2015 Summer Champions Camp
At the University of Central Oklahoma David James Wrestling Camps
WHEN
WHERE Ted Anderson Wrestling Room @ UCO
JuNe 22nd-25th 9:00 A.M. – 12:00 P.M.
COST
7th grade-HS Senior
$100 all campers will receive a Camp t-shirt
July 20th-23rd
What to Bring
1st-6th grade
Wrestling Shoes, Workout gear, and headgear if desired
9:00 a.m.-12:00 P.M.
Camp Information
This camp is designed to help wrestlers who are serious about improving their skills. We will begin with the basics and progress over a four-day period. Each camper will be provided with the instruction that will enable them to take their skills to the next level regardless of current age or skill level.
STAFF David james Kyle evans Chris hacker Casy Rowell Members of UCO Wrestling Team
-33rd year as Head coach at Central Oklahoma -Coached 12 National Championship teams -7X National Coach of the Year -Has coached 48 National Champions and 182 All-Americans -4X All-American and 2X National Champion as an athlete -Head Assistant at Central Oklahoma -4X All-American/2X National Champion -3X National Finalist -Graduate Assistant at Central Oklahoma -7X Cadet/Junior All-American -2X Oklahoma State Champion -2014 National Champion and Outstanding Wrestler -3X All-American -3X Oklahoma State Champion -Several members of UCO Wrestling Team will be available to help with individualized instruction to campers.
Feel free to contact Kyle Evans with any questions or concerns regarding this event Cell- (405) 326-6429 Email-
[email protected] Onsite registration begins at 8:30 a.m. on the day of camp. You can pre-register by mailing this form and a check to the address on the back of this form. Make checks payable to Broncho Wrestling Club.
2015 Summer Champions Camp At the University of Central Oklahoma David James Wrestling Camps
Wrestler INFORMATION SHEET Name: Please circle June Camp
July Camp Address: City/Zip:
Phone: Email Address: Age/Weight/T-Shirt Size: Emergency Contact/Phone #: Insurance Provider and Policy # As Parent or Guardian, I do hereby agree to accept all responsibilities for medical and other expenses that might occur as a result of injury at the Summer Champions Wrestling Camp. Signature: _________________________________________________ Date:__________
Mail to: David James UCO Wrestling Office 100 N. University Drive Edmond, OK 73034 Or Fax to: (405)974-3820 C/O David James
UNIVERSITY OF CENTRAL OKLAHOMA ATHLETICS COMPLIANCE OFFICE WAIVER OF LIABILITY, ASSUMPTION OF RISK AND HOLD HARMLESS AGREEMENT
Activity/Program: Date: In consideration of being allowed to participate in an Athletic Activity at University of Central Oklahoma (UCO) to take place on the day of , 20 , I state and agree as follows: A. I am over eighteen (18) years of age (or if under 18, have had my parent or guardian give consent for my participation by signing this document in addition to my own signature) and am eligible to participate in the above-stated Activity. B. I recognize that I am not required to participate in this Activity and choose to do so of my own free will (and if under eighteen (18) years of age with my parent’s or guardian’s consent). C. I (and if under eighteen (18) years of age with my parent’s or guardian’s consent) understand that such Activity may involve the risk of physical and/or psychological injury and even death. I (and if under eighteen (18) years of age with my parent’s or guardian’s consent) voluntarily assume all such risks of loss, property damage, or personal injury, including death, that I may sustain or cause as a result of participating in this Activity, whether caused by my negligence or that of UCO or its officers, agents or employees and agree not to make any claim of any kind against UCO, its officers, agents or employees for any such injury. I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS UCO, its officers, agents and employees and/or the Regional University System of Oklahoma Colleges from any loss, liability, damage or costs, including court costs and attorneys fees, that they may incur due to my participation in such Activity, whether due to my negligence or theirs or otherwise. D. By signing this agreement, I (and my parent/guardian if under eighteen (18) years of age) intend to bind other members of my family, and heirs and assigns to this to this Waiver of Liability, Assumption of Risk and Hold Harmless Agreement. E. I (and my parent/guardian if under eighteen (18) years of age) have read this document before signing it. I (and my parent/guardian if under eighteen (18) years of age) have had an opportunity to consider its meaning, and I (and my parent/guardian if under eighteen (18) years of age) understand the document and sign it as a voluntary act and deed.
Printed Name of Participant
Signature
Date
Printed Name of Parent/Guardian
Signature
Date