16 bowl appearances in the last 18 years Most bowl wins (11) since 1997 of any community college in the nation Nationally ranked top 25 in the nation 15 of past 18 seasons 105 players offered FBS or FCS scholarships in past 18 seasons including 32 defensive lineman and 18 offensive lineman at such schools as University of Iowa Iowa State University University of West Virginia Georgia Tech University University of Kansas University of Northern Iowa University of North Texas Iowa Central Community College One Triton Circle Fort Dodge, IA 50501 PROGRAM SUCCESS IOWA CENTRAL OFFENSIVE/ DEFENSIVE PADDED LINEMAN CAMP Featured Clinician Duane Twait Sunday, July 19th 10:00 AM-3:00 PM Grades 9-12 WHEN: Sunday, July 19th, 2015 - rain or shine TIME: 2015 APPLICATION FOR ENROLLMENT (please print) FEATURED CLINICIAN: Date____________________________________________________ Registration begins at 9:00 AM with the camp beginning at 10:00 AM and ending at 3:00 PM. Name___________________________________________________ LOCATION: Grade in Fall_______________ High School______________________________________________ One Triton Circle, Fort Dodge - Iowa Central practice football fields, just north of Business HWY 20. Parent’s Name____________________________________________ Home Address____________________________________________ COST: City___________________ State__________ Zip________________ $40 - includes a camp t-shirt and lunch. Cell Telephone____________________________________________ WHO IS ELIGIBLE: All offensive line, defensive line, and tight ends who will be in grades 9-12 next fall. CAMP PURPOSE: To teach and help to develop sound football fundamentals that pertain specifically to offensive and defensive line play. CAMP STAFF: Iowa Central Football coaches WHAT TO BRING: Helmet, shoulder pads, and mouth pieces (equipment may be rented from Iowa Central for an additional $15). *Bring both cleats and gym shoes. FOR MORE INFORMATION: Contact Coach Jeremy Conley at 515-574-1087 or 1-800-362-2793 ext. 1087. Home Telephone__________________________________________ Duane Twait Duane will begin his 13th season with Iowa Central, but his 52nd season overall in the coaching profession. One of the most respected Iowa high school football coaches ever, Duane posted 339 wins, qualified for the playoffs 28 of 29 years, won seven state titles and was runner-up seven times during his historic career at Emmetsburg High School. Duane was named National Coach of the Year in 1999 and was the first two-time winner of the Des Moines Register Football Coach of the Year in 1977 and 2003. An accomplished clinician, Duane has spoken on various football topics, but his expertise lies in offensive line play. T-Shirt Adult Size M L XL XXL XXXL Release Form: In consideration of the acceptance of this application for registration, I, intending to be legally bound, hereby for myself, my heirs, executors, and administrations, waive and release any and all rights and claims for damages I may have against Iowa Central Community College or its representatives and/or assignees, for any and all damages which may be sustained and suffered by me in connection with my association with or entry in this camp, and which may arise out of my traveling to, participating in, or returning from the camp. In the event that any illness or injury is incurred by the above named participant while at school and an attempt is made to contact me but I cannot be reached, I hereby authorize the director and members of Iowa Central Community College’s Football Camp staff to act for me according to their best judgment in an emergency requiring medical attention. Applicant’s Signature ____________________________________________ Parent’s or Guardian’s Signature __________________________________ Iowa Central Community College One Triton Circle, Fort Dodge, Iowa 50501 Checks should by made payable to: Iowa Central Football. $40.00 entry fee is non-refundable.
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