2016 uapb football camp brochure - Arkansas Pine Bluff Athletics
Drill/Test Athletes will be tested in the 40 yard dash, pro-agility drill, L-Drill, standing broad jump and vertical
jump.
Athlete Equipment List Workout gear necessary: football cleats, athletic shoes, shorts, and towel. Helmets are not required.
Medical Policy Each participant should have his or her own medical insurance. A student trainer will be available.
Check-In 8:00am-9:00am
Camp Fee $50.00 (includes: Lunch & T-Shirt) Full payment by check or money order must accompany the application made payable to: UAPB Football Foundation MEDICAL AUTHORIZATION FORM
Age Weight
Zip
Phone Phone number
Date of Birth
School Name State
Signature (Parent or Guardian)_________________________________Date_________________________
, as parent or legal guardian of the partici pant named above, authorize UAPB to seek medical treatment which is reasonably necessary to care for the participant. I further authorize the medical facility that treats the participant to release all information needed to complete insurance claims. I acknowledge my responsibility to pay all cost associated with the participant medial care and authorize all insurance payments, if any to be made directly to the medical facility.
IN CASE OF EMERGENCY PLEASE CONTACT: Name Your medical Insurances Insurances policy Numbers I
3.) List any allergies:
2.) List any medications currently taking:
1.) List any medical condition’s camp personnel should be aware of:
Date of Camp
First Name City Home Phone Grade in September Height
UAPB FOOTBALL CAMP APPLICATION Please Print Information:
Go Lions
coaching every UAPB Football Player receives.
Participant’s Name What Sports
football fundamentals needed to excel at his specific position. These camps are directed by The University of Arkansas-Pine Bluff coaching staff, which means you will receive the same expert
Last Name Home Address Parent/Guardian Name Cell Phone Date of Birth
Camp Details These camps are designed to give each individual athlete a solid foundation in the basic
jump.
Athlete Equipment List Workout gear necessary: football cleats, athletic shoes, shorts, and towel. Helmets are not required.
Medical Policy Each participant should have his or her own medical insurance. A student trainer will be available.
Check-In 8:00am-9:00am
Camp Fee $50.00 (includes: Lunch & T-Shirt) Full payment by check or money order must accompany the application made payable to: UAPB Football Foundation MEDICAL AUTHORIZATION FORM
Age Weight
Zip
Phone Phone number
Date of Birth
School Name State
Signature (Parent or Guardian)_________________________________Date_________________________
, as parent or legal guardian of the partici pant named above, authorize UAPB to seek medical treatment which is reasonably necessary to care for the participant. I further authorize the medical facility that treats the participant to release all information needed to complete insurance claims. I acknowledge my responsibility to pay all cost associated with the participant medial care and authorize all insurance payments, if any to be made directly to the medical facility.
IN CASE OF EMERGENCY PLEASE CONTACT: Name Your medical Insurances Insurances policy Numbers I
3.) List any allergies:
2.) List any medications currently taking:
1.) List any medical condition’s camp personnel should be aware of:
Date of Camp
First Name City Home Phone Grade in September Height
UAPB FOOTBALL CAMP APPLICATION Please Print Information:
Go Lions
coaching every UAPB Football Player receives.
Participant’s Name What Sports
football fundamentals needed to excel at his specific position. These camps are directed by The University of Arkansas-Pine Bluff coaching staff, which means you will receive the same expert
Last Name Home Address Parent/Guardian Name Cell Phone Date of Birth
Camp Details These camps are designed to give each individual athlete a solid foundation in the basic
