2014 SOFTBALL camp
HEALTH HISTORY
Food Other (insect, etc.) Seizures Diabetes Heart Disease Hyperactivity (ADHD) Other:
Texas Lutheran University, as a
Asthma Frequent Ear Infections Back Problems Emotional Difficulties
community of learning and a community of faith, is committed to hosting summer programs that
Recent operations/injuries/illness:
focus on opportunities for both Limitations to activity:
adult and youth learning and development of academic and
First Aid provider may give my child the following: Ibuprofen (ie. Advil) Acetaminophen (ie. Tylenol) Chloroseptic lozenges Diphehydramine (Antihistamine, ie. Benadryl) Imodium AD Caladryl lotion Decongestant (ie. Sudafed)
extracurricular skills.
If at any time it is necessary for my child/ward, hereinafter referred to as “camper,” to receive outside or professional medical attention for an injury sustained at Texas Lutheran University’s (TLU) camp, hereinafter referred to as “camp,” I hereby give my consent to the camp director to secure necessary services. The camp director will attempt to contact me, but the TLU athletic trainer, camp nurse or the Guadalupe Regional Medical Center and its doctors and nurses have my permission to treat and/or prescribe medications to the camper while enrolled or participating in any activity under the auspices of TLU. Also, I do hereby for myself, my heirs, executors, and administrators release, absolve and hold harmless the camp, its employees and agents from any and all liability for any injuries, illnesses or damage to person or property incurred while at camp, which may include but are not limited to cuts, bruises, sprains, strains, and broken bones. In accordance with the rules of TLU’s camp, I, the undersigned parent and/or legal guardian, hereby give my consent for my child/ward to participate in all camp activities except:
Date
✂
Parent/Guardian Signature
1000 W. Court St. Seguin, Texas 78155-5978 www.tlu.edu
M I S S I O N S TAT E M E N T
SUMMER PROGRAMS
Allergies Medication
Texas Lutheran University
2014 SOFTBALL camp SESSION I: Ages 8–11 June 9–11, 6:00 p.m.–9:00 p.m. SESSION II: Ages 11–14 June 16–18, 6:00 p.m.– 9:00 p.m. SESSION III: Ages 14–18 June 23–25, 6:00 p.m.–9:00 p.m. All camps will take place on the Theos Morck Field at Ed Kruse Stadium on the TLU campus.
www.tlu.edu 1000 W. Court St. • Seguin, TX 78155-5978
l u t h e r a n
u n i v e r s i t y
s u m m e r
2014 TLU softball CAMP In an intense, yet fun, learning experience at one of Texas’ finest academic and athletic institutions, participants focus on the improvement and development of their fundamental skills. The major emphasis is proper hitting, running, throwing and fielding mechanics geared to the individual’s age and abilities. The camp strengthens and widens the player’s knowledge of the game and introduces new techniques and drills that can be applied long after the camp has ended.
STAFF Wade Wilson, current head softball coach at TLU, along with Dennis Moe, pitching coach at TLU, Sarah O’Brien, assistant coach at TLU and current TLU Softball players, leads a staff of qualified coaches and counselors who are committed to providing each participant with opportunities to learn and develop the fundamental skills of softball in a positive and supportive atmosphere.
LOCATION
Please check one: Session I: June 9 –11 (ages 8–11) Session II: June 16–18 (ages 11–14) Session III: June 23–25 (ages 14–18)
The camp is held on Theos Morck Field at Ed Kruse Stadium on the TLU campus.
Registration confirmation will be sent via e-mail. Please print legibly.
FEE
Camper’s name: ———————————————————————————
The cost for the camp is $90 and can be paid on the first day of camp. No deposits or late registration fees. Walk-ups are welcome.
Date of birth: ———————————————————————————
equipment
State: ——— Zip: ——————— Phone: ——————————————
Campers should wear appropriate softball attire, including a visor, long pants, cleats or tennis shoes, and gloves. Personal bats and catcher’s equipment are recommended. Bats, balls and protective equipment are provided. The camp is not responsible for lost clothing or equipment. Please mark personal equipment before attending. Campers also should bring drinking water.
School: ———————————————————————————————
insurance
Address : ————————————————————————————— City: ———————————————————————————————
Grade in 2014–15 school year: ————————————————————— Father’s/guardian’s name: ——————————————————————— Work/cell phone: —————————————————————————— Mother’s/guardian’s name: —————————————————————— Work/cell phone: —————————————————————————— Parent’s e-mail: ————————————————————————————
Parent/Guardians are responsible for providing adequate insurance for each child (camper). Each camper must be insured before attending the camp.
T-shirt size (youth sizes) – circle one: OR (adult sizes) – circle one: S
refund policies
——————————————————————————————————
registration
Texas Lutheran University Athletics Department/Softball Camp 1000 W. Court St. Seguin, Texas 78155 Photocopy this form if additional applications are needed
M M
L L
XL XL
Person authorized to pick up child:
EM ER G EN C Y C ON TA C T:
All returned checks are subject to a $30 handling fee.
Complete the attached registration form and return it with payment. Mail registration form and payment to:
For more information, email [email protected] or [email protected], call 830-372-8129 or go to www.tlubulldogs.com
2014 TLU softball CAMP REGISTRATION FORM
p r o g r a m s
Name: —————————————————————————————— Phone: —————————————————————————————— Insurance company: ————————————————————————— Policy number: ——————————————————————————— Physician’s name: —————————————————————————— Physician’s phone: —————————————————————————— Emergency contact if parents cannot be reached: ————————————— ———————————————————————————————————
✂
t e x a s
NOTE: No camper will be permitted to leave camp unless accompanied by an authorized adult.
Food Other (insect, etc.) Seizures Diabetes Heart Disease Hyperactivity (ADHD) Other:
Texas Lutheran University, as a
Asthma Frequent Ear Infections Back Problems Emotional Difficulties
community of learning and a community of faith, is committed to hosting summer programs that
Recent operations/injuries/illness:
focus on opportunities for both Limitations to activity:
adult and youth learning and development of academic and
First Aid provider may give my child the following: Ibuprofen (ie. Advil) Acetaminophen (ie. Tylenol) Chloroseptic lozenges Diphehydramine (Antihistamine, ie. Benadryl) Imodium AD Caladryl lotion Decongestant (ie. Sudafed)
extracurricular skills.
If at any time it is necessary for my child/ward, hereinafter referred to as “camper,” to receive outside or professional medical attention for an injury sustained at Texas Lutheran University’s (TLU) camp, hereinafter referred to as “camp,” I hereby give my consent to the camp director to secure necessary services. The camp director will attempt to contact me, but the TLU athletic trainer, camp nurse or the Guadalupe Regional Medical Center and its doctors and nurses have my permission to treat and/or prescribe medications to the camper while enrolled or participating in any activity under the auspices of TLU. Also, I do hereby for myself, my heirs, executors, and administrators release, absolve and hold harmless the camp, its employees and agents from any and all liability for any injuries, illnesses or damage to person or property incurred while at camp, which may include but are not limited to cuts, bruises, sprains, strains, and broken bones. In accordance with the rules of TLU’s camp, I, the undersigned parent and/or legal guardian, hereby give my consent for my child/ward to participate in all camp activities except:
Date
✂
Parent/Guardian Signature
1000 W. Court St. Seguin, Texas 78155-5978 www.tlu.edu
M I S S I O N S TAT E M E N T
SUMMER PROGRAMS
Allergies Medication
Texas Lutheran University
2014 SOFTBALL camp SESSION I: Ages 8–11 June 9–11, 6:00 p.m.–9:00 p.m. SESSION II: Ages 11–14 June 16–18, 6:00 p.m.– 9:00 p.m. SESSION III: Ages 14–18 June 23–25, 6:00 p.m.–9:00 p.m. All camps will take place on the Theos Morck Field at Ed Kruse Stadium on the TLU campus.
www.tlu.edu 1000 W. Court St. • Seguin, TX 78155-5978
l u t h e r a n
u n i v e r s i t y
s u m m e r
2014 TLU softball CAMP In an intense, yet fun, learning experience at one of Texas’ finest academic and athletic institutions, participants focus on the improvement and development of their fundamental skills. The major emphasis is proper hitting, running, throwing and fielding mechanics geared to the individual’s age and abilities. The camp strengthens and widens the player’s knowledge of the game and introduces new techniques and drills that can be applied long after the camp has ended.
STAFF Wade Wilson, current head softball coach at TLU, along with Dennis Moe, pitching coach at TLU, Sarah O’Brien, assistant coach at TLU and current TLU Softball players, leads a staff of qualified coaches and counselors who are committed to providing each participant with opportunities to learn and develop the fundamental skills of softball in a positive and supportive atmosphere.
LOCATION
Please check one: Session I: June 9 –11 (ages 8–11) Session II: June 16–18 (ages 11–14) Session III: June 23–25 (ages 14–18)
The camp is held on Theos Morck Field at Ed Kruse Stadium on the TLU campus.
Registration confirmation will be sent via e-mail. Please print legibly.
FEE
Camper’s name: ———————————————————————————
The cost for the camp is $90 and can be paid on the first day of camp. No deposits or late registration fees. Walk-ups are welcome.
Date of birth: ———————————————————————————
equipment
State: ——— Zip: ——————— Phone: ——————————————
Campers should wear appropriate softball attire, including a visor, long pants, cleats or tennis shoes, and gloves. Personal bats and catcher’s equipment are recommended. Bats, balls and protective equipment are provided. The camp is not responsible for lost clothing or equipment. Please mark personal equipment before attending. Campers also should bring drinking water.
School: ———————————————————————————————
insurance
Address : ————————————————————————————— City: ———————————————————————————————
Grade in 2014–15 school year: ————————————————————— Father’s/guardian’s name: ——————————————————————— Work/cell phone: —————————————————————————— Mother’s/guardian’s name: —————————————————————— Work/cell phone: —————————————————————————— Parent’s e-mail: ————————————————————————————
Parent/Guardians are responsible for providing adequate insurance for each child (camper). Each camper must be insured before attending the camp.
T-shirt size (youth sizes) – circle one: OR (adult sizes) – circle one: S
refund policies
——————————————————————————————————
registration
Texas Lutheran University Athletics Department/Softball Camp 1000 W. Court St. Seguin, Texas 78155 Photocopy this form if additional applications are needed
M M
L L
XL XL
Person authorized to pick up child:
EM ER G EN C Y C ON TA C T:
All returned checks are subject to a $30 handling fee.
Complete the attached registration form and return it with payment. Mail registration form and payment to:
For more information, email [email protected] or [email protected], call 830-372-8129 or go to www.tlubulldogs.com
2014 TLU softball CAMP REGISTRATION FORM
p r o g r a m s
Name: —————————————————————————————— Phone: —————————————————————————————— Insurance company: ————————————————————————— Policy number: ——————————————————————————— Physician’s name: —————————————————————————— Physician’s phone: —————————————————————————— Emergency contact if parents cannot be reached: ————————————— ———————————————————————————————————
✂
t e x a s
NOTE: No camper will be permitted to leave camp unless accompanied by an authorized adult.
