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Elite Sports Training Program - Milton Academy

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Staff<strong>Program</strong> DirectorSteve Darling, LATC/CSCS• B.S. NortheasternUniversity• NATA – CertifiedAthletic Trainer• NSCA – Certified Strength andConditioning Specialist• USA Weightlifting – Certified Level IClub Coach• Head Athletic Trainer; Boston CollegeHigh School (1994 – 2002)• Assistant Director Peak PerformanceStrength and Conditioning <strong>Program</strong> atBC High (1998 – 2002)• USA Hockey – 14/15 yr old, Off-IceDirector of Massachusetts Satellite<strong>Program</strong> (2005 – 2007)• Assistant Athletic Trainer/Director ofStrength and Conditioning <strong>Milton</strong><strong>Academy</strong> (2002 – present)• Talbot Baker Award for Excellencein Teaching, 2008CoachesPat Davidson, CSCS• M.S. Bridgewater Sate College, ExerciseScience• Doctoral <strong>Program</strong> – Springfield College• <strong>Elite</strong> <strong>Sports</strong> <strong>Training</strong> Summer <strong>Program</strong>Coach (2006 – 2008)Joe Lorincz, CPT/CSCS• B.S. University of MassachusettsBoston, Exercise Science• Masters <strong>Program</strong> – Springfield College,Exercise Science• NSCA-Certified Personal Trainer• NSCA – Certified Strength andConditioning Specialist• <strong>Elite</strong> <strong>Sports</strong> <strong>Training</strong> Summer <strong>Program</strong>Coach (2005 – 2008)• Boston <strong>Sports</strong> Club – Personal TrainerMike Holmes, CSCS• B.S. Bridgewater StateCollege, Exercise Science• <strong>Milton</strong> <strong>Academy</strong> Assist. Strength andConditioning Coach (2005 – 2007)• Northeastern UniversityAssistant Strengthand ConditioningCoach (2008 – 2009)• <strong>Elite</strong> <strong>Sports</strong> <strong>Training</strong>Summer <strong>Program</strong>Coach (2006 – 2008)<strong>Program</strong> Director Mr. Steven Darling • <strong>Milton</strong> <strong>Academy</strong> • 170 Centre Street • <strong>Milton</strong>, MA 02186 • 617-898-2246 • fax 617-898-1716


2009 Application FormPlease check which Session you would like to attendLevel I <strong>Program</strong> (Ages 13 - 14)Session IA 12:30 pm - 2:30 pm9 weeks ...........June 22 - August 21 ..............□ $6505 weeks ...........June 22 - July 24 ...................□ $4255 weeks ...........July 27 - August 21 ................□ $425Session IB 6:00 pm - 8:00 pm9 weeks ...........June 22 - August 21 ..............□ $6505 weeks ...........June 22 - July 24 ...................□ $4255 weeks ...........July 27 - August 21 ................□ $425Level II/III & Collegiate <strong>Program</strong> (Ages 15 and up)Session IIA/IIIA 3:00 pm - 5:30 pm9 weeks ...........June 22 - August 21 ..............□ $6505 weeks ...........June 22 - July 24 ...................□ $4255 weeks ...........July 27 - August 21 ................□ $425Session IIB/IIIB 5:30 pm - 8:00 pm9 weeks ...........June 22 - August 21 ..............□ $6505 weeks ...........June 22 - July 24 ...................□ $4255 weeks ...........July 27 - August 21 ................□ $425Collegiate <strong>Program</strong> (completed 1 year of collegiate athletics)Session IIIA 3:00 pm - 5:30 pm ............ □ $350Session IIIB 5:30 pm - 8:00 pm ............ □ $350T-Shirt Size (Adult sizes)□ Small □ Medium □ Large □ X-Large □ XX-LargeDeposit $200.00 • Full Payment is Due June 1, 2009.Please make Checks payable to: Mr. Steven Darling.Refund Policy: Non-refundable deposit will be applied to tuition.Tuition will only be refunded with proof of medical ineligibility.<strong>Elite</strong> <strong>Sports</strong> <strong>Training</strong> <strong>Program</strong> at <strong>Milton</strong> <strong>Academy</strong>Athlete’s Name ______________________________________________________________________Home Address ______________________________________________________________________City-State _______________________________ Zip _______________________________________Telephone _______________________________ E-mail _____________________________________Date of Birth _____________________________ Grade September 2009 ______________________School _____________________________________________________________________________<strong>Sports</strong> _____________________________________________________________________________Mother’s Name _____________________________________________________________________Mother’s Address (if different from above) _______________________________________________City ____________________________________ Sate _____________ Zip _____________________Phone - Home ____________________________ Work ______________________________________Cell ____________________________________ E-mail (optional) ____________________________Father’s Name ______________________________________________________________________Father’s Address (if different from above) ________________________________________________City ____________________________________ Sate _____________ Zip _____________________Phone - Home ____________________________ Work ______________________________________Cell ____________________________________ E-mail (optional) ____________________________Emergency Contact (other than parent)Name and relationship _______________________________________________________________Phone - Home ____________________________ Work ______________________________________Cell _______________________________________________________________________________Athlete’s Medical HistoryMedical Conditions __________________________________________________________________Daily Medications ____________________________________________________________________Allergies ___________________________________________________________________________Any other Health Conditions of significance program director should be aware of ____________________________________________________________________________________________________For more information • Mr. Steven Darling • <strong>Milton</strong> <strong>Academy</strong> • 170 Centre Street • <strong>Milton</strong>, MA 02186 • 617-898-2246 • fax 617-898-1716(cut here)


<strong>Elite</strong> <strong>Sports</strong><strong>Training</strong> <strong>Program</strong>Mr. Steven Darling<strong>Milton</strong> <strong>Academy</strong>170 Centre Street<strong>Milton</strong>, MA 02186<strong>Training</strong> the 21st Century Athlete

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