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Hockey
HockeyResident and Commuter CampsAges 9-17 years old (entering 12th grade)
Coach Tom Anastos and his staff along with former and present Spartan players provide instruction.For more information about the coaches and our program visit www.msuspartans.com or twitter@coachnewtonMSU and @TomAnastos.
This Summer We Train Like Spartans!
www.sportcamps.msu.edu @coachnewtonMSU and @TomAnastos
June 21-25
June 28-July 2
July 12-16
July 19-23
Check-in: 3:00 p.m. - 4:00 p.m. (Sunday) 5:30 p.m. Welcome Meeting
Check-out: 1:30 - 4:30 p.m. (Thursday) depending on final All-star game
Camp fees: Resident Camp $675.00 (includes all meals)
Commuter Camp $495.00 (includes lunch and dinner only)
C A M P F E AT U R E S
t 12 On-Ice Sessions
t Individual skating video analysis
t Separate goalie program
t 1 hour of scrimmage daily
t Individual evaluation form at end of camp
Camps will be held at Munn Ice Arena. Camp check-in will be held at Spartan Stadium- Gate C.
2015 DATES
Hockey
Resident and Commuter Camps
C A M P I N F O R M AT I O N
Refund PolicyCampers unable to attend camp are entitled to a refund. A $55 administrative fee (only $30 if you enrolled online) will be deducted from all refunds, regardless of the reason. Refund requests must be submitted in writing PRIOR to the first day of the camp session in which the camper was originally enrolled. No refunds for any reason (i.e. injury, illness) will be given once a camper is on campus.fax: 517-355-6891 email: [email protected]
Check-In/Check-OutTime and location of check-in/check-out will be printed on your receipt and sent to you at time of payment.
Medical PolicyEach participant should have his or her own medical insurance. A student trainer will always be available. Participants are automatically enrolled in MSU’s accident insurance plan. Eligible covered expenses will be paid only if they are in excess of other valid and collectible insurance. No physicals are required.
MealsBreakfast 7:00 a.m. – 8:30. a.m.Lunch 11:30 a.m. – 1:30 p.m.Dinner 4:00 p.m. – 6:30 p.m.
Register online at www.sportcamps.msu.edu or complete the attached application.Full payment by either check, MasterCard, VISA, Discover or American Express must accompany the application. Make checks payable to Michigan State University. No applications will be accepted before February 1st. You will receive confirmation for receipt of enrollment by mail within 12–15 business days.
R E G I S T R AT I O N I N F O R M AT I O N
Walk-In Registration PolicyWalk-in registration (signing up on the day camp begins) will be accepted on a space available, first come, first served basis. An additional $10.00 fee will be charged for walk-in registrations. Please note that walk-ins are not guaranteed admission once a camp is full. Cash payment only. No checks or credit cards.
MSU Sport Camp PolicyPersons enrolled in MSU Sport Camps will be required to attend all sessions and to comply with the rules and regulations of Michigan State University governing the conduct of all students on the campus.
CONTACT INFORMATION
Sports specific questions contact:
517-355-1639
General, Registration andRoommate questions:
517-432-0730www.sportcamps.msu.edu
@coachnewtonMSU and @TomAnastos
June 21-25
June 28-July 2
July 12-16
July 19-23
2015 DATES
Hockey
Medical Treatment Authorization Form
___________________________________________________ DOB___/____/____Participant’s Name
What Sport: _________________________________________________________
Date of Camp: ______________________________________________________
Participants are automatically enrolled in MSU’s accident insurance plan. Eligible covered expenses will be paid only if they are in excess of other valid and collectible insurance.
1. List any medical conditions that camp personnel should be aware of (use additional pages if necessary):
______________________________________________________________________
______________________________________________________________________
2. List any medications currently taking:
______________________________________________________________________
______________________________________________________________________
3. List any allergies:
______________________________________________________________________
______________________________________________________________________
In case of emergency please contact:
Name
Daytime Telephone Evening Telephone Insurance Information:
Name of Medical Insurance Company Insurance Company Telephone
Name of Insurance Policy Holder Policy Holder DOB
Medical Insurance Policy Number Medical Insurance Group# (if appl)
____________________________________________, as parent or legal guardian of the participant named above, authorizes MSU to seek medical and/or surgical treatment which is reasonably necessary to care for the participant. I further authorize the medical facility that treats the participant to release all information needed to complete insurance claims. I acknowledge my responsibility to pay all costs associated with the participant’s medical care and authorize all insurance payments, if any, to be made directly to the medical facility.
Signature (Parent or Guardian) Date
Send Application and Medical Treatment Form with payment in full to:
MICHIGAN STATE UNIVERSITYSports Camp Office
223 Kalamazoo, Jenison Field HouseEast Lansing, MI 48824-1025
Fax: 517-355-6891
The Hockey Camp ApplicationREGISTER AT WWW.SPORTCAMPS.MSU.EDU
PLEASE PRINT INFORMATION BELOW OR ENROLL ONLINE
Name
Address
City State Zip
Parent or Guardian
Daytime Telephone
Evening Telephone
Grade in September: __________________________ Age: _____________
Sex: ______ Date of Birth: _______________ Ht: ________ Wt: ________
Skater ______ Goalie ______
Roommate preference:
______________________________________________________________________
Jersey Size: □ Youth □ Adult □ Small □ Medium □ Large □ X-Large □ XX-Large
Please enroll me in the following Hockey camp:
Camp Date Resident Commuter
CAMPS (four weeks of the same program):
Week I June 21-25 □ $675.00 □ $495.00
Week II June 28-July 2 □ $675.00 □ $495.00
Week III July 12-16 □ $675.00 □ $495.00
Week IV July 19-23 □ $675.00 □ $495.00
U.S. FUNDS ONLY.Please make checks payable toMICHIGAN STATE UNIVERSITY
Check one:□ Check □ Mastercard □ VISA □ Discover □ American Express
Card Number
3 digit security code Exp. Date
Signature
Amount of Check/Charge enclosed
Hockey
School
DID YOU KNOW?
• Mostconcussionsoccurwithoutlossofconsciousness.
• Athleteswhohave,atanypointintheirlives,hadaconcussionhaveanincreasedriskforanotherconcussion.
• Youngchildrenandteensaremorelikelytogetaconcussionandtakelongertorecoverthanadults.
PARENT & ATHLETE CONCUSSIONINFORMATION SHEET
WHAT IS A CONCUSSION?
Aconcussionisatypeoftraumaticbraininjurythatchangesthewaythebrainnormallyworks.Aconcussioniscausedbyabump,blow,orjolttotheheadorbodythatcausestheheadandbraintomovequicklybackandforth.Evena“ding,”“gettingyourbellrung,”orwhatseemstobeamildbumporblowtotheheadcanbeserious.
WHAT ARE THE SIGNS AND SYMPTOMS OF CONCUSSION?
Signsandsymptomsofconcussioncanshowuprightaftertheinjuryormaynotappearorbenoticeduntildaysorweeksaftertheinjury.
Ifanathletereportsoneormoresymptomsofconcussionafterabump,blow,orjolttotheheadorbody,s/heshouldbekeptoutofplaythedayoftheinjury.Theathleteshouldonlyreturntoplaywithpermissionfromahealthcareprofessionalexperiencedinevaluatingforconcussion.
SYMPTOMS REPORTED BY ATHLETE:
• Headacheor“pressure”inhead• Nauseaorvomiting• Balanceproblemsordizziness• Doubleorblurryvision• Sensitivitytolight• Sensitivitytonoise• Feelingsluggish,hazy,foggy,orgroggy• Concentrationormemoryproblems• Confusion• Justnot“feelingright”oris“feelingdown”
SIGNS OBSERVED BY COACHING STAFF:
• Appearsdazedorstunned• Isconfusedaboutassignmentorposition• Forgetsaninstruction• Isunsureofgame,score,oropponent• Movesclumsily• Answersquestionsslowly• Losesconsciousness(evenbriefly)• Showsmood,behavior,orpersonalitychanges• Can’trecalleventspriortohitorfall• Can’trecalleventsafterhitorfall
“IT’S BETTER TO MISS ONE GAMETHAN THE WHOLE SEASON”
Rick Snyder, GovernorJames K. Haveman, Director
CONCUSSION DANGER SIGNS
Inrarecases,adangerousbloodclotmayformonthebraininapersonwithaconcussionandcrowdthebrainagainsttheskull.Anathleteshouldreceiveimmediatemedicalattentionifafterabump,blow,orjolttotheheadorbodys/heexhibitsanyofthefollowingdangersigns:
• Onepupillargerthantheother• Isdrowsyorcannotbeawakened• Aheadachethatgetsworse• Weakness,numbness,ordecreasedcoordination• Repeatedvomitingornausea• Slurredspeech• Convulsionsorseizures• Cannotrecognizepeopleorplaces• Becomesincreasinglyconfused,restless,oragitated• Hasunusualbehavior• Losesconsciousness(evenabrieflossofconsciousness
shouldbetakenseriously)
WHAT SHOULD YOU DO IF YOU THINK YOUR ATHLETE HAS A CONCUSSION?
1. Ifyoususpectthatanathletehasaconcussion,removetheathletefromplayandseekmedicalattention.Donottrytojudgetheseverityoftheinjuryyourself.Keeptheathleteoutofplaythedayoftheinjuryanduntilahealthcareprofessional,experiencedinevaluatingforconcussion,sayss/heissymptom-freeandit’sOKtoreturntoplay.
2. Restiskeytohelpinganathleterecoverfromaconcussion.Exercisingoractivitiesthatinvolvealotofconcentration,suchasstudying,workingonthecomputer,andplayingvideogames,maycauseconcussionsymptomstoreappearorgetworse.Afteraconcussion,returningtosportsandschoolisagradualprocessthatshouldbecarefullymanagedandmonitoredbyahealthcareprofessional.
3. Remember:Concussionsaffectpeopledifferently.Whilemostathleteswithaconcussionrecoverquicklyandfully,somewillhavesymptomsthatlastfordays,orevenweeks.Amoreseriousconcussioncanlastformonthsorlonger.
JOINTHECONVERSATION www.facebook.com/CDCHeadsUp
ContentSource:CDC’sHeadsUpProgram.CreatedthroughagranttotheCDCFoundationfromtheNationalOperatingCommitteeonStandardsforAthleticEquipment(NOCSAE).
>> WWW.CDC.GOV/CONCUSSIONTO LEARN MORE GO TO
WHY SHOULD AN ATHLETE REPORT THEIR SYMPTOMS?
Ifanathletehasaconcussion,his/herbrainneedstimetoheal.Whileanathlete’sbrainisstillhealing,s/heismuchmorelikelytohaveanotherconcussion.Repeatconcussionscanincreasethetimeittakestorecover.Inrarecases,repeatconcussionsinyoungathletescanresultinbrainswellingorpermanentdamagetotheirbrain.Theycanevenbefatal.
STUDENT-ATHLETENAMEPRINTED
STUDENT-ATHLETENAMESIGNED
DATE
PARENTORGUARDIANNAMEPRINTED
PARENTORGUARDIANNAMESIGNED
DATE
