Team Football Camp 2017 NORTHWEST MISSOURI STATE UNIVERSITY REGISTER AND PAY ONLINE AT WWW.BEARCATFOOTBALLCAMPS.COM BIG SCHOOL CAMP - JUNE 9-11 SMALL SCHOOL AND 8-MAN CAMP - JUNE 17-19 JUNE 2017 JOEL OSBORN All Northwest coaches will be working the camps. Players and coaches will get a chance to learn from the best Division II coaching staff in the country. During fundamental sessions the high school coaches can choose between individual team time or fundamental instruction from Northwest coaches. Area Schools at the 2016 Camps Kearney, MO Stanberry, MO Park Hill, MO Park Hill South, MO Worth County, MO Norborne Hardin-Central, MO Fort Zumwalt North, MO Olathe South, KS Dallas Center-Grimes, IA Harlan, IA Creston, IA Fremont Mills, IA Seward, NE 660.562.1088 • [email protected] 600.562.1493 fax REGISTER AND PAY ONLINE AT WWW.BEARCATFOOTBALLCAMPS.COM Team Football Camp 2017 NORTHWEST MISSOURI STATE UNIVERSITY A Proud Football Tradition 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) Northwest Team Camp 7 fields for games and competitions film towers available individual instruction by camp staff team periods for offense/defense down and distance THUD periods certified athletic trainer on site teams will be grouped by size, class and coaches’ discretion all residence halls are air conditioned and supervised nightly new updated cafeteria complimentary t-shirt for every camper JV schedule available Camp Schedule SUBJECT TO CHANGE DAY 1 9 a.m. 12:30 p.m. 1:30 p.m. 2 p.m. 3 p.m. 3:05 p.m. 3:35 p.m. 3:40 p.m. 4:15 p.m. 5 p.m. 7 p.m. 9 p.m. 10:45 p.m. DAY 2 7 a.m. 7:30 a.m. 8:30 a.m. 9:40 a.m. 9:45 a.m. 10:15 a.m. 11:45 a.m. 2 p.m. 2:30 p.m. 4:30 p.m. 6:45 p.m. 9 p.m. 10:45 p.m. DAY 3 7 a.m. 7:30 a.m. 8:30 a.m. 9 a.m. 11:30 p.m. Check in at residence halls and register Coaches meeting Camp introduction Offense and defense technique session Break Offense and defense technique session Break Team practice Breakdown Dinner (5-6 p.m.) 3 team rotation games ** Residence halls Bed check / Coaches social and meeting Wake up Breakfast (7:30-8:15) Offense and defense technique session Break Team preparation 3 team rotation games ** Lunch (11:45 a.m.-1 p.m.) Team preparation 3 team rotation games ** Dinner (4:30-6 p.m.) 3 games, 30 minute scrimmage 7-on-7 games available Residence halls Bed check / Coaches social and meeting Wake up Breakfast (7:30-8:15) Team preparation and stretch Short yard/goal line Equipment check in Residence hall check out by team ** Games last 30 minutes. Each team rotates between offense, defense and rest. Team 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: Big School Camp: June 9-11 $165 Registration by June 2 _________________________________________________________________________________________ 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 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: ______________________________________________________________________________________________________ ___________________________________________________________________________________________ (per player for overnight campers) $180 After June 2 (per player for overnight campers) $125 Commuter (no lodging) $75 Manager $15 Equipment rental 2-day option: June 9-10 $145 (per player for overnight campers) 1-day option: June 10 $90 (no lodging) Small School and 8-Man Camp: June 17-19 $165 Registration by June 9 (per player for overnight campers) $180 After June 9 (per player for overnight campers) $125 Commuter (no lodging) $75 Manager $15 Equipment rental ____________________________________________________________________________________________ If the camper has any limitations or health problems we should be aware of, 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. 2-day option: June 17-18 $145 (per player for overnight campers) 1-day option: June 18 $90 (no lodging) Parent’s Statement (MUST be signed) See attached agreement. REGISTER AND PAY ONLINE AT WWW.BEARCATFOOTBALLCAMPS.COM 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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