Friday May 27th, 2016
SNOW COLLEGE FOOTBALL CAMP BADGER DAY
2015 2014
24, 23rd
Registration Information NAME ______________________________________________
HIGH SCHOOL ________________________________________
ADDRESS ___________________________________________
YEAR GRADUATED HIGH SCHOOL _____________________
CITY _______________________ STATE______ ZIP ______ HOME PHONE _____________________CELL PHONE______________________ EMAIL _________________________________ TRYOUT POSITION: (CHOOSE ONE)
QB
OFFENSIVE POSITION
DEFENSIVE POSITION
SPECIALIST
RB
DT
P
TE
WR
OL
DE
LB
DB
K
LS
HS COACH _________________________________________
COACH PHONE # ______________________________________
PERSONAL REFERENCE ____________________________
PERSONAL REFERENCE # ______________________________
SIGNATURE OF PARTICIPANT _________________________________________________________________________________ SIGNATURE OF PARENT/GUARDIAN (IF UNDER 18) _____________________________________________________________
BADGER DAY
CAMP INFORMATION Cost
Payments can be made in Cash, Money Order, Cashier’s Check. NO PERSONAL CHECKS at Check In To pre-register, send Payment and Forms to: Snow College Football Camps 150 E. College Ave. Ephraim , UT 84627
Registration Per Participant: $25
Dear Coaches, Parents and Athletes, We are pleased to announce our first ever BADGER DAY. A day for High school underclassmen to visit our campus and meet our coaching staff.
The camp format will be as follows: 8:00-9:30 AM 930-11:00 AM 11:30-12:30 PM 12:30- 1:15 PM 1:15- 2:15 PM
Badger Day helps Student- Athletes gain exposure to Snow College and the many opportunites associated with our school and football program. It is also provides the Student- Athletes accurate physical testing numbers for recruiting purposes moving forward. The day will begin with Combine StyleTesting and timing The group will then take a guided tour from Snow College Ambassoders, followed by a lunch at the Cafeteria. We will then move to the Library auditorium for a Recruting Q&A Session with Snow college coaching staff to finish the day.
Registration Testing Campus Tour Lunch Recruiting Q&A
What to Bring at Check-In ___ $ Payment ___ Medical/Insurance Form
We are excited for Badger Day and cant wait to have you and your family on Campus. GO BADGERS!
___ Cleats ___ Copy of Insurance Card
All players must have Insurance to Participate in Testing Portion of Badger Day Camp
Britt Maughan Head Coach
Please direct questions to Britt Maughan. He can be reached at: E-Mail:
[email protected] *
SNOW COLLEGE FOOTBALL CAMPS MEDICAL/INSURANCE RELEASE FORM
Name of Camper _______________________________
High School ________________________________________
Address _______________________________________
City ________________________ State _____
DOB ____________
Insurance Policy Holder Name ________________________
Phone _____________________
*MUST HAVE COPY OF INSURANCE CARD!* Camp Attending (circle one)
Zip _______
Insurance Policy Number _____________________________
Walk-On Tryout Team Camp Individual Camp RELEASE AND WAIVER OF CLAIMS
Youth Camp
In consideration of my child’s/dependent’s participation in the “Snow College Football Camps,” I do hereby, for myself, my child/dependent, my heirs and executors, waive, release and forever discharge all rights and claims for damages and/or injuries for which I or my child/dependent, against “Snow College Football Camps”, employees of Snow College and its agents for any and all injuries and/or damages which may be suffered by my child/dependent in connection with my child’s/dependent’s participation. Parent/Participant Initial ______
PERMISSION FOR MEDICAL ATTENTION The law requires that parental permission be obtained for operative procedures on minors. The parents/guardians need to sign the following consent form so that such procedures may be promptly carried out, and so that no unnecessary delays will occur with operative procedures. However, no operation will be performed, except emergency, without the parents/guardians being contacted and fully informed. I as a parent or legal guardian of (name of camp participant) ______________________, have actual knowledge and appreciation of the particulars of the camp including those risks involved in participation in football camp and hereby voluntarily consent to said minors participation and assume the risks arising there from. With my signature I give my permission for my son/daughter to receive emergency medical procedures deemed necessary. Parent/Participant Initial ______
MEDICAL HISTORY
YES A.
Birth deformities (one kidney, etc.)
B.
Medical Conditions currently under treatment
C.
Pre-Existing injury currently under treatment
D.
Fractures or other disability type injuries
E.
Allergy (drugs, food, asthma, etc.)
F.
Mental disorder
G.
Known past illness of more than one weeks duration
H.
Contact Lens or Glasses
I.
Other condition not listed above
NO
Please explain any questions answered “YES”
_________________________________________________________________________________________________ _________________________________________________________________________________________________ I hereby state the “Snow College Football Camp” is not responsible for any pre-existing injury or illness of the above camper.
CONCUSSION POLICY
If a concussion is sustained during camp, the Snow College training staff will follow the UHSAA Concussion Return to Play policy.
INSURANCE RELEASE “Snow College Football Camps” does not carry insurance for injuries, illnesses, etc… sustained during football camp. Campers participate at their own risk. I hereby authorize my son/daughter to participate in the “Snow College Football Camps” under the above medical release/insurance conditions.
________________________________________________ Participant Name (Please Print)
___________________________________________ Parent/Guardian Name (Please Print)
____________________________________________
Participant Signature
Date
Parent/Guardian Signature
Date
_________________________________________