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SWIM CAMP

REGISTRATION FORM OLD DOMINION


To Enroll: Complete and return form along with Full
Payment to the address below.
UNIVERSITY
Old Dominion University
Athletic Administration Building
Athletic Camp Office
Norfolk, VA 23529

Make checks payable to: Old Dominion University


S
Session I (June 20-24)
Individual ($275)________ Team ($240)_________ W
SWIMMING
&
Session II (June 27-July 1)
I
M
D I V IN G Individual ($275)________ Team ($240)_________

Insurance/ Medical Care


The university provides a secondary accident Name______________________________________

C
insurance policy which carries a $2,500 maximum
benefit. This plan has a $25 deductible and can Address____________________________________
be filed after the camper’s primary insurance. Any City_______________State_____Zip____________
bills received from a doctor or hospital should be
forwarded to the camp office immediately.
Email_________________
A
M
School/Club__________________________
Grade______ DOB______T-Shirt Size_________

P
Registration Best Stroke____________________________
Camps are open to boys and girls – ages 5 -18.
To enroll in camp a completed registration form, Second Best Stroke_______________________
with health form and payment, must be sent to the Parent’s Name(s)___________________________
ODU Camp Office. Please do not call to confirm
Phone #_______________ cell #_______________
that your application has been received as you
will receive a confirmation letter via e-mail after Emergency Contact_________________________
your application has been processed. Walk-in Contact #___________________________________
registrations on the first day of camp are NOT
guaranteed. Method:
Check #________
Credit Card_________________
For additional information, contact
Old Dominion University Swimming at Credit Card#____________________ Exp.______
757-683-5752, visit our website at Signature__________________________________
Session 1: June 20-24
www.odusports.com or email ODU Swimming Session II: June 27- July 1
Coach, Carol Withus at cwithus@odu.edu. www.odusports.com
MONARCH SWIMMING &
DIVING
LOCATION:
2011 ODU Swim Camp
Old Dominion University is located in CAMP MISSION: CAMP SESSION I
Norfolk, VA. ODU is located right off The Monarch Swim Camp is a technique June 20-24
Interstate 64 and is only 30 minutes from based camp focusing on the development 8:30 a.m. - 4:30 p.m.
Virginia Beach and Colonial Williamsburg. and enhancement of the skills of competitive Ages 5 & up
swimming. All four strokes, starts, turns, race Individuals- $275
strategy, dry land exercises and psychological Team Rate(5 or more from same team)-$240
The J.C. “Scrap” Chandler pool is located
aspects will be the emphasis in the FUN driven
in the student recreation center on the
camp.
campus of Old Dominion University.
Videotaping will be involved daily in both CAMP SESSION II
camps. June 27-July 1
8:30 a.m. - 4:30 p.m.
Ages 5 & up
Individuals- $275
CAMP STAFF: Team Rate(5 or more from same team)-$240
Old Dominion University’s head coach Carol
Withus will serve as Swim Camp Director.

Our instructors will include an array of our


outstanding coaches and athletes (current and
former) as well as other Division I teams.

WHAT TO BRING:
Each player should bring a swim suit, goggles,
towel, and water bottle.

Swim camp participants should also bring


sunscreen, a change of clothes, running shoes,
as well as a bagged lunch.
SWIMMING
& DI VIN G

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