent or Guardian) Date Please photocopy and have each player s parent complete prior to arrival at CMU

5 Central Michigan University 3 v 3 Tournament Roster Coaches Name: Age Group: Player Name (Full Name) Grade (As of Fall 2014) ** MUST BE IN 8 TH GRADE OR BELOW, NO KIDS IN HIGHSCHOOL ARE ALLOWED TO PARTICIPATE IN THIS TOURNAMENT