June 18-21 The Vandal Experience www.vandalfootballcamp.com More information and registration can be found online at 2012 Don’t miss the chance to play for the Vandal Nation! CAMP FOOTBALL IDAHO ROBB AKEY UNIVERSITY OF IDAHO FOOTBALL CAMP 2012 Policy Holder’s Birthdate: ACKNOWLEDGEMENT OF RISK AND WAIVER OF LIABILITY Both participants and parent(s) / guardians must read this Acknowledgement of Risk and Waiver of Liability carefully and in its entirety. It is a binding legal document. This form must be signed by you as the participant AND by your parent or legal guardian. I, the undersigned, am aware that participation in Robb Akey University of Idaho Football Camp (“Camp”) may include activities that are risky and dangerous. Both participant(s) and their parent(s) / guardians (“I”) acknowledge and accept the risks and give permission for participation in the Camp. I acknowledge that participation in this Camp has the following non-exhaustive list of particular activities that bear risk and danger and from which bodily injury to myself, or my child, up to and including mortal injury, may occur: physical and sports activities; bone fractures; muscle strains and sprains; head injuries; heart malfunctions; injuries sustained from other participants; activities supplemental to the Camp, such as walking to and from sites of interest; use or operation, by myself or others, of equipment; being outside or in the presence of inclement weather conditions including, heat and wind; contact with plants, animals or other environmental hazards; transit to or from the Camp locations and activity locations; staying overnight on or off campus; rendering of first-aid, emergency treatment or other services; consumption of food or drink; or other unknown and unanticipated activities and risks. In consideration of the University of Idaho (“UI”) permitting me/my dependent to associate with the Camp, I and my dependent hereby voluntarily assume all risks associated with participation. To the extent permitted by law, I agree to indemnity, defend, save, hold harmless, discharge and release the State of Idaho, The Regents of the UI, their agents and employees from any and all liability, claims, causes of action or demand of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to the above name Camp, whether caused by the University’s negligence or carelessness. It is my express intent that this Acknowledgement of Risk and Waiver of Liability shall serve as a release, discharge and assumption of risk for heirs, estate, executor, administrator, assignees and all members of my family. I understand that disregard for University of Idaho policies and applicable laws may be considered grounds for dismissal from Camp, and prompt return home at my/parent expense. I hereby certify that my dependent is in good health and I know of no medical reason why he/she is not able to participate in this Camp. I hereby consent to first aid, emergency medical care and if necessary, admission to an accredited hospital when necessary for executing such care, for treatment for injuries that he/ she may sustain while participating in any Camp associated with the above named Camp. I agree that you may photograph my child during, and in connection with, the Camp. I agree that you shall be exclusive owner of the photograph and copyright and other rights of the photograph. Policy Holder’s PH#: _____ Yes _____ No (Mark with an X) E-mail: Insurance Company: Camper’s Signature: School: Address: Parent / Guardian’s Signature: Position: City: Payment *If you are a member of a team that is coming to camp, you will give your payment directly to your Head Coach. *If you are coming to camp on your own, send check or money order payable to: High School Camp: June 18-21 Grades 9-12. Grade as of Fall 2012 Robb Akey Football Camp c/o Mark Vaught P.O. Box 442302 Moscow, ID 83844-2302 Individual $300 Team Camper $275 Day Camper $225 Rates available for teams of 40+ Name: Birthdate: / / Make sure your name is included so we can distinguish who the payment is for. Insurance Information Address: *Please bring a copy of insurance card. Policy Holder: City: State: Zip: Telephone: Head Coach’s Name: Parent/Guardian Name: T-Shirt Size: (circle one) S M L XL XXL State: Zip: Telephone: Insurance ID/Group Numbers(s): Parent / Guardian – PRINT Name: Date: EMERGENCY CONTACT INFORMATION – PLEASE PRINT Name: Relation to Participant: XXXL Phone(s) Work: Home: Cell: VANDAL ATHLETIC TRAINING ROOM VANDAL WEIGHT ROOM VANDAL TEAM ROOM Description: Campers will experience first-hand the same teaching and philosophy the Vandals experience. This is a fast paced and energetic atmosphere that features morning individual practice sessions, 1-on-1 competitions, overtime challenge, afternoon team practice sessions and scrimmages, strength and conditioning instruction, an overtime tourney and much more. All campers will receive a camp T-shirt. Camp will conclude with scrimmages on Thursday morning. Personal Instruction: At all of our camps, the Vandal coaching staff is devoted to giving hands-on, personal attention to every camper, including instruction by one of the nation’s premier strength coaches, Jake Scharnhorst. Above all, our campers will learn what it means to be a Vandal both on and off the football field. Check-In: Check-in for camp will take place at the Wallace Dorm Complex on the University of Idaho campus. For the high school camp, registration is June 18th from 11 a.m. until 2 p.m. Transportation: Please contact Health, Safety, and Insurance Coverage: All participants must be covered by personal medical insurance. Because of the rigorous daily schedule, each camper is encouraged to come to camp in good physical condition. Every effort is made to protect the health and the safety of each camper through the athletic training staff, supervised warm up periods, constant inspection of equipment, and responsible instruction. Campers without proper physician and parental signatures will not be allowed to participate. Water will be available at all times. Location, Supervision, and Facilities: The football camp will take place on the University of Idaho campus in Moscow, Idaho. Campers attending our high school camp will be able to receive informative instruction in our world class Iverson Speed and Strength Center located in the Kibbie Dome. Meals for the camp will be served in the Wallace Dining Center on an all-you-can-eat basis. Overnight campers will stay in the Wallace Complex, conveniently located directly adjacent to the practice fields. Security and Medical personnel will be available at all times during our camps. Mark Vaught at [email protected] with questions regarding Transportation. Please give at least two weeks’ notice before the start of camp. What to Bring to High School Camp: Campers need to bring cleats, shoulder pads, helmets, football pants, and knee, thigh, hip and tail pads. Campers also will need to bring bedding, pillow, towels and toiletries. There are laundry facilities available at the residence halls. **Refunds: Should you not be able to participate in the full camp, because of serious injury, or other unforeseen circumstances, refunds will be honored. Refunds will only be given if the circumstances result in you leaving camp or not attending at all. A $40 dollar administrative fee will be applied to all refunds given after camp has started. Photo courtesy of the Idaho Statesman Vandals in the NFL Max Komar Chicago Bears Mike Iupati San Francisco 49ers David Vobora Seattle Seahawks Vandals in the NFL Nate Enderle Chicago Bears Aaron Lavarias Detroit Lions T. J. Conley New York Jets Jake Scott Tennessee Titans Shiloh Keo Houston Texans Eddie Williams Seattle Seahawks
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