Team Football Camp - Park Hill South Panthers

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
ƒƒ Kearney, MO
ƒƒ Stanberry, MO
ƒƒ Park Hill, MO
ƒƒ Park Hill South, MO
ƒƒ Worth County, MO
ƒƒ Norborne Hardin-Central, MO
ƒƒ Fort Zumwalt North, MO
ƒƒ Olathe South, KS
ƒƒ Dallas Center-Grimes, IA
ƒƒ Harlan, IA
ƒƒ Creston, IA
ƒƒ Fremont Mills, IA
ƒƒ 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
ƒƒ 253-35 overall record
ƒƒ 47-13 NCAA Playoff record
ƒƒ 7 first-round byes
ƒƒ 25 professional contracts signed
ƒƒ 19 NCAA playoff appearances
ƒƒ 16 MIAA conference championships
ƒƒ 10 National championship game appearances
ƒƒ 6 National championships (1998, 1999, 2009, 2013, 2015, 2016)
Northwest Team Camp
ƒƒ 7 fields for games and
competitions
ƒƒ film towers available
ƒƒ individual instruction by camp staff
ƒƒ team periods for offense/defense
ƒƒ down and distance THUD periods
ƒƒ certified athletic trainer on site
ƒƒ teams will be grouped by size,
class and coaches’ discretion
ƒƒ all residence halls are air
conditioned and supervised nightly
ƒƒ new updated cafeteria
ƒƒ complimentary t-shirt for every
camper
ƒƒ 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: ______________________________________________________________________________________