2016 Winter Camp - Central Washington Athletics
2014 GNAC Baseball Champions
Registration accepted until NOV. 28th
CENTRAL WASHINGTON UNIVERSITY
2016 WINTER PROSPECT CAMP
22016 WINTER PROSPECT CAMP
SESSION 1 Pitching & Catching Ages: 15-18 Date: Sunday, December 4, 2016 Time: 9AM - NOON Location: CWU Field House (Ellensburg, WA) Cost: $150
SESSION 2 Hitting & Defense Ages: 15-18 Date: Sunday, December 4, 2016 Time: 1 PM - 4 PM Location: CWU Field House (Ellensburg, WA) Cost: $150
SESSIONS 1 + 2 Pitching, Catching, Hitting & Defense Ages: 15-18 Date: Sunday, December 4, 2016 Time: 9 AM—4 PM Location: CWU Field House (Ellensburg, WA) Cost $250
REGISTRATION + CONTACT INFORMATION Registration forms are found on page 3 and 4 of this packet. In order to ensure your spot in the camp please RSVP immediately to Coach Scott Stone. Additionally, for answers to any further questions, please use the contact information below for Coach Stone. Remember, the camp will fill up fast and payment & registration must be received no later than Nov. 28 2016 Scott Stone I Asst. Coach/Camps Coordinator (541)602-4549 I [email protected]
CENTRAL WASHINGTON UNIVERSITY DATE SESSION I SESSION II AGES LOCATION STAFF COST REGISTER BY
Sunday, December 4, 2016 Pitching/Catching 9 AM—NOON Hitting/Defense 1 PM—4 PM HS Graduating Classes 2016—2019 CWU Nicholson Field House CWU Baseball Staff & Players $150 per session/$250 for both sessions November 28, 2016
REGISTRATION FORM Circle One: Session I
Session II
Session I & II
Name: _________________________________________________________ Grad Year: ____________ Address: _______________________________________________________________________________ City: ___________________________________________ State: ______ Zip Code: ________________ High School: _________________________________________________________ GPA: ____________ Height: ___________ Weight: ___________
Bat: R
L Throw: R
L (Circle One)
Top 3 Positions: _____ _____ _____ Pitcher ONLY (Circle) T-Shirt Size: M
L
XL
XXL
Best Contact Email: ____________________________________________________________________ REGISTRATION PROCESS: (PLEASE READ BEFORE SENDING REGISTRATION TO CWU BASEBALL) With Registration Form please send:
ATTN: Athletics Scott Stone Updated Physical within 2 Years 400 E. University Way Liability Waiver (Located on Next Page of this packet) Ellensburg WA Check made out to CWU Baseball 98926 Please e-mail [email protected] with any questions regarding CWU Baseball Prospect Camp
ACKNOWLEDGEMENT OF RISK AND CONSENT FOR TREATMENT OF MINOR PARTICIPANTS
(To be completed by Parent/Guardian) Players attending the Central Washington University Winter Prospect Camp offered by the CWU Baseball program will participate in physical activity and sport activities. Some of the activities planned may involve inherent risk. I/We, the undersigned, fully understand there is inherent risk associated with my/out minor child’s participation in the baseball camp described above and I/we voluntarily assume full responsibility for any consequences which may result during my/our minor child’s participation. I/We hereby agree to release, both in their individual and official capacities, the State of Washington, Central Washington University, its board of Trustees, officers, agents, employees, students and volunteers from any and all claims and losses resulting from damages or injuries which my/our minor child may cause or sustain. I/We assume all risk associated with my/our child’s participation in this activity as well as travel to and from the activity. Furthermore, I/we verify that my/our minor child is capable, with or without reasonable accommodation, to participate in the Winter Prospect Camp presented by CWU Baseball. Should my minor require emergency medical treatment as a result of an accident or illness arising during the CWU Baseball Camp I consent to such treatment. I agree to be financially responsible for any medical bills as a result of emergency medical treatment.
Name of child: _________________________________________________________________________ Birth date of Child: ______/______/______ Name of Parent/ Guardian (Please Print): _________________________________________________
In case of emergency, please contact me at: Daytime Telephone Number: (______) ______-_________ ext. ________ Cell Phone or Pager Number: (______) ______-_________ ext. ________
Print Parent Name
Parent Signature Central Washington University
Date
Registration accepted until NOV. 28th
CENTRAL WASHINGTON UNIVERSITY
2016 WINTER PROSPECT CAMP
22016 WINTER PROSPECT CAMP
SESSION 1 Pitching & Catching Ages: 15-18 Date: Sunday, December 4, 2016 Time: 9AM - NOON Location: CWU Field House (Ellensburg, WA) Cost: $150
SESSION 2 Hitting & Defense Ages: 15-18 Date: Sunday, December 4, 2016 Time: 1 PM - 4 PM Location: CWU Field House (Ellensburg, WA) Cost: $150
SESSIONS 1 + 2 Pitching, Catching, Hitting & Defense Ages: 15-18 Date: Sunday, December 4, 2016 Time: 9 AM—4 PM Location: CWU Field House (Ellensburg, WA) Cost $250
REGISTRATION + CONTACT INFORMATION Registration forms are found on page 3 and 4 of this packet. In order to ensure your spot in the camp please RSVP immediately to Coach Scott Stone. Additionally, for answers to any further questions, please use the contact information below for Coach Stone. Remember, the camp will fill up fast and payment & registration must be received no later than Nov. 28 2016 Scott Stone I Asst. Coach/Camps Coordinator (541)602-4549 I [email protected]
CENTRAL WASHINGTON UNIVERSITY DATE SESSION I SESSION II AGES LOCATION STAFF COST REGISTER BY
Sunday, December 4, 2016 Pitching/Catching 9 AM—NOON Hitting/Defense 1 PM—4 PM HS Graduating Classes 2016—2019 CWU Nicholson Field House CWU Baseball Staff & Players $150 per session/$250 for both sessions November 28, 2016
REGISTRATION FORM Circle One: Session I
Session II
Session I & II
Name: _________________________________________________________ Grad Year: ____________ Address: _______________________________________________________________________________ City: ___________________________________________ State: ______ Zip Code: ________________ High School: _________________________________________________________ GPA: ____________ Height: ___________ Weight: ___________
Bat: R
L Throw: R
L (Circle One)
Top 3 Positions: _____ _____ _____ Pitcher ONLY (Circle) T-Shirt Size: M
L
XL
XXL
Best Contact Email: ____________________________________________________________________ REGISTRATION PROCESS: (PLEASE READ BEFORE SENDING REGISTRATION TO CWU BASEBALL) With Registration Form please send:
ATTN: Athletics Scott Stone Updated Physical within 2 Years 400 E. University Way Liability Waiver (Located on Next Page of this packet) Ellensburg WA Check made out to CWU Baseball 98926 Please e-mail [email protected] with any questions regarding CWU Baseball Prospect Camp
ACKNOWLEDGEMENT OF RISK AND CONSENT FOR TREATMENT OF MINOR PARTICIPANTS
(To be completed by Parent/Guardian) Players attending the Central Washington University Winter Prospect Camp offered by the CWU Baseball program will participate in physical activity and sport activities. Some of the activities planned may involve inherent risk. I/We, the undersigned, fully understand there is inherent risk associated with my/out minor child’s participation in the baseball camp described above and I/we voluntarily assume full responsibility for any consequences which may result during my/our minor child’s participation. I/We hereby agree to release, both in their individual and official capacities, the State of Washington, Central Washington University, its board of Trustees, officers, agents, employees, students and volunteers from any and all claims and losses resulting from damages or injuries which my/our minor child may cause or sustain. I/We assume all risk associated with my/our child’s participation in this activity as well as travel to and from the activity. Furthermore, I/we verify that my/our minor child is capable, with or without reasonable accommodation, to participate in the Winter Prospect Camp presented by CWU Baseball. Should my minor require emergency medical treatment as a result of an accident or illness arising during the CWU Baseball Camp I consent to such treatment. I agree to be financially responsible for any medical bills as a result of emergency medical treatment.
Name of child: _________________________________________________________________________ Birth date of Child: ______/______/______ Name of Parent/ Guardian (Please Print): _________________________________________________
In case of emergency, please contact me at: Daytime Telephone Number: (______) ______-_________ ext. ________ Cell Phone or Pager Number: (______) ______-_________ ext. ________
Print Parent Name
Parent Signature Central Washington University
Date
