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2011 BROTHER RICE

SPORTS CAMPS
3 Boys Summer Camp
4 Baseball Camp
4 Cheer Camp
5 Basketball Camp
6 Soccer Camp
7 Football Camps
8 Punting & Kicking Camp
8 Wrestling
9 Hockey Camp
9 Tennis Camp
10 Volleyball Camp (Indoor and Sand)
11 Swim/Diving Camp
11 Water Polo Camp
12 Track Camp
13 Rugby Camp

ACADEMIC CAMPS
15 Writing Camp
16 Speed Mental Math Camp
16 Android App Development Camp

17 Registration Sheets
2

SPORTS
Contact; Mark Klutcharch
773-429-4371;
mklutcharch@brrice.org

Campers will be divided into three different age


Date / Time / Age Groups
June 20–22, 8:30am-10am
Entering Grades 2–4;
June 20–22, 10:30am–12noon
Entering Grades 5–8;
June 27–29, 10am–12noon
groups: 6&7, 8&9, 10&11 year-olds. If your son Incoming BR Freshmen;
needs to be moved to another age group to be
Price $45
with friends, please specify on the registration Each participant will receive a
form. They will have fun in a wide range of activi- Brother Rice t-shirt

ties including baseball, basketball, touch football, Equipment
wiffleball, kickball, soccer and softball. Campers Bring all baseball related
equipment including: glove,
will swim twice a day. Water wings are encour- bat, cleats, gym shoes,
aged for younger swimmers, if needed. Our catcher’s gear, etc.

camper’s safety is our #1 concern. There will be Attire
contests twice a day giving campers the oppor- Please wear baseball pants,
hat, and wear protective cup.
tunity to win a can of pop. No camper will be Please bring gym shoes in the
forced to participate in any activity. Any harass- event of inclement weather.

ment of another camper or bad language will


lead to immediate dismissal from camp. Every
day each camper will receive milk at lunch and
ice cream before they go home. Each boy will
receive a Camp t-shirt.
3

Contact: Mark Klutcharch Age


773-429-4371 Boys ages 6–11
mklutcharch@brrice.org
Dates

The Brother Rice summer campers will have Session 1


June 6–10
fun in a wide range of activities including Session 2
baseball, basketball, touch football, wiffleball, June 13–17
Session 3
dodgeball, kickball, soccer, and softball.
June 20–24
Campers will swim twice a day. Water wings Please submit registration
are encouraged for younger swimmers, form by May 24th in order to
receive a confirmation letter
if needed. Our camper’s safety is our #1 containing details of camp
concern. There will be contests twice a day procedure. After May 24th,
no confirmation letters will
giving campers the opportunity to win a be sent out, and you will be
drink. No camper will be forced to participate in called if a session is closed.

any activity. Any harassment of another Price
camper or bad language will lead to immediate $150 for 1 week
$275 for 2 weeks
dismissal from camp. Every day each camper $400 for 3 weeks
will receive milk at lunch and ice cream before $30 deposit required

they go home. Time
9:30 AM–3:00 PM

Each boy will receive a camp t-shirt. What to Bring
Campers should bring
their own lunch, swim suit
Campers will be divided into three different and towel.
age groups: 6&7, 8&9, 10&11 year-olds. If your
son needs to be moved to another age
group to be with friends, please specify on
the registration form.
4

Contact: Dan Szmergalski Dates / Times / Age Groups


773-429-4372 Session 1
dszmergalski@brrice.org June 27–29, 8:30–10 AM
Entering Grades 2–4
Brother Rice Baseball Camp is an opportunity Session 2
June 27–29,10:30 AM–Noon
for each player to reach their potential Entering Grades 5–8
throughout the week. Each session will cover Session 3
July 25–27, 10 AM–Noon
different aspects of the game. Clinic will
Incoming Brother Rice
feature Head Coach Dan Szmergalski and his freshman

staff as instructors. Coach Szmergalski is
Price
a former collegiate coach whose staff has $50
Each participant will receive a
coaches who played professional baseball, as
Brother Rice t-shirt.
well as, former collegiate players. Former
What to Bring
Brother Rice baseball players will also be in
All baseball related equipment
attendance. Camp counselors will include including: glove, bat,
cleats, gym shoes, catcher’s
current Brother Rice players.
gear, etc.

Attire
Please wear baseball pants,
hat, and protective cup.

Contact: Karen Harrigan Age


kharrikorn@aol.com Girls of any age

Price
$50 for single participants
“Let’s Go Rice!” Come join the nationally $80 for two girls from the
ranked Brother Rice Cheerleaders and learn the same family

fundamentals of competitive cheerleading. Dates
Basic motions, jumps and safe stunting will be June 4 & 5

taught, along with cheers and dances. Time
A drink and light snack will be provided each day. Noon–4:00 PM

Campers may want to bring an individual


water bottle to camp. Parents, be ready for the
camper’s performance on Sunday at 3:00.
We look forward to seeing you there!
5

Contact: Pat Richardson Dates / Sessions


773-429-4332 Session 1A
prichardson@brrice.org July 11–15
Boys entering grades 5 & 6
9:00–10:30 AM
The Crusader Basketball camp is based on
Session 1B
the correct teaching of the fundamental skills July 11–15
Boys entering grades 7 & 8
every player needs before he can make a
10:30 AM–Noon
contribution to his team. This will be achieved Session 1C
through individual instruction. We guarantee July 11–15
Incoming Brother Rice
every boy who is willing to work hard and freshman
learn will see a measurable improvement in his 1:00–2:30 PM
Session 2A
skills at the end of the session. The staff
July 18–22
will work to develop each player to his fullest Boys entering grades 5 & 6
9:00–10:30 AM
potential while making the camp an enjoyable
Session 2B
experience for all campers. July 18–22
Boys entering grades 7 & 8
10:30 AM–Noon
Camp Features Accolades
• Crusaders t-shirt for The Crusaders: Session 2C
July 18–22
each camper • 41 All-Catholic League
Incoming Brother Rice
• End of day contests players
freshman
• Free throw contest • Nine All-State players 1:00–2:30 PM
• 3-point shooting contest • Ten Division I College
• Hot shot contest players Price
• Two toss backs will $75 per session
Coach Richardson:
be used $130 for both sessions
• IBCA Coach of the Year
• Exciting basketball
seven times
highlight films What to Bring
• Catholic League Coach of Please wear basketball
• Camp store
the Year four times clothing...shorts, t-shirt,
• 2011–12 season passes
The Crusaders have won 36 supporter, socks, and
for all Crusader home
gym shoes. Each camper will
games championships, including:
receive a camp t-shirt.
• Nine Catholic League titles
• Eleven IHSA Regionals
• Four IHSA Sectionals
• One Elite 8 appearance

‘‘ Playing basketball at Br. Rice is an experience second to none in the


state of Illinois. The fans, the students, the coaches, and the overall

’’
atmosphere make Br. Rice basketball the best program in the state.
Bobby Frasor ‘05
6

Contact: Nick Markulin Dates / Sessions


773-429-4300 ext 384 Session 1
nmarkulin@brrice.org July 11–15
1:00–4:00 PM
Boys & girls, entering
For grade school kids. The purpose of the
grades 1–8
camp is to both introduce players to the game Session 2
and to improve skills to advanced levels. June 13–July 29
(7 week camp)
This is achieved through technique training that 4:00–6:00 PM
the player can repeat independently when Incoming Brother Rice
freshman
he leaves camp. Through the one-player, one-ball
concept, we are able to maximize training Price
$65 for either camp
time and expose all campers to the full range
of technical skills. During a tactical session, What to Bring
Each camper should bring
each player learns how to function individu- their own soccer ball
ally, in small groups, and as a member of the (please put your name on it),
water bottle and shin
team. At the conclusion of each session, players guards. Dress appropriately.
will experience daily competitive tournament
matches. We want each player to be comfort-
able and challenged by the daily program. Our
program will boost the skill level of each player.

This camp includes a t-shirt, sport sack bag


and mini-juggler ball. Trophies will be awarded
for various skills: juggling, passing, shooting,
heading, and dribbling. A top collegiate player
will attend camp to demonstrate soccer
techniques and autograph photos. Every camper
will receive a team photo.

Daily schedule
• Warm-up: Dutch training method
• Individual skills: Taught in match-related and match-
condition methodology
• Small group training: Technical and tactical applications
• Large group activity: Combine individual and group
tactics in a 4 vs 4 “World Cup” tournament competition
• Last day of camp: Parents are encouraged to attend
the “Skill Show” and Award Ceremony
7

Contact: Steve Nye Age


773-429-4337 Boys entering grades 4–8
snye@brrice.org
Price
The Brother Rice Football camp is a non-contact $55

camp designed to further your skill level and Dates
mental approach to maximize playing potential. June 20–23
Rain day June 24th
Our goal is to make you a better player and
person. You will learn the same techniques that Time
10:00 AM–Noon
are taught to our Crusader players.

Sacrifice, Commitment, and Effort are the cor-


nerstones of the Brother Rice Football Program.
These are the qualities that we emphasize every
day during the season and at camp.

Incoming Freshman Football


Contact: Steve Nye Age
773-429-4337 Incoming Brother Rice
snye@brrice.org freshman

The entire freshman coaching staff will teach Price


$75
the individual skills that every player needs
in order to make a contribution to his team. Dates
July 11–21 (M–Th)
The camp will provide each player a chance
to meet the freshman coaches and become Time
10:00 AM–Noon
familiar with the Br. Rice offensive and
defensive systems.
8

Contact: Brian Wales Dates / Time / Age Groups


773-429-4300 ext. 313 July 16 & 17
bwales@brrice.org 3:00–6:00 PM
Boys entering grades
7, 8, and incoming Brother
The Punting & Kicking Camp is based on correct Rice freshman
and effective skills and methods that are
necessary to be a successful place kicker, kickoff Price
$50
specialist, and/or punter. We guarantee that
every boy who is willing to work hard in learning What to Bring
these crucial skills and techniques will make We recommend each camper
wear a pair of shorts and
a clear improvement by the end of the competi- cleats each day. Please bring
tion on the final day. The staff will work hard gym shoes and clothing
for rainy weather. Each boy
to develop each camper to his fullest potential will receive a camp t-shirt.
while illustrating the enjoyable nature of being a
kicker. Parents and coaches are welcome to
attend the entire camp and are encouraged to
ask questions. Come and learn about a position
that wins games!

Contact: Jan Murzyn Dates / Time / Age Groups


jmurzyn0726@yahoo.com July 11–13
9:00 AM–Noon
Boys entering grades 4–8

Don’t miss this opportunity to be coached by Price
five-time Olympic coach Bill Weick. Kids will be $50

put in scramble situations as well as learn riding


and pinning.
9

Contact: Brother Rice Athletic Department Dates / Times / Age Groups


773-429-4345 4 ice sessions in June 2011
Exact dates and times
will be announced on the
Brother Rice web site
The nature of the game continues to change.
Boys entering grades 6, 7,
Rules now favor speed and skill. The player that and 8
can execute at a faster pace has a big advan-
Location
tage. Execution requires a player understanding Oak Lawn Ice Arena
level of possession and support concepts and
Price
knowledge of how to create time and space- $55
with or without the puck. Our objective is to Each participant will receive
a Brother Rice jersey and
teach puck management skills and systems that
camp t-shirt
will allow a player options. This coupled with
obtaining a working knowledge of game strate-
gies have proven to be a winning combination.

Team Accomplishments
Our hockey teams have captured nine Catholic League titles,
five Kennedy Cup championships and sent several young
men to the junior, collegiate, and professional levels.
• Catholic League: ’65, ’69, ’71, ’72, ’75, ’76, 81, ’82, ‘01
• Kennedy Cup: ’70, ‘71’ ’72, ’76, ‘01

Contact: Marty Grogan Date / Sessions


773-429-4300 ext. 373 July 11–14
mgrogan@brrice.org Session 1
8:15–10:15 AM
Entering 5 and 6th grade
Instruction will cover tennis skills: Scoring,
Session 2
Serves, Forehands, Backhands, Volleys 10:30 AM–12:30 PM
and Overheads. A Free t-shirt will be given to Entering 7th and 8th grade
Session 3
each camper.
3:30–5:30 PM
Entering freshman and soph.

This is a boys and girls co-ed camp with Session 4


5:30–7:30 PM
Mother McAuley. Entering juniors and seniors

Price
$75
10

Contact: Brother Paul Ickes, CFC


773-429-4494
pickes@brrice.org

Indoor Volleyball Dates


July 25–29 and
Eligible Participants: Grade School Boys and August 1–5

Incoming Brother Rice Freshmen. Time / Age Groups
9:00–10:30 AM
Entering 3–6 Grades
We will conduct the camp at Brother Rice north
10:30 AM–Noon
and south gyms. Camp fee includes t-shirt and Entering 7&8 Grades

volleyball (1 per participant). 1:00–2:30 PM


Incoming Br. Rice freshmen

Price
1 week—$75
2 weeks—$125

Sand Volleyball Dates


June 20–24 and
Eligible Participants: All grade school boys June 27–July 1

and girls. Time / Age Groups
10:00–11:30 AM
Grade School Boys and Girls
We will conduct the camp at Klein Park (Circle
Park) Sand Courts in Evergreen Park—corner Price
1 week—$75
of 97th and Homan. Camp fee includes t-shirt 2 weeks—$125
and volleyball (1 per participant).

Indoor Tournament Dates


Weekend of
Eligible Participants: Boys in grades 4–8 April 29–May 1

Sand Tournaments Dates and Times


Spring Tournament
Eligible Participants: Boys in all grades. May 14 (Saturday)
9 AM–Noon

We will conduct the tournament at Klein Park Fall Tournament
September 10 (Saturday)
(Circle Park) Sand Courts in Evergreen Park— 9 AM–Noon
corner of 97th and Homan.
11

Contact: Date / Time / Age Groups


Tony Cichowicz, tony.cichowicz@yahoo.com Swim Session
Celeste Faber, celesteannfaber@gmail.com July 18–21
4:00–6:00 PM
Boys entering grades 8–12
Coach Tony Cichowicz is currently Head Swim
Diving Session
Coach of Brother Rice High School. He gradu- July 18–21
10:00–11:30 AM
ated from Brother Rice in 1990. While at Brother
5th–9th Grades
Rice, Tony participated in the swimming and
Price
water polo programs. Tony attended Eastern
$30
Illinois University and he swam at the collegiate Each camper will receive
level for four years. Tony was assistant swim a Brother Rice camp t-shirt.

coach for one season in college. After college What to Bring
he played park district water polo for four years. Swim suit, goggles and
a towel.
In Coach Tony’s first season coaching high
school, the team finished fifth in sectionals out
of twelve teams. His second season, the team
finished fourth in sectionals.

Contact: Bill Mulcrone, Head Water Polo Coach Date / Time / Age Groups
773-401-2210 Mondays and Wednesdays
June 13–July 20
7:00–8:30 PM
Boys entering grades
Coaching Accomplishments
6–8 and high school
• 4 Sectional Championships, 2003, 2004, 2006, 2007

• IHSA 3rd Place, 2007
Price
• IHSA State Champion, 2003 $120 + $30 American Water
• Sectional Coach of the Year, 2003, 2004, 2006, 2007 Polo fees
• Illinois Water Polo Coach of the Year, 2003
• Tony Lawless Award, 2003 Cath League Coach of the Year

Player Accomplishments
• Collegiate All American, 2000
• High School All American, 1996
• Illinois Water Polo Player of the Year, 1996
• First Team All State, 1994, 1995, 1996
• Tony Lawless Award, 1996 Cath League Player of the Year
• All Catholic League, 1994, 1995, 1996
• IHSA State Champion, 1994, 1995, 1996
12

Contact: Tom Wazio Date / Time / Age Groups


773-429-4300 ext. 324 June 27–30
twazio@brrice.org 8:00–10:30 AM
Boys entering grades 7, 8 and
Incoming Brother Rice
Brother Rice has a strong tradition of excellence freshman
in Track and Cross Country. The philosophy of
Price
the coaching staff is to teach young athletes $65
the benefits of running and encourage running This fee includes participation
in the camp, certificate of
as a life-long activity, with an emphasis placed
completion, a Br. Rice Track
on self-improvement. The purpose of the camp camp T-shirt, use of Br. Rice’s
all weather track, awards
is to teach the proper mechanics of running,
for top athletes at the end of
stretching, nutrition, and an all around healthy the camp and lunch on the
final day.
lifestyle. Individuals of all levels are welcome.

Campers will be taught correct running form as What to Bring
Each camper is asked to
well as racing strategy as it pertains to distances
come prepared each day with
from 100 meters to 3 miles, including relays. t-shirt, shorts and shoes
that are suitable for running.

Camp Staff
The camp will be under the guidance of Mr. Tom Wazio ‘97,
Head Track/Cross Country Coach. Current members of
the Br. Rice Track & Field team will assist in the running of
the camp and will act as counselors.

What You’ll Learn


• Stretch properly to prevent injury.
• Correct form in order to become a more efficient runner.
• The basics of physiology as it pertains to rest,
recovery, nutrition, and how to attain and keep their
bodies in top physical condition.
• How to train, depending on ability, for events ranging
from 100 meters to 3 miles.
• How to correctly run a relay and the importance
of teamwork.
• Watch videos of high school, college, and elite athletes in
order to better understand racing strategy.
• Listen to Br. Rice graduates, who have earned All-State
honors and Division I scholarships, speak on the
benefits of running, competition, and their experience
as an athlete.
13

Contact: Dave Fee Dates / Times / Age Groups


773.793.0980 June 20–24
feedavid@hotmail.com 3:00–5:00 PM
Boys & girls, grades 1–8

The purpose of the camp is to introduce rugby Price
to a younger generation of rugby players, both $75

boys and girls! Our camp is non-contact and


What to Bring
emphasizes safety and fun, while we remain on Each camper should bring
the cutting edge of rugby training. their own soccer/football
cleats. Dress appropriately.

RUGBY is back in the Olympics in 2016, and


America will defend the Gold Medal in those
Olympic Games. RUGBY in America has
exploded! There are currently over 20,000 high
school rugby players and close to 600 high
school teams across the country.

Athletes are choosing to play rugby and America


has caught on to this sport that is considered a
“religion” in such countries as Australia,
England, France, Ireland, New Zealand, and
South Africa. Not to mention the Rugby World
Cup draws an attendance only below the
Olympic Games and the Soccer World Cup.

During any given session, each player learns


how to function individually, in small groups, and
as a member of the team. At the conclusion of
each session, players will experience daily
competitive matches.

A top United States Rugby Player will attend


camp to demonstrate techniques and autograph
photos. This camp includes a t-shirt and sport
sack bag.
ACADEMIC
14
15

Contact: Michelle England, Honors English Teacher Date / Time / Age Groups
773-429-4300 ext. 368 Session 1
mengland@brrice.org June 20–23
10:30 AM–12:30 PM
Boys and girls entering grades
Some people love to write, while others hate to
5&6
write. Some people seek opportunities to write, Session 2
while others avoid writing at all costs. When June 27–30
10:30 AM–2:30 PM
students reach high school, however, they need Boys and girls entering
to write. In order to gain confidence in their grades 7 & 8

writing skills, students need to practice writing, Price
they need to write for a specific audience, and $75
Materials are included.
they need to share their writing. This summer,
students enrolled in the Brother Rice Writing
Camp will practice academic writing skills.
Over the course of four days young writers will
practice grammar and free writing and focus on
creating strong thesis statements. Writers will
also share the results of their various writing
exercises with their fellow participants.
During the camp, students will replace dead
verbs with lively, interesting action verbs;
explore their imaginations with creative writing
prompts; and cultivate their abilities by creating
potential thesis statements on topics of their
choosing. Examining their own writing samples,
students will eliminate to be verbs, eradicate
run-ons and fragments as needed, and craft
stronger, superior sentences.
16

Contact: Cliff Petrak Date / Time / Age Groups


773-429-4300, ext. 482 June 20–24
9:00–10:15 AM
Boys/girls entering grades 5–9
All ability levels
Learn to master a multitude of little-known,
super-shortcut computational techniques Price
$60
and strategies involving addition, subtraction,
$15 for book to be purchased
fractions, squaring, and multiplication that in class on the first day of
camp. Cash or check made to
will leave your calculator-dependent friends in
Cliff Petrak
the dust. Campers will receive a copy of
Don’t Slow Me Down with That Calculator.

Contact: Dr. Jean Mehta Date / Time / Age Groups


773-298-3392 July 25–29
mehta@sxu.edu 9:00 AM–Noon
Incoming freshman through
seniors, boys and girls from
Learn to build Android applications using any area high school.
Google’s App Inventor. SXU Professor Dr. Jean
Location
Mehta will direct undergraduate students St. Xavier University
to teach this class. No prior programming or Warde Academic Center
Room S104
design experience necessary. Participants
do not need an Android device as all of the Price
$75
work will be completed through the web.
Participants should register for a Google account
prior to the start of camp.

BOYS SUMMER CAMP REGISTRATION
Please check your camp session below (side 1)

Boys Summer Camp


Session I June 6–10
Session II June 13–17
Session III June 20–24
Returning camper

Camp cost: $150 for 1 week; $275 for 2 weeks; $400 for 3 weeks

$30 deposit must accompany registration form. Balance due upon


first day of camp. After May 24th a confirmation will not be sent home,
and you will receive a phone call if a session is closed.

Campers will be divided into three groups according to age: 6 & 7,
8 & 9, 10 & 11. If your son needs to move to another age group to be
with friends, please specify below.


Please fill out the registration form

FULL NAME AGE AT START OF CAMP PREFERRED AGE GROUP

ADDRESS EMERGENCY PHONE

CITY STATE ZIP

E-MAIL

T-Shirt Sizes XL L M S

Other side D
BOYS SUMMER CAMP REGISTRATION
Signature for permission (side 2)

Campers are insured by a supplemental insurance program.


Campers will be required to provide their own transportation to
and from camp. No refunds given after the first day of a camp
session or for missed days.

Assumption of Risk and Release: To the fullest extent permitted by law,


I hereby consent and agree to assume all responsibility for any
and all risks of damage or injury to my child or my property that may
occur in, on, or about the facilities used in connection with this
clinic and that I use such facilities, equipment, and instruction at my
own risk. To the fullest extent permitted by law, I hereby fully and
forever release and discharge all instructors, the school, and the facility
and the employees of the facility from any and all liability, claims,
demands, rights of action, or causes of action, present or future,
whether the same be known or unknown, anticipated or unanticipated,
which may accrue to my child, for any damages or injury received
either in or about the facilities, equipment or instruction of the clinic.
I hereby acknowledge that I am the sole judge of my child’s physical
abilities and condition to engage in this clinic for which the release
is given. In the event of an emergency, I give the clinic staff permission
to act accordingly to my child’s best interest.

PARENT’S SIGNATURE DATE

Please make checks payable to: Brother Rice Boys Camp

Mail to: To register online, go to:


Brother Rice High School www.brotherrice.org
Attention: Ann Hayes
10001 South Pulaski Road
Chicago, IL 60655
SPORTS CAMP REGISTRATION
Please check your camp session below (side 1)

Baseball Football Tennis Diving


Cheer Punting & Indoor Water Polo
Basketball Kicking Volleyball Track
Soccer Wrestling Sand Volleyball Rugby
Hockey Swimming

SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE

FULL NAME SCHOOL

ADDRESS EMERGENCY PHONE

CITY STATE ZIP

E-MAIL

T-Shirt Sizes XL L M S Note that not all camps offer t-shirts. Please
check the camp description for more information.

SPORTS CAMP REGISTRATION


Please check your camp session below (side 1)

Baseball Football Tennis Diving


Cheer Punting & Indoor Water Polo
Basketball Kicking Volleyball Track
Soccer Wrestling Sand Volleyball Rugby
Hockey Swimming

SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE

FULL NAME SCHOOL

ADDRESS EMERGENCY PHONE

CITY STATE ZIP

E-MAIL

T-Shirt Sizes XL L M S Note that not all camps offer t-shirts. Please
check the camp description for more information.
SPORTS CAMP REGISTRATION
Signature for permission (side 2)

Campers are insured by a supplemental insurance program. Campers will be required to provide their own
transportation to and from camp. No refunds given after the first day of a camp session or for missed days.

Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all
responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about
the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk.
To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school,
and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of
action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue
to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic.
I hereby acknowledge that I am the sole judge of my child’s physical abilities and condition to engage in this clinic
for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my
child’s best interest.

PARENT’S SIGNATURE DATE

Please make checks Mail to: To register online, go to:


payable to: Brother Rice High School www.brotherrice.org
Brother Rice Camp Attn: Ann Hayes
Name of camp
(i.e. Baseball)
10001 S. Pulaski Road
Chicago, IL 60655

SPORTS CAMP REGISTRATION


Signature for permission (side 2)

Campers are insured by a supplemental insurance program. Campers will be required to provide their own
transportation to and from camp. No refunds given after the first day of a camp session or for missed days.

Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all
responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about
the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk.
To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school,
and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of
action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue
to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic.
I hereby acknowledge that I am the sole judge of my child’s physical abilities and condition to engage in this clinic
for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my
child’s best interest.

PARENT’S SIGNATURE DATE

Please make checks Mail to: To register online, go to:


payable to: Brother Rice High School www.brotherrice.org
Brother Rice Camp Attn: Ann Hayes
Name of camp
(i.e. Baseball)
10001 S. Pulaski Road
Chicago, IL 60655
ACADEMIC CAMP REGISTRATION
Please check your camp session below (side 1)

Writing Camp
Speed Mental Math Camp
Android Application Development Camp

SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE

FULL NAME SCHOOL

ADDRESS EMERGENCY PHONE

CITY STATE ZIP

E-MAIL

ACADEMIC CAMP REGISTRATION


Please check your camp session below (side 1)

Writing Camp
Speed Mental Math Camp
Android Application Development Camp

SESSION (OR DATE AND TIME) GRADE ENTERING BIRTH DATE

FULL NAME SCHOOL

ADDRESS EMERGENCY PHONE

CITY STATE ZIP

E-MAIL
ACADEMIC CAMP REGISTRATION
Signature for permission (side 2)

Campers are insured by a supplemental insurance program. Campers will be required to provide their own
transportation to and from camp. No refunds given after the first day of a camp session or for missed days.

Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all
responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about
the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk.
To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school,
and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of
action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue
to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic.
I hereby acknowledge that I am the sole judge of my child’s physical abilities and condition to engage in this clinic
for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my
child’s best interest.

PARENT’S SIGNATURE DATE

Please make checks Mail to: To register online, go to:


payable to: Brother Rice High School www.brotherrice.org
Brother Rice Camp Attn: Ann Hayes
Name of camp
(i.e. Writing)
10001 S. Pulaski Road
Chicago, IL 60655

ACADEMIC CAMP REGISTRATION


Signature for permission (side 2)

Campers are insured by a supplemental insurance program. Campers will be required to provide their own
transportation to and from camp. No refunds given after the first day of a camp session or for missed days.

Assumption of Risk and Release: To the fullest extent permitted by law, I hereby consent and agree to assume all
responsibility for any and all risks of damage or injury to my child or my property that may occur in, on, or about
the facilities used in connection with this clinic and that I use such facilities, equipment, and instruction at my own risk.
To the fullest extent permitted by law, I hereby fully and forever release and discharge all instructors, the school,
and the facility and the employees of the facility from any and all liability, claims, demands, rights of action, or causes of
action, present or future, whether the same be known or unknown, anticipated or unanticipated, which may accrue
to my child, for any damages or injury received either in or about the facilities, equipment or instruction of the clinic.
I hereby acknowledge that I am the sole judge of my child’s physical abilities and condition to engage in this clinic
for which the release is given. In the event of an emergency, I give the clinic staff permission to act accordingly to my
child’s best interest.

PARENT’S SIGNATURE DATE

Please make checks Mail to: To register online, go to:


payable to: Brother Rice High School www.brotherrice.org
Brother Rice Camp Attn: Ann Hayes
Name of camp
(i.e. Writing)
10001 S. Pulaski Road
Chicago, IL 60655
To learn more about the Summer Camps at
Brother Rice, please visit www.brotherrice.org
10001 South Pulaski Road
Chicago, Illinois 60655

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