Advanced Strength and Conditioning for the Collegiate Athlete. CHOOSE A
SESSION: Office Use Only. The Dixon Athletic Center at The Episcopal Academy
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Office Use Only
Advanced Strength and Conditioning for the Collegiate Athlete
CHOOSE A SESSION:
Full Session
Session I
M
June 14 - August 13
Session II
M
June 14 - July 9
Monday-Friday, 8:00am-10:00am $1500 REGISTRATION DEADLINE May 15
M
July 12 - August 13
Monday-Friday, 8:00am-10:00am $800 REGISTRATION DEADLINE May 15
Monday-Friday, 8:00am-10:00am $800 REGISTRATION DEADLINE June 15
This summer program is designed to help the current collegiate athlete or high-level, advanced high school athlete prepare for the rigors of competition. Every day will highlight different energy system training in a progressive manner such as power, flexibility, agility, multi-directional speed, and conditioning/recovery. After each energy system training session, all athletes will train in the EA weight room. If college programs have been given to the athlete, the instructors will aid the athlete in properly adhering to the guidelines set by the college’s strength and conditioning department. If no program has been given, then a comprehensive program will be tailored to prepare the athlete for the upcoming season. Each session will be challenging, competitive, and will prepare the athlete both mentally and physically. This program will take the guessing out of what your summer program should feature and will help you enter the following school year on top… wherever you are, whatever your sport! Please complete this form and the liability waiver form and return them with a check for the respective session fee. Please make checks payable to “The Episcopal Academy.” NamE
Gender
Age
DOB
Street Address City
State
current school
ZIP
Country:
School in sept.
USA
OTher: Grade in Sept.
parent a parent b home Phone home Phone business phone business Phone cell Phone
Cell phone
specify BILLING name/address if different from student E-mail address for billing/correspondence: I am an episcopal alum:
M
yes
M
no
Sports played:
Please list any allergies, daily medications, medical, educational, or family circumstances that will help us care for you/your child.
EMERGENCY CONTACTS WHEN PARENTS/GUARDIANS ARE UNAVAILABLE: Name
Day phone
CELL PHONE
Name
Day phone
CELL PHONE
I hereby give my permission for me/my child to be taken to a hospital for evaluation and/or treatment if found necessary by the school. This consent is given with the understanding that the school will continue to try to contact the parents or emergency contacts listed above. Parent/guardian signature date
The Dixon Athletic Center at The Episcopal Academy • 1785 Bishop White Drive • Newtown Square, PA 19073 • www.episcopalacademy.org/externalprograms
