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De
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Misssion Viejo
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GrassRootsAthlletics.org
BIG
G BEAR CA
ALIFORN
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will train daaily and som
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various runn
ning topics:: physiologyy, psycholo
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AM‐ Together Everyon
ne Achievess More! 5 daays of Team
mHood. Coach Robert B
Belo 9
949‐525‐056
67 Rob@GrrassRootsAth
hletics.org 2013 GRASSROOTS ATHLETICS
BIG BEAR RUNNING CAMP
When:
August 26th to August 30th
Departing 8/26 from MVHS parking lot by 12:05 pm (arrive by 11:31 to get situated)
Estimated arrival time of 3:30 PM / check in at 4:00 pm.
Departing 8/30 from Big Bear by 10:00 am
Estimated arrival time of 1:00 pm
Where:
Rental Home
321 East Fairway
Big Bear City, CA 92314
http://www.vrbo.com/440424
Purpose:
Next level training, bonding and learning.
Contacts:
Robert Belo
Mayra Belo
Info:
We will have 1-2 training sessions daily while at camp as well as learning hours to discuss the
physiology, nutrition and psychology of running, training and competing. There will also be
plenty of recreational/ study time, but the primary purpose of this camp is for cross country
training. The large rental home accommodates 35 people with double occupancy per sleeping
unit (bed/futon etc). There are washers/dryers for laundry and towels for showering so packing
should be economical for the 5 day camp. You can learn more about the property by visiting
http://www.vrbo.com/440424
(949) 525-0567
(949) 525-0566
Suggestions of what to bring.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Sleeping Bag / Air Mattress/ Pillow not required as the property is furnished for sleeping.
Running shoes. 1-2 pairs.
Shoes for non-running activities.
T-shirts for running double days (at least 6)
Shorts for running (at least 6)
Socks (pack extra)
Casual clothes for after running.
Cap or visor.
Sunglasses
Sunscreen.
Light Jacket (probably won’t need, but just in case maybe)
Camera
Backpack
Towel for swimming and shower.
Swimsuit.
Toiletries
Money for activities
Entertainment for free time( music, book, magazine, board game)
Proper attitude for running, bonding and having fun. MANDATORY!
GrassRoots Athletics
Athlete Information Form
Athlete's Name: _________________________________Cell Phone: ____________________
Address: _____________________________________________________________________
City:____________________________________________ Zip: _________________
Date of Birth: _______________ Age: ________ Grade: ___________
School: __________________________________________________
E-Mail Addresses:
Athlete:____________________________________________________
Parent:_____________________________________________________
EMERGENCY CONTACT INFORMATION
Father’s Name: __________________________________________
Home Phone: __________________Work: __________________Cell:____________________
Mother’s Name: __________________________________________
Home Phone: __________________Work: __________________Cell:____________________
Alternate Contact: _____________________________________
Phone: ______________________________________________
MEDICAL INFORMATION
Any Respiratory Illness? __________________________________________
Medical Issues: _________________________________________________
Medications: ___________________________________________________
Allergies: ______________________________________________________
Insurance Carrier: _______________________________________________
Policy Number: _________________________________________________
Family Doctor: ____________________________Phone: _______________
ASSUMPTION OF RISK AND RELEASE AND WAIVER OF LIABILITY
CONSENT FOR MEDICAL TREATMENT OF MINOR
In consideration for the training/competition program/camp in which my child will be participating with
GrassRoots Athletics XC Camp, I fully and forever waive all rights and claims for any injuries and damages
that may occur during said program. I agree to hold free liability any representative, coach, administrator,
director, volunteer or sponsor of GrassRoots Athletics, Saddleback Unified School District, and facilities in
which we hold organized training/competition sessions. Furthermore, I enter this XC Camp/program knowing
that certain risk of injury does exist and by signing below, I am also implying that my child has been medically
cleared by my physician to participate in this type of physical fitness training program. As I give permission to
GrassRoots Athletics, and their associates to use photos captured during training sessions, races, and club events
for advertisement, promotional, and other uses. Also as the parent of the above named athlete, and in the event
I cannot be reached, I hereby give my consent for emergency medical care prescribed by a duly licensed
physician. This care may be give under whatever conditions are necessary to preserve the well-being of my
child. By signing below I have read and understand the assumption of risk and release and waiver of liability.
Signature of Parent/Legal Guardian: __________________________________ Date: ____________