Salisbury Talented Athletes Academy April 14 -16 2014
A Sports Performance Camp for Aspiring Young Athletes in Salisbury
Salisbury
Recreation
Precinct
Overview of the camp Sport and recreation have traditionally played a significant role in the Salisbury community and the City of Salisbury is committed to providing opportunities for all people to participate in sport and recreation. Salisbury prides itself on being at the forefront of delivering innovative outcomes for its community. The Sports Development Framework, a key direction of Council’s - The Game Plan is an example of Council engaging with community by being active in facilitating opportunities to grow and develop sport and recreation in Salisbury. Council’s Sports Development Framework recognises the importance of sport within the community and aims to provide opportunities for people of all ages, abilities and interests to participate in sport from grass roots to the elite level. The City of Salisbury has been home to many athletes that have excelled at the elite level including Darren Lehmann (current Australian Cricket Coach), Matthew Cowdrey and Neil Fuller (Paralympic Champions), Michael O’Loughlin (former AFL player), Angelo Costanzo (National Soccer League player) and Kate Shimmin (current Adelaide Thunderbird player). The Salisbury Talented Athletes Academy (STAA) has been designed to provide the opportunity for aspiring young athletes in Salisbury to seek information and support that will assist in reaching higher goals at the state and national levels, and work in partnership with the athlete’s current sports club and coach. The Camp will provide a holistic approach for young athletes which will include personal development, fitness assessments and plans to suit your sport, performance analysis, goal setting, health and nutrition, stretching and recovery and how to balance sport, education and life. The City of Salisbury would like to thank Sports Medicine Australia – SA Branch and OPAL Salisbury – supporting the community to eat well and be active for their support of the Salisbury Talented Athletes Academy.
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Course Application To take part in this camp and be considered as an appropriate candidate, we will need to obtain the following information. Please enter the following information into the Registration Form (p.7); • Current Coach(s) name and mobile/email • Your sporting achievements • Explain in 50 words or less why you would like to be a part of this sports camp
FITNESS RESULTS (IF KNOWN) Please see spreadsheet (p.8) and include in the participant registration form. • Beep Test • Sprint Times • Vertical Jump
ELIGIBILITY CRITERIA To participate in the sports camp you must meet the following criteria; • Live in the City of Salisbury or be an active member of a sporting club in Salisbury • Be aged 13-17 years • Not be a current SASI or AIS athlete • Have your parents/guardians consent to participate • Arrive to camp on time • Application form endorsed by your sporting club/coach/PE teacher • Display talent or potential in your sport
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Camp Details VENUE Salisbury Recreation Precinct Happy Home Drive, Salisbury North
CONTACTS STAA Coordinator Kristen Wright 0406 121 031 Manager Salisbury Recreation Precinct Brian Gillies 8258 1713 or 0434 185 369 (during STAA hours)
DATES Monday 14 April
8.00am - 5.00pm
Tuesday 15 April
8.00am - 5.00pm
Wednesday 16 April
8.00am - 5.00pm (followed by end of camp dinner)
END OF CAMP DINNER Parents presentation
5.30pm - 6.30pm
Dinner
6.30pm - 8.00pm
COST The cost of the STAA will be $110 (including GST) This will include: • Breakfast and lunch each day • Camp t-shirt • Guest speakers and presenters • Field trips • End of camp dinner at the Port Adelaide Football Club (Wednesday night)
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Camp Details ACTIVITIES INCLUDE • • • • • • • •
Nutrition Fitness testing Performance analysis Landing techniques/plyometrics Stretching and recovery Team building Field trip to the Snake Pit Importance of planning your training cycles and rest weeks
END OF CAMP At the end of the STAA, you will receive the following; • A fitness training plan • A recovery plan specific to your sport
PAYMENT Once your child has been accepted into the STAA, you will receive a confirmation letter and invoice. The invoice will need to be paid prior to the STAA starting. *Limited to 15 athletes only. Athletes selected upon their application.
CLOSE OF REGISTRATION Registrations close on Friday March 28 at 5.00pm. Registrations can be forwarded to: • Email - sport@salisbury.sa.gov.au or • Post - PO Box 8 Salisbury, SA 5108 • In Person - 12 James St, Salisbury SA 5108
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REGISTRATION
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Club Acknowledgement CONSENT I, ________________________________ am the President/Coach of the ____________________________(Association/Club/School/Training Squad) and confirm that ________________________________(insert applicants name) is a member of our (Association/Club/School/Training Squad) and will benefit from participation in the Salisbury Talented Athletes Academy. Signed:____________________________ Date: ___ / ___ / ___ Phone: ____________________________ Email: ___________________________________
Please note that applications close Friday 21 March 2014
COACH INFORMATION Name of current Coach:________________________________________________ Phone: (H) ________________________ (M)______________________________ Email:______________________________________________________________ I would like to attend some sessions of the camp. Please forward me further details of the camp schedule
END OF CAMP DINNER Parents/guardians are invited to attend the End of STAA Dinner to be held at the Port Adelaide Football Club. This will also include a parent/guardian workshop on the topic ‘Balancing Sport, Life and Education’ to be presented by Jan Stirling, Executive Officer for Sports Medicine Australia SA Branch and former OPALs Coach. This will commence at 5.30pm.
I/we would like to attend (dinner will be covered by the camp) Names of attending (max two) 1. ______________________ 2. ________________________
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Participant Registration Form Current Coach(s) name: _______________________________________________ Current Coach(s) mobile: Email: _________________________________________
YOUR SPORTING ACHIEVEMENTS __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
PARTICIPANT DETAILS
EXPLAIN IN 50 WORDS OR LESS WHY YOU WOULD LIKE TO BE A PART OF THIS SPORTS CAMP __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
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FITNESS RESULTS Please provide results below of tests you have undertaken. Please note that it is not essential to have completed any of these tests.
SCORE
LAST DATE TESTED
Beep Test
20m Sprint
100m Sprint
400m
1500m
3000m
Vertical Jump
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PARTICIPANT DETAILS First Name: ________________________ Last Name: _______________________ Date of Birth: ___ / ___ / ___
Gender: Male/Female
Home Address: _________________________________ Suburb: _______________ Post Code: ______ Phone: (H) ________________ School _____________________ Sporting Club: ______________________________________
EMERGENCY CONTACT First Name: ________________________ Last Name: _______________________ Phone: (H) ________________ (W) _______________ (M) ___________________ Email: ______________________________________ Relationship: ______________________________________
DIETARY REQUIREMENTS I have dietary requirements: Y/N (please circle) Please Detail: ____________________________________________________________________ ____________________________________________________________________
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MEDICAL INFORMATION Medicare Number: ___________________ Private Health Insurance: Yes/No If yes, Private Health Fund Name: _________________________________________ Family Doctor: ______________________________ Phone: ____________________ Address: _____________________________________________________________ Family Dentist: _____________________________ Phone: ____________________ Address: _____________________________________________________________ Do you have Ambulance Cover?
Yes/No
Do you suffer from any food allergies or have dietary restrictions?
Yes/No
If yes, please provide details: ____________________________________________ ____________________________________________________________________ Do you suffer from any other alergies and/or medical, physical or mental disability e.g. asthma, epilepsy?: ____________________________________________________________________ ____________________________________________________________________ Is there any reason, including those above, which might prevent you from participating in any physical activity sessions? Yes/No ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
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SPORTING INJURIES Please provide details of all past sporting injuries: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
Please provide details of any current injuries: ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
REFEREE SECTION Reference One: First Name: _____________________ Last Name: _________________________ Phone: ___________________________ Email: ___________________________ Relationship: ________________________________________________________ Reference Two: First Name: _____________________ Last Name: _________________________ Phone: ___________________________ Email: ___________________________ Relationship: ________________________________________________________
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PARTICIPANT AGREEMENT • • • • • • • • •
I accept my selection to participate in the Salisbury Talented Athletes Academy I agree to arrive at camp on time each day I agree to attend all three days of the camp and give 100% I agree to wear the Salisbury Talented Athletes Academy Uniform each day of the camp I agree to treat all participants, staff and guests with respect I understand this is a non-smoking camp at all times I agree to only use my phone, or any other electronic equipment, for personal use during designated breaks only I accept that, in certain circumstances, that failure to abide by this agreement may result in my removal from the camp I understand that some measures require a maximum physical exertion and if I feel I cannot complete the task safely I will inform the tester in charge. This applies to both before or during the prescribed activity.
Signed: ___________________________________ Date: ___ / ___ / ____ (participant)
CONSENT (Parent/Guardian to complete) I consent to ______________________________________ being a participant of the Salisbury Talented Athletes Academy to be held from Monday 14 April to Wednesday 16 April 2014. I hereby give permission to all testers of the Salisbury Talented Athletes Academy to conduct the necessary physical evaluations/tests to enable them to construct a valid and reliable physical profile of my child. I give permission for images of this participant to be used by the City of Salisbury Yes/No I understand and agree to be bound by the terms of the privacy notice and disclaimer below. I understand that acceptance is also conditional upon payment. Signed: _______________________________________ Date: ___ / ___ / ___ (parent/guardian)
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PRIVACY NOTICE AND DISCLAIMER The purpose of collecting your personal information including your health information is to enable the City of Salisbury to: (a) assess whether it is appropriate for you to take part in the Salisbury Talented Athletes Academy (STAA) (b) provide medical assistance to you in case of emergency. Your information will be supplied to City of Salisbury staff and, in the case of an emergency, any health professionals involved in your care. The supply of the information is voluntary. Please be aware that the City of Salisbury needs you to provide accurate details of your health conditions and contacts so that we can ensure that appropriate care is provided to you and we can contact the appropriate person in case of an emergency. The City of Salisbury reserves the right to suspend you from the STAA if any of the information which you supplied about your medical history is false. You are entitled to access the information you have provided by writing to the City of Salisbury. Your information will remain on site during the course of the STAA and stored electronically at the City of Salisbury. If you have a complaint about any breach of your privacy in regard to the information you have supplied to the. Please write to: City of Salisbury, PO Box 8, Salisbury SA 5108.
Disclaimer Acknowledgements: I acknowledge and understand: (a) The STAA will involve participation in physical activity and testing which requires maximum exertion, and accidents can happen whilst participating which may result in injury or death (b) Participation in the STAA is voluntary and undertaken in the knowledge that injury or death might result from my participation (c) The City of Salisbury may refuse, at its absolute discretion and at any time, to allow me to participate in the STAA (d) That photos will be taken of my child participating in the STAA and used for marketing and promotional purposes. I understand that is my responsibility to inform the City of Salisbury if I don’t wish my child to be photographed.
Indemnity In participating in the STAA with the role of participant, I agree to indemnify and to keep indemnified the Council its employees, servants and agents and each of them from and against all actions, costs, claims, charges and expenses whatsoever which may be brought or made or claimed against them or any of them arising out of or in relation to the participation of the STAA Programme.
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