Fall & Winter Camps 2016
ALL Campers Waiver of Liability & Holds Harmless Agreement In consideration of being allowed to participate in this camp, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE The University Athletic Association, Inc., the University of Florida, the Board of Governors of the State of Florida, the State of Florida and their respective officers, servants, agents, or employees (hereinafter referred to as RELEASEE) from any and all liability, claims, demands, or course of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me/my child, or to any property belonging to me/ my child, WHETHER CAUSED BY THE NEGLIGENCE OFF THE RELEASEE, or otherwise, while participating in this camp, or while in, on or upon the premises where the camp is being conducted. To the best of my knowledge, I/my child am/is in good physical condition and I am not aware of any physical infirmity which would place me/my child at risk to participate in any way with the camp’s activities or that the reasonable accommodation(s) I have listed under “Americans with Disabilities” would permit participation in the camp’s activities. I am fully aware of the risks and hazards connected with this camp. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSON INJURY, INCLUDING DEATH, that may be sustained by me/my child, or any loss or damage to property owned by me/my child, as a result of being engaged in the camp’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEE or otherwise. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS, the RELEASEE, from any loss, liability, damage or cost, including court costs and attorneys’ fees, that may accrue related to my/my child’s participation in the camp. WHETHER CAUSED BY NEGLIGENCE OR RELEASEE or otherwise. During the period of the camp, I hereby give permission for the staff of the University Athletic Association, Inc. or this camp to administer appropriate medical attention to me/my child in the event of any accident, illness, or injury, including non-prescription medications or any medications listed herein that I/my child brings to camp in original containers with dosage instructions. I will be responsible for any and all costs of medical coverage and treatment provided not covered by insurance. It is my express intent that this Waiver of Liability and Hold Harmless Agreement/Consent to Medical Treatment shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, this Waiver of Liability and Hold Harmless Agreement/Consent to Medical Treatment shall be construed in accordance with the laws of the State of Florida. In signing this release, I acknowledge and represent that I have read and understand it and sign in voluntarily; I am least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete considerations fully intending to be bound by same. I HAVE READ THIS WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Participant’s Printed Name:_____________________________________________________________________Parent’s Printed Name:_____________________________________________________________________ Parent’s Signature:__________________________________________________________________________________________________________Date:_____________________________________________________________ ** The Parental Signature on the Hold Harmless Statement and the Insurance Information must accompany each application**
Insurance Requirement Insurance Company Name: ____________________________________Name on Policy:__________________________________________________________Relationship to Camper:________________________ Insurance Company Phone #:____________________________________________Policy #:________________________________________________________Group #:_________________________________________ Subscriber Date of Birth:_____________________________ Subscriber Phone Number: _______________________________________________________ Physician Statement I hereby certify that __________________________________________has no restrictions that would prevent her from active and full participation in any and all activities related to this camp. Doctors Signature:___________________________________________________________________________________________________________________________Date:____________________________________________ Current Medications:_________________________________________________________________________________Known Allergies:_____________________________________________________________________ Any Medical Conditions of which we must be aware:_______________________________________________________________________________________________________________________________________ Copy of physical completed within one year of the camp is acceptable in lieu of physician’s signature
This Section is for ALL Catchers for Pitching Camp ONLY Name of Pitcher:__________________________________________ Catcher’s Insurance Requirement Insurance Company Name: ____________________________________Name on Policy:__________________________________________________________Relationship to Camper:________________________ Insurance Company Phone #:____________________________________________Policy #:________________________________________________________Group #:_________________________________________ Subscriber Date of Birth:_____________________________ Subscriber Phone Number: _______________________________________________________ Catcher’s Waiver of Liability & Holds Harmless Agreement In consideration of being allowed to participate in this camp, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE The University Athletic Association, Inc., the University of Florida, the Board of Governors of the State of Florida, the State of Florida and their respective officers, servants, agents, or employees (hereinafter referred to as RELEASEE) from any and all liability, claims, demands, or course of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me/my child, or to any property belonging to me/ my child, WHETHER CAUSED BY THE NEGLIGENCE OFF THE RELEASEE, or otherwise, while participating in this camp, or while in, on or upon the premises where the camp is being conducted. To the best of my knowledge, I/my child am/is in good physical condition and I am not aware of any physical infirmity which would place me/my child at risk to participate in any way with the camp’s activities or that the reasonable accommodation(s) I have listed under “Americans with Disabilities” would permit participation in the camp’s activities. I am fully aware of the risks and hazards connected with this camp. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSON INJURY, INCLUDING DEATH, that may be sustained by me/my child, or any loss or damage to property owned by me/my child, as a result of being engaged in the camp’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEE or otherwise. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS, the RELEASEE, from any loss, liability, damage or cost, including court costs and attorneys’ fees, that may accrue related to my/my child’s participation in the camp. WHETHER CAUSED BY NEGLIGENCE OR RELEASEE or otherwise. During the period of the camp, I hereby give permission for the staff of the University Athletic Association, Inc. or this camp to administer appropriate medical attention to me/my child in the event of any accident, illness, or injury, including non-prescription medications or any medications listed herein that I/my child brings to camp in original containers with dosage instructions. I will be responsible for any and all costs of medical coverage and treatment provided not covered by insurance. It is my express intent that this Waiver of Liability and Hold Harmless Agreement/Consent to Medical Treatment shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, this Waiver of Liability and Hold Harmless Agreement/Consent to Medical Treatment shall be construed in accordance with the laws of the State of Florida. In signing this release, I acknowledge and represent that I have read and understand it and sign in voluntarily; I am least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete considerations fully intending to be bound by same. I HAVE READ THIS WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Catcher’s Printed Name:________________________________________________________________________Catcher’s Signature:_________________________________________________________________________ Parent’s Signature (if Catcher is 17 or younger):_____________________________________________________________________________Date:____________________________________________________________ ** The Parental Signature on the Hold Harmless Statement and the Insurance Information must accompany each application**
Required for Catchers 17 & Younger ONLY Catcher’s Physician Statement I hereby certify that __________________________________________has no restrictions that would prevent her from active and full participation in any and all activities related to this camp. Doctors Signature:______________________________________________________________________________________________________________________________Date:_________________________________________ Current Medications:_________________________________________________________________________________Known Allergies:_____________________________________________________________________ Any Medical Conditions of which we must be aware:_______________________________________________________________________________________________________________________________________ Copy of physical completed within one year of the camp is acceptable in lieu of physician’s signature
Fall & Winter Camps 2016 Fall Camps September 30th Pitching Camp Girls ages 8-18 October 1st Defense & Hitting Camp Girls ages 8-18 Winter Camp December 16th Pitching Camp Girls ages 8-18 December 17th-18th Defense & Hitting camp Girls ages 8-18
Camp Facilities
September 30th
Join the 2014 and 2015National Champion Gator Softball Program for camp this fall and winter! Camp is conducted right where the Gators practice & play: Katie Seashole Pressly Stadium, located at the corner of Hull Rd & Museum Rd on the UF Campus. For directions to the Katie Seashole Pressly Stadium, please visit www.floridagators.com The Gator Softball Camp line up gives skill instruction based upon the philosophies of the Gator Softball coaching staff.
Ages 8-18
Pitching Camp Check in 5pm-545pm, Camp hours 6pm-9pm Cost: $85.00 Pitchers are REQUIRED to bring their own catchers All catchers MUST fill out the Waiver of Liability and Insurance Requirement (Located on the back of this form)
If the catcher is 17 years or younger, they MUST also fill out the Physicians Statement Camp t-shirt & instruction is for Pitcher’s ONLY
October 1st Ages 8-18
Defense Camp
What do I need to bring? Pitching Camp: Glove, cleats, tennis shoes (required) and a catcher (required) Defense Camp: Glove, cleats, tennis shoes (required) Hitting Camp: Bat, cleats, tennis shoes (required) helmet, batting gloves (highly recommended) For campers that wish to stay between defense and hitting sessions, bring a sack lunch! REGISTER ONLINE NOW! Register online and pay with credit or debit card, at www.floridagators.com/camps
Registration & Camp Policies 1. 2. 3.
4. 5.
6. 7. 8.
Complete registration form Mail in form with FULL PAYMENT Sign & date the waiver of liability & holds harmless agreement. Insurance is REQUIRED for all campers & pitcher’s catchers. SELF PAY WILL NOT BE ACCEPTED. Completed physical or physician statement is required for all campers & pitcher’s catchers 17 yrs & younger. A copy of school physical can be used in lieu of physician statement if completed within one year of the end date of camp. For cancellations made 7 days prior to camp, a 80% refund will be issued. For cancellations made after 7 days prior to camp, a 50% camp refund will be issued. Confirmation letters will be sent via email ONLY Camps are open to any and all entrants
Hitting Camp
Camp Hours: 9am-12pm Cost: $80 Camp t-shirt included
1pm-4pm daily Cost: $80 Camp t-shirt included
Combine a defense and hitting camp and receive $10 off! Register for pitching, defense, & hitting and receive $20 off!
December 16th Ages 8-18
Pitching Camp Camp Check in 4pm-4:45pm, Camp Hours 5pm-8pm Cost: $85.00 Pitchers are REQUIRED to bring their own catchers All catchers MUST fill out the Waiver of Liability and Insurance Requirement (Located on the back of this form)
If the catcher is 17 years or younger, they MUST also fill out the Physicians Statement Camp t-shirt & instruction is for Pitcher’s ONLY
Registration Form Participant’s Name:_________________________________________________________________________ Participant’s Birth Day:_______________________________ 16-17 Grade_________________________ Address:_____________________________________________________________________________________ City:__________________________________________ State:____________ Zip:_______________________ Parent/ Guardian Name:____________________________________________________________________ Home Phone #:____________________________________ Work #:________________________________ Email:____________________________________________________Cell#:_____________________________ Emergency Contact Name & Phone Number:______________________________________________ Primary Position:_________________________Secondary Position:_____________________________ Adult T-shirt size: S M L XL (circle one)
Session I– September 30th Pitching Camp _____ September 30th Pitching Camp ($85.00) Session II– October 1st Defense & Hitting Camps _____ October 1st Defense Camp ($80.00) _____ October 1st Hitting Camp ($80.00) ($10 discount applicable if registering for both defense & hitting camps for a total of $$150. $20 discount applicable if registering for pitching, defense, & hitting camps for a total of $225.)
Session IV– December 17th & 18th Defense & Hitting Camp _____ December 17th-18th Defense Camp ($160.00) _____ December 17th-18th Hitting Camp ($160.00) ($10 discount applicable if registering for both defense & hitting camps for a total of $$310. $20 discount applicable if registering for pitching, defense, & hitting camps for a total of $385.)
December 17th & 18th Ages 8-18 Defense Camp 9am-12pm daily Cost: $160 Camp t-shirt included
Hitting Camp 1pm-4pm daily Cost: $160 Camp t-shirt included
Combine a defense and hitting camp and receive $10 off! Register for pitching, defense, & hitting and receive $20 off!
SEC Champions: 2008, 2009, 2013, 2015, 2016 National Champions: 2014, 2015
Register online with a Credit Card at www.floridagators.com
Session III– December 16th Pitching Camp _____ December 16th Pitching Camp ($85.00)
Total Cost of Combined Sessions: Camp Cost: $____________ $10 Discount (if applicable) $____________ $20 Discount (if applicable) $ ______________ Full Payment due $____________
Make checks payable to: Florida Softball Camp/ UAA Mail to: Florida Softball Camp P.O. Box 14485 Gainesville, FL 32604 For more information, contact: [email protected] 352-375-4683 ext. 5554
Please remember to fill out ALL the information on the back of this form! Including Insurance Information, Waiver & Hold Harmless Agreement and Physician Statement!
Participant’s Printed Name:_____________________________________________________________________Parent’s Printed Name:_____________________________________________________________________ Parent’s Signature:__________________________________________________________________________________________________________Date:_____________________________________________________________ ** The Parental Signature on the Hold Harmless Statement and the Insurance Information must accompany each application**
Insurance Requirement Insurance Company Name: ____________________________________Name on Policy:__________________________________________________________Relationship to Camper:________________________ Insurance Company Phone #:____________________________________________Policy #:________________________________________________________Group #:_________________________________________ Subscriber Date of Birth:_____________________________ Subscriber Phone Number: _______________________________________________________ Physician Statement I hereby certify that __________________________________________has no restrictions that would prevent her from active and full participation in any and all activities related to this camp. Doctors Signature:___________________________________________________________________________________________________________________________Date:____________________________________________ Current Medications:_________________________________________________________________________________Known Allergies:_____________________________________________________________________ Any Medical Conditions of which we must be aware:_______________________________________________________________________________________________________________________________________ Copy of physical completed within one year of the camp is acceptable in lieu of physician’s signature
This Section is for ALL Catchers for Pitching Camp ONLY Name of Pitcher:__________________________________________ Catcher’s Insurance Requirement Insurance Company Name: ____________________________________Name on Policy:__________________________________________________________Relationship to Camper:________________________ Insurance Company Phone #:____________________________________________Policy #:________________________________________________________Group #:_________________________________________ Subscriber Date of Birth:_____________________________ Subscriber Phone Number: _______________________________________________________ Catcher’s Waiver of Liability & Holds Harmless Agreement In consideration of being allowed to participate in this camp, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE The University Athletic Association, Inc., the University of Florida, the Board of Governors of the State of Florida, the State of Florida and their respective officers, servants, agents, or employees (hereinafter referred to as RELEASEE) from any and all liability, claims, demands, or course of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me/my child, or to any property belonging to me/ my child, WHETHER CAUSED BY THE NEGLIGENCE OFF THE RELEASEE, or otherwise, while participating in this camp, or while in, on or upon the premises where the camp is being conducted. To the best of my knowledge, I/my child am/is in good physical condition and I am not aware of any physical infirmity which would place me/my child at risk to participate in any way with the camp’s activities or that the reasonable accommodation(s) I have listed under “Americans with Disabilities” would permit participation in the camp’s activities. I am fully aware of the risks and hazards connected with this camp. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSON INJURY, INCLUDING DEATH, that may be sustained by me/my child, or any loss or damage to property owned by me/my child, as a result of being engaged in the camp’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEE or otherwise. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS, the RELEASEE, from any loss, liability, damage or cost, including court costs and attorneys’ fees, that may accrue related to my/my child’s participation in the camp. WHETHER CAUSED BY NEGLIGENCE OR RELEASEE or otherwise. During the period of the camp, I hereby give permission for the staff of the University Athletic Association, Inc. or this camp to administer appropriate medical attention to me/my child in the event of any accident, illness, or injury, including non-prescription medications or any medications listed herein that I/my child brings to camp in original containers with dosage instructions. I will be responsible for any and all costs of medical coverage and treatment provided not covered by insurance. It is my express intent that this Waiver of Liability and Hold Harmless Agreement/Consent to Medical Treatment shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, this Waiver of Liability and Hold Harmless Agreement/Consent to Medical Treatment shall be construed in accordance with the laws of the State of Florida. In signing this release, I acknowledge and represent that I have read and understand it and sign in voluntarily; I am least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete considerations fully intending to be bound by same. I HAVE READ THIS WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Catcher’s Printed Name:________________________________________________________________________Catcher’s Signature:_________________________________________________________________________ Parent’s Signature (if Catcher is 17 or younger):_____________________________________________________________________________Date:____________________________________________________________ ** The Parental Signature on the Hold Harmless Statement and the Insurance Information must accompany each application**
Required for Catchers 17 & Younger ONLY Catcher’s Physician Statement I hereby certify that __________________________________________has no restrictions that would prevent her from active and full participation in any and all activities related to this camp. Doctors Signature:______________________________________________________________________________________________________________________________Date:_________________________________________ Current Medications:_________________________________________________________________________________Known Allergies:_____________________________________________________________________ Any Medical Conditions of which we must be aware:_______________________________________________________________________________________________________________________________________ Copy of physical completed within one year of the camp is acceptable in lieu of physician’s signature
Fall & Winter Camps 2016 Fall Camps September 30th Pitching Camp Girls ages 8-18 October 1st Defense & Hitting Camp Girls ages 8-18 Winter Camp December 16th Pitching Camp Girls ages 8-18 December 17th-18th Defense & Hitting camp Girls ages 8-18
Camp Facilities
September 30th
Join the 2014 and 2015National Champion Gator Softball Program for camp this fall and winter! Camp is conducted right where the Gators practice & play: Katie Seashole Pressly Stadium, located at the corner of Hull Rd & Museum Rd on the UF Campus. For directions to the Katie Seashole Pressly Stadium, please visit www.floridagators.com The Gator Softball Camp line up gives skill instruction based upon the philosophies of the Gator Softball coaching staff.
Ages 8-18
Pitching Camp Check in 5pm-545pm, Camp hours 6pm-9pm Cost: $85.00 Pitchers are REQUIRED to bring their own catchers All catchers MUST fill out the Waiver of Liability and Insurance Requirement (Located on the back of this form)
If the catcher is 17 years or younger, they MUST also fill out the Physicians Statement Camp t-shirt & instruction is for Pitcher’s ONLY
October 1st Ages 8-18
Defense Camp
What do I need to bring? Pitching Camp: Glove, cleats, tennis shoes (required) and a catcher (required) Defense Camp: Glove, cleats, tennis shoes (required) Hitting Camp: Bat, cleats, tennis shoes (required) helmet, batting gloves (highly recommended) For campers that wish to stay between defense and hitting sessions, bring a sack lunch! REGISTER ONLINE NOW! Register online and pay with credit or debit card, at www.floridagators.com/camps
Registration & Camp Policies 1. 2. 3.
4. 5.
6. 7. 8.
Complete registration form Mail in form with FULL PAYMENT Sign & date the waiver of liability & holds harmless agreement. Insurance is REQUIRED for all campers & pitcher’s catchers. SELF PAY WILL NOT BE ACCEPTED. Completed physical or physician statement is required for all campers & pitcher’s catchers 17 yrs & younger. A copy of school physical can be used in lieu of physician statement if completed within one year of the end date of camp. For cancellations made 7 days prior to camp, a 80% refund will be issued. For cancellations made after 7 days prior to camp, a 50% camp refund will be issued. Confirmation letters will be sent via email ONLY Camps are open to any and all entrants
Hitting Camp
Camp Hours: 9am-12pm Cost: $80 Camp t-shirt included
1pm-4pm daily Cost: $80 Camp t-shirt included
Combine a defense and hitting camp and receive $10 off! Register for pitching, defense, & hitting and receive $20 off!
December 16th Ages 8-18
Pitching Camp Camp Check in 4pm-4:45pm, Camp Hours 5pm-8pm Cost: $85.00 Pitchers are REQUIRED to bring their own catchers All catchers MUST fill out the Waiver of Liability and Insurance Requirement (Located on the back of this form)
If the catcher is 17 years or younger, they MUST also fill out the Physicians Statement Camp t-shirt & instruction is for Pitcher’s ONLY
Registration Form Participant’s Name:_________________________________________________________________________ Participant’s Birth Day:_______________________________ 16-17 Grade_________________________ Address:_____________________________________________________________________________________ City:__________________________________________ State:____________ Zip:_______________________ Parent/ Guardian Name:____________________________________________________________________ Home Phone #:____________________________________ Work #:________________________________ Email:____________________________________________________Cell#:_____________________________ Emergency Contact Name & Phone Number:______________________________________________ Primary Position:_________________________Secondary Position:_____________________________ Adult T-shirt size: S M L XL (circle one)
Session I– September 30th Pitching Camp _____ September 30th Pitching Camp ($85.00) Session II– October 1st Defense & Hitting Camps _____ October 1st Defense Camp ($80.00) _____ October 1st Hitting Camp ($80.00) ($10 discount applicable if registering for both defense & hitting camps for a total of $$150. $20 discount applicable if registering for pitching, defense, & hitting camps for a total of $225.)
Session IV– December 17th & 18th Defense & Hitting Camp _____ December 17th-18th Defense Camp ($160.00) _____ December 17th-18th Hitting Camp ($160.00) ($10 discount applicable if registering for both defense & hitting camps for a total of $$310. $20 discount applicable if registering for pitching, defense, & hitting camps for a total of $385.)
December 17th & 18th Ages 8-18 Defense Camp 9am-12pm daily Cost: $160 Camp t-shirt included
Hitting Camp 1pm-4pm daily Cost: $160 Camp t-shirt included
Combine a defense and hitting camp and receive $10 off! Register for pitching, defense, & hitting and receive $20 off!
SEC Champions: 2008, 2009, 2013, 2015, 2016 National Champions: 2014, 2015
Register online with a Credit Card at www.floridagators.com
Session III– December 16th Pitching Camp _____ December 16th Pitching Camp ($85.00)
Total Cost of Combined Sessions: Camp Cost: $____________ $10 Discount (if applicable) $____________ $20 Discount (if applicable) $ ______________ Full Payment due $____________
Make checks payable to: Florida Softball Camp/ UAA Mail to: Florida Softball Camp P.O. Box 14485 Gainesville, FL 32604 For more information, contact: [email protected] 352-375-4683 ext. 5554
Please remember to fill out ALL the information on the back of this form! Including Insurance Information, Waiver & Hold Harmless Agreement and Physician Statement!
