2018 bulldog football spring academy camp
RELEASE AGREEMENT 2018 Football Academy
FOOTBALL ACADEMY DIRECTOR
This ‘release and hold harmless’ must be signed by a parent or guardian of participating children under 18 years of age. Without proper signatures, your registration cannot be processed and will be returned to you. Please read this form carefully and be aware that, in signing and participating in the above program, you will be waiving and releasing all claims for injuries, arising out of this program that you or the above participant might sustain. The terms ‘I,’ ‘me,’ and ‘my’ also refer to parents or guardians, as well as the participants in the program. In registering for the program, you agree as follows: As a participant in this program, I recognize and acknowledge there are certain risks of physical injury, and I agree to assume the full risk of any injuries, including death, damages or loss which I may sustain connected with or associated with this program. I further recognize and acknowledge that all athletic activities involving strenuous exertion or potential body contact are hazardous recreational activities and involve substantial risk of injury. I agree to waive and relinquish any and all claims that I may have as a result of participating in the program against Riverside-Brookfield any and all independent contractors, officers, agents, servants and employees of the school and any and all other persons and entities of whatever nature, that I might be directly or indirectly liable for any injuries that I may sustain while participating in the program. (The parties described in the preceding sentences are referred to as ‘released parties’ in the remainder of the agreement.) I do hereby release and discharge Riverside-Brookfield and the other released parties from any and all claims for injuries, including death, damages or losses which I may have, or which may accrue to me on account of my participation in the program. I further agree to indemnify, hold harmless and defend RiversideBrookfield, and any other released parties, from any and all claims resulting from injuries, including death, damages or losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of the program. I further understand and agree that the terms such as “participation,” “program,” and “activities” referred to in this agreement, including all exercises and physical movements of any nature while I am participating in this program, and further include the provision of or failure to provide proper instruction or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises involved in the program. I understand that the nature of the program for which I am registering, and have read and fully understand this waiver, RELEASE AND HOLD HARMLESS AGREEMENT, I further understand that any advisement or warnings of the particular risks of this program that I subsequently receive will be incorporated by reference into and become part of this Agreement.
HEAD COACH BRENDAN CURTIN A former high school and college quarterback, Riverside-Brookfield head coach, Brendan Curtin, has been coaching football for over 20 years. Throughout his career, he has served as offensive & defensive coordinator and has coached all positions on both sides of the ball. He has coached numerous student-athletes who have advanced to compete at the college level. While at RBHS, he has led his team to four consecutive playoff appearances. Aside from his head coaching duties at RB, Brendan has also been a counselor at numerous prestigious QB camps.
2018 BULLDOG FOOTBALL SPRING ACADEMY CAMP Riverside-Brookfield High School 160 Ridgewood Road Riverside IL, 60546
FOC U S IN G ON F OOTBALL FUNDAM ENTALS Each session at the Bulldog Football Academy will teach the fundamentals for all positions through drills and repetition. This camp is a non-padded, no contact camp. Participants are encouraged to bring a football, spikes and gym shoes.
Mechanics
Footwork
WHEN April 8, 15, 22 & 29 May 6 & 13 4:00PM - 6:00PM
Strength
5th through 8th grade boys
RB’s Kennelley Stadium & Field House
$95
instructional camp geared toward 5th-8thgrade level football players. Whether your child is just starting out or playing for years, this session will provide a youth football player with the skills necessary
Participant Name:
Parent Name:
Address:
Parent Email:
City|State|Zip:
Parent Signature:
Phone:
Participant Signature:
Emergency Contact:
Camp T-Shirt (Circle one)
Emergency Number: School (fall of 2018): Current Grade:
Adult
XL
Youth
L
L
M S
M S
Checks payable to: Birth Date:
Youth Program:
[email protected]
Defense & Offense
COST
staff present a top-level training and
(708) 442-7500 X2311
Agility & Speed WHERE
Coach Brendan Curtin and the RB football
CONTACT
Classroom & Film Study
WHO
WHY CHOOSE US
to take his game to the next level.
Blocking & Tackling
Offensive Position of Interest: Defensive Position of Interest:
Riverside-Brookfield Athletic Department
Mail or drop off form and payment to: Bulldog Football Academy Attn: Brendan Curtin - Camp Director 160 Ridgewood Road Riverside, IL 60546
FOOTBALL ACADEMY DIRECTOR
This ‘release and hold harmless’ must be signed by a parent or guardian of participating children under 18 years of age. Without proper signatures, your registration cannot be processed and will be returned to you. Please read this form carefully and be aware that, in signing and participating in the above program, you will be waiving and releasing all claims for injuries, arising out of this program that you or the above participant might sustain. The terms ‘I,’ ‘me,’ and ‘my’ also refer to parents or guardians, as well as the participants in the program. In registering for the program, you agree as follows: As a participant in this program, I recognize and acknowledge there are certain risks of physical injury, and I agree to assume the full risk of any injuries, including death, damages or loss which I may sustain connected with or associated with this program. I further recognize and acknowledge that all athletic activities involving strenuous exertion or potential body contact are hazardous recreational activities and involve substantial risk of injury. I agree to waive and relinquish any and all claims that I may have as a result of participating in the program against Riverside-Brookfield any and all independent contractors, officers, agents, servants and employees of the school and any and all other persons and entities of whatever nature, that I might be directly or indirectly liable for any injuries that I may sustain while participating in the program. (The parties described in the preceding sentences are referred to as ‘released parties’ in the remainder of the agreement.) I do hereby release and discharge Riverside-Brookfield and the other released parties from any and all claims for injuries, including death, damages or losses which I may have, or which may accrue to me on account of my participation in the program. I further agree to indemnify, hold harmless and defend RiversideBrookfield, and any other released parties, from any and all claims resulting from injuries, including death, damages or losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of the program. I further understand and agree that the terms such as “participation,” “program,” and “activities” referred to in this agreement, including all exercises and physical movements of any nature while I am participating in this program, and further include the provision of or failure to provide proper instruction or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises involved in the program. I understand that the nature of the program for which I am registering, and have read and fully understand this waiver, RELEASE AND HOLD HARMLESS AGREEMENT, I further understand that any advisement or warnings of the particular risks of this program that I subsequently receive will be incorporated by reference into and become part of this Agreement.
HEAD COACH BRENDAN CURTIN A former high school and college quarterback, Riverside-Brookfield head coach, Brendan Curtin, has been coaching football for over 20 years. Throughout his career, he has served as offensive & defensive coordinator and has coached all positions on both sides of the ball. He has coached numerous student-athletes who have advanced to compete at the college level. While at RBHS, he has led his team to four consecutive playoff appearances. Aside from his head coaching duties at RB, Brendan has also been a counselor at numerous prestigious QB camps.
2018 BULLDOG FOOTBALL SPRING ACADEMY CAMP Riverside-Brookfield High School 160 Ridgewood Road Riverside IL, 60546
FOC U S IN G ON F OOTBALL FUNDAM ENTALS Each session at the Bulldog Football Academy will teach the fundamentals for all positions through drills and repetition. This camp is a non-padded, no contact camp. Participants are encouraged to bring a football, spikes and gym shoes.
Mechanics
Footwork
WHEN April 8, 15, 22 & 29 May 6 & 13 4:00PM - 6:00PM
Strength
5th through 8th grade boys
RB’s Kennelley Stadium & Field House
$95
instructional camp geared toward 5th-8thgrade level football players. Whether your child is just starting out or playing for years, this session will provide a youth football player with the skills necessary
Participant Name:
Parent Name:
Address:
Parent Email:
City|State|Zip:
Parent Signature:
Phone:
Participant Signature:
Emergency Contact:
Camp T-Shirt (Circle one)
Emergency Number: School (fall of 2018): Current Grade:
Adult
XL
Youth
L
L
M S
M S
Checks payable to: Birth Date:
Youth Program:
[email protected]
Defense & Offense
COST
staff present a top-level training and
(708) 442-7500 X2311
Agility & Speed WHERE
Coach Brendan Curtin and the RB football
CONTACT
Classroom & Film Study
WHO
WHY CHOOSE US
to take his game to the next level.
Blocking & Tackling
Offensive Position of Interest: Defensive Position of Interest:
Riverside-Brookfield Athletic Department
Mail or drop off form and payment to: Bulldog Football Academy Attn: Brendan Curtin - Camp Director 160 Ridgewood Road Riverside, IL 60546
