High Performance Distance Academy APPLICATION
Information must be completed for acceptance to camp. Please PRINT CLEARLY.
Mail application and non refundable deposit check to:
High Performance Distance Academy c/o Runabout Sports
801 University City BLVD, Suite one Blacksburg, VA 24060
Make check out to: High Performance Distance Academy
Deposit amount: $75.00. Final payment mailed when camp packet is received (in July).
Last Name ______________________ First _____________________Age _____ Sex _____ School ________________________________
Year in School (Fall ’13) ____________ Coach ___________________PR’s: 1600 meters ________3200 meters _________ Avg. Mileage/ week ______ Parent/ Guardian Name: _____________________________________________
Address ________________________________________________________City ______________________ State __________ ZIP _______________ Phone _______________(O) _________________ E-mail _______________________________
Shirt size: S M L XL (circle shirt size desired) Session I or II: ______ Both: _______
Roommate Request (We'll try to honor request): _____________________________________
Emergency Contact NAME _______________________ Phone _____________________
Physician’s Name ___________________________ Physician’s Phone ______________
Any known medical conditions (ex.: asthma, allergies, diabetes, injuries) _______________________________________________________________ Date of last tetanus immunization _______________ Medication camper will bring ______________________________________________________
Will camper self administer medication? _________________________
Family Medical Insurance Company ___________________________________________ Policy Holder's Name: ___________________________________________________ Policy Number ________________Policy Group ____________________________ PARENTAL CONSENT STATEMENT
We (I) hereby request that you accept the application of __________________________ in the 2013 High Performance Distance Academy during the dates set in this application and in consideration of this application, we (I) hereby release the High Performance Distance Academy and all claims on accounts of any injuries which may be sustained by our (my) child as a result of any such activities. Furthermore, we (I) certify that within the past year my child has had a physical examination and is physically able to participate in sports activities. In the event of illness or injury, we (I) give my consent for medical treatment and permission to hospitalize, secure proper treatment, and order injections, anesthesia, and/or surgery.
I/ We the undersigned hereby acknowledge, understand and accept liability that the High Performance Distance Academy is a privately run sports camp and is not operated by or through Virginia Tech. The camp is neither sponsored, controlled, nor supervised by Virginia Tech, and release the aforementioned corporation from liability. I/ We also understand that Runabout Sports, L.L.C. directs and controls High Performance Distance Academy. James DeMarco is the Academy director for Runabout Sports, L.L.C. Please initial if you understand and agree to: _____________
I/ We waive, release, and discharge High Performance Distance Academy, James DeMarco, Runabout Sports, L.L.C., Virginia Tech, and the aforementioned staffs, officers, agents, employees, representatives, successors, and assigns from any and all liability claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, personal injury or property damage that may be sustained or occur during the participation in camp activities or while at camp. Please initial if you understand and agree to: _____________
Any camper who exhibits unacceptable behavior will be immediately dismissed from camp without a refund. Dismissal will be at the discretion of the camp director.
Parent’s Signature _______________________________Date _____________________
For Office Use Only: Check # ________ AMT: _______ Date: __________ Deposit Check # ________ AMT: _______ Date: __________ Final Payment
Call 540-552-9339 or 540-230-2154 for information. Camp date: July 8th-13th, 2013 or July 22nd-27th, 2013
The focus for camp is training and is recommended for motivated runners. All abilities are welcome; the only requirement is the desire to be better. Athletes should prepare for training and have run in the weeks prior to arrival. Besides training, athletes will be instructed by collegiate coaches, health professionals, and top athletes on motivation, nutrition, biomechanics, weights and circuit training, goal setting, injury prevention, & sports psychology.
Please visit www.runaboutsports.com for more detailed information. Also visit us on Facebook.
HOUSING and DINING:
Campers will be housed in an on-campus residence dorm located close to training facilities. All campers will eat, sleep, and live in the same manner as Tech student-athletes. Everyone will be housed in a Virginia Tech dormitory. Coaches and counselors will be living alongside campers in every dorm and on every floor. On campus dining facilities will feed our campers and are only a short walk from the dorms and athletic fields. Meals are all-you-can-eat and each meal has a large variety of foods to choose from. The VT dining service is the number one college food service in the U.S.
2013 Camp dates: July 8th-13th or July 22nd-27th
Training Week: Session One and Session Two are similar. They will be limited to 200 at each session.
Training will be based on individual experience. Our goal is a motivating and meaningful camp without injuries or over training. Camp will include two-a- day runs, optional pool workout, circuits, plyometrics and daily strength training. Runs will be over the VT Cross Country course, Jefferson National Forest trails, surrounding VT trails and bike paths. There will be free time to rest, play volleyball, ultimate, or just talk to new friends. Plus group activities like river tubing and hikes into the Cascades.
Girls and boys entering grades 8-12, and also graduated high school seniors. Camp is NOT a VT camp. Middle school age campers can come if they have a good training base. Campers will be grouped according to grade level and consideration to current fitness level.
Athlete - $500.00 ($490.00 for 5 or more athletes, $480.00 for 10 or more!). Commuter Athlete - $400.00 (includes breakfast, lunch & dinner)
Coaches - $450.00**
Commuter Coach- $375.00 (includes breakfast/lunch/dinner)
** Coach FREE with six athletes and assigned camp position.
Note - When sending final payment you do subtract the non-refundable $75.00 deposit. Final payment is to be mailed when camp packet is received (in July). Final payment is refundable except the $75.00 deposit IF notification is given 14 days prior to camp.
Instruction, 5 days housing, 3 all-you-can-eat meals daily, medical supervision & insurance, charter bus transportation to training sites, written evaluations on ways to improve, prizes, 24 hour supervision and security, athletic trainer, weight room, VT swimming pool, camp technical shirt, ice cream, nutrition bars, other cool stuff and a great week of training!!!
Other things covered depending on camp - water tubing, Mountain Lake retreat area (canoeing, swimming, games) and state park fees. Camp is held on the beautiful Virginia Tech University (Blacksburg, VA), located in the mountains. Training takes place between 1900-3000 feet.
Past camp presenters: Virginia Tech Cross Country Coach Ben Thomas, VMI Coach Paul Spangler, Running Times and Dyestat writer and Coach - Phil Latter, High Point Coach Mike Esposito, Villanova graduate and Big East Cross Country Champion Ann McGranaham (15:45 5K), sports nutritionalist and endurance athlete Christina McIntyre, VT sports psychologist Dr. Gary Bennett, Radford University nutrition professor and endurance athlete Kathleen Poole, VT exercise physiologist Dr. Jay Williams, Coach James DeMarco and counselors running for various Universities such as Virginia Tech, Georgetown, UVA, William and Mary, Wake Forest, Clemson, High Point and Florida State. We also have several top high school coaches who assist the athletes.