Offensive/Defensive Individual Football Camp 2017 NORTHWEST MISSOURI STATE UNIVERSITY REGISTER AND PAY ONLINE AT WWW.BEARCATFOOTBALLCAMPS.COM REGISTRATION: 2018 Seniors – 8 a.m. ▪ Underclassmen – 9 a.m. Camp begins at 10 a.m. All Northwest coaches will be working the camp. Players and coaches will get a chance to learn from the best Division II coaching staff in the country. Parents and coaches are welcome to observe. Offensive instruction for quarterbacks, receivers, tight ends, running backs and offensive linemen. Defensive instruction for defensive linemen, line backers, corner backs and safeties. Bearcat Football Since 1996 253-35 overall record 47-13 NCAA Playoff record 7 first-round byes 25 professional contracts signed 19 NCAA playoff appearances 16 MIAA conference championships 10 National championship game appearances 6 National championships (1998, 1999, 2009, 2013, 2015, 2016) JUNE 3, 2017 CHARLIE FLOHR 660.562.1705 • [email protected] 660.562.1493 fax Offensive/Defensive Individual Football Camp 2017 NORTHWEST MISSOURI STATE UNIVERSITY Offensive line run blocking stance, steps and footwork aiming points, punch, finish, leverage double teams and combinations 2-man inside and outside zone combinations pulling and trap blocks Offensive line Pass blocking pass sets steps and footwork (maintaining the buffer) punch and aiming points replace, mirror and anchor attacking twists, loops and blitzes Defensive line Camp Schedule fundamental tackling stance, footwork hand combat pass rush fundamentals block recognition Camp begins at 10 a.m. Registration 8 a.m. 9 a.m. 1-2 p.m. Defensive secondary fundamental tackling stance assignment zone and man technique Linebackers fundamental tackling stance, footwork run and pass keys pass drops 2018 Seniors underclassmen Lunch on own Testing, 9 a.m. for 2018 seniors Instruction Quarterback instruction stance grip and throwing fundamentals QB and center exchange ball handling skills mechanics for 3- and 5-step drops sprint out, play action, and bootleg mechanics option basics pass coverage concepts Receiver and tight end instruction catching/ball handling skills release techniques route training fundamentals 3- and 5-step pass routes pass coverage concepts blocking fundamentals tight ends will spend a half-day with offensive line 40-yard dash Pro-Agility Broad Jump Height & Weight Running Back Instruction stance and footwork ball security route running and receiving fundamentals interior and perimeter blocking pass protection Staff The entire Northwest coaching staff will be working this camp with the student-athletes. Register and pay online at www.bearcatfootballcamps.com Offensive/Defensive Individual Football Camp 2017 NORTHWEST MISSOURI STATE UNIVERSITY 2017 REGISTRATION FORM __________________________________________________________________________________________________ Name (first, middle initial, last) ____________________________________ ____________________________ __________ __________ Address City State Zip (_________)_____________________ (_________)_____________________ Home phone Student’s cell phone _____________________________________________________ ________________________ _________ Email Date of birth Age I will attend the following session: June 3 10 a.m.–4 p.m. Camp Fee: $50 before May 26 $60 after May 26 _________________________________________________________________________________________ Name of high school ___________________________________________________ ________________ School’s address Grade next fall ___________________________________________________ (_________)_________________ Coach’s name Coach’s phone QB OL RB TE WR DL LB CB S Position (circle one) __________ __________ Height Weight Yes, I will need equipment from Northwest $15 Equipment rental Helmet and shoulder pads for O-line, D-line, tight ends, linebackers and running backs Helmet for QB, WR and DB T-shirt size S M L XL XXL (circle one) ______________________________________________________________ (_________)____________________________ Parent/Guardian Parent’s work/cell phone _____________________________________________________________________________________________________ Address _____________________________________________________________ Person to contact in case of emergency (_________)____________________________ Phone number _____________________________________________________________ Relationship Does this camper take any medication? ❑ Yes ❑ No If yes, please explain: ______________________________________________________________________________________________________ Register and pay online at www.bearcatfootballcamps.com or complete application and send with full payment to: Bursar’s/Cashiering Attn: Diana Heitman Northwest Missouri State University 800 University Drive Maryville, MO 64468-6001 Make checks payable to Northwest Missouri State University. ____________________________________________________________________________________________ If the camper has any limitations or health problems we should be aware of, please explain: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Parent’s Statement (MUST be signed) See attached agreement. ASSUMPTION OF RISK, RELEASE, AND WAVIER OF LIABILITY AGREEMENT In consideration of the services provided by Northwest Missouri State University, its board, employees, volunteers, participants, and all other persons or entities acting in any capacity on its behalf (collectively referred to as “UNIVERSITY”) in conjunction with the _____________________________ (“Event”), I hereby agree to release, hold harmless, and discharge UNIVERSITY, on behalf of myself, my children, my parents, my heirs, assigns, personal representatives and estate as follows: 1. I acknowledge that my participation in the Event entails known and unanticipated risks, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated. I further certify that I am willing to assume the risk of any medical or physical condition I may have. 2. 3. I expressly agree and promise to accept and assume all of the risks existing in this Event. My participation in this Event is purely voluntary, and I elect to participate despite the risks. I hereby give my consent for any medical treatment that may be required, as determined by a medical professional at the medical facility, during my participation in the Event, with the understanding that the cost of any such treatment will be solely my responsibility. 4. I hereby voluntarily release, waive, and forever discharge any and all claims of negligence against UNIVERSITY that relate in any way to any activity I undertake in conjunction with the Event, including transportation to and from the Event. 5. Should UNIVERSITY or anyone acting on its behalf, be required to incur attorney’s fees and costs to enforce this Agreement, I agree to indemnify and hold them harmless for all such fees and costs. 6. I understand that UNIVERSITY does not maintain an insurance policy that would provide coverage in the event that I am injured during the Event or cause any injury during the Event. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating in the Event, or else I agree to bear the costs of such injury or damage myself. 7. I understand that UNIVERSITY may photograph, film, and/or record (“Medium”) my participation in the Event. I authorize UNIVERSITY to use Medium and my likeness in conjunction with any UNIVERSITY marketing and/or promotional materials, including, but not limited to, social media accounts. I understand that I will not be compensated in any way for such use. In the event that I file a lawsuit against UNIVERSITY, I agree to do so solely in the State of Missouri, and I further agree that the substantive law of Missouri shall apply without regard to conflict of law rules. I agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. By signing this document, I expressly state that I have had sufficient opportunity to read this entire Agreement. I further certify that I have read and understood it, and I agree to be bound by its terms. I further acknowledge that this document contains a negligence waiver and indemnification provisions. Signature of Participant: ____________________________ Print Name:______________________________ Date of Birth: _______________________________________________________________________________ Address: ___________________________________________________________________________________ Phone: ___________________________________________ Date:____________________________________ PARENT’S OR GUARDIAN’S WAIVER (Must be completed by all parents and guardians for participants under the age of 18) In consideration of ________________________ (print minor’s name) (“Minor”) being permitted to participate in the Event, I agree to be bound by the terms of this Agreement and further agree to waive any and all claims of negligence against UNIVERSITY which are brought by, or on behalf of Minor, and which are in any way connected with the Event, including transportation to and from the Event. Parent or Guardian: ________________________________ Print Name: ______________________________ Date: ______________________________________________________________________________________ Parent or Guardian: ________________________________ Print Name: ______________________________ Date: ______________________________________________________________________________________
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