PROSPECT

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HEAD COACH TONY SAMUEL In his fifth season as head coach of the Redhawks, Tony Samuel was named the Eddie Robinson National Coach of the Year and the Ohio Valley Conference (OVC) Roy Kidd Coach of the Year as he led the Redhawks to a school-record nine wins and its first ever OVC regular season championship and NCAA playoff berth. The Redhawks finished the season ranked 13th in the nation with a 9-3 overall record, including a loss in the second round of the NCAA Division I FCS playoffs to the eventual national champion Eastern Washington.

FOOTBALL STAFF Tim McGuire - Assistant Head Coach/ Offensive Coordinator

2013

Brian Mohnsen - Defensive Coordinator/ Linebackers Chris Norris - Running Backs/Special Teams Joel Beard - Wide Receivers/Recruiting Coordinator Nick Stauffer - Safeties Tyler Hennes - Quarterbacks Salim Powell - Defensive Line Brian Curry - Offensive Assistant Joe Uhls - Football Operations

One University Plaza MS 0200 Cape Girardeau, MO 63701 GoSoutheast.com

Brian Boerboom - Offensive Line

PROSPECT CAMP FOR PLAYERS ENTERING GRADES 9-12

CAMP REGISTRATION FORM

EMERGENCY FORM

Name:________________________________________ Address:______________________________________ City/State/Zip:__________________________________ Camper Mobile Number:_________________________ Contact Phone Number:_________________________ Email:_________________________________________

As a parent or legal guardian of __________________ , I do hereby authorize, consent, and request Health Services personnel and/or the athletic Training Staff to provide preliminary evaluation of illnesses and to conduct first aid treatment of potentially serious injuries for my child/legal ward. I understand that no further treatment will be given without contacting me, except for life-threatening situations.

(All camp info will be sent via email)

Signature:________________________ Date:________

In order to attend this camp, players must be entering grades 9-12.

School Attending: ______________________________

Relationship:___________________________________

Grade Entering:_________________________________

Home Phone: (_________)________________________

CAMP DATES AND TIMES

Date of Birth:___________________________________

Day Phone: (_________)__________________________

Adult Shirt Size:

Cell Phone: (_________)__________________________

CAMP ATTENDEES

Saturday, June 8 Gateway Tech High School, St. Louis, Mo.

S

M

L

 XL

(Please pre-register to guarantee a camp t-shirt in the correct size.)

Saturday, June 29 Houck Stadium, Cape Girardeau, Mo.

Position:______________________________________

CAMP ITINERARY

EARLY REGISTRATION (Registration before the day of camp)

9 a.m. Registration/Check-In 10 a.m. Camp Intro 10:15 a.m. Dynamic Stretch 10:35 a.m. Morning Session Noon Lunch 2 p.m. Position-Specific Instruction 4 p.m. Camp Closing

CAMP DETAILS

• Camp is non-padded. • Campers should bring cleats and workout clothes. • Campers will have a break to get their own lunch.

CONTACT

For more information, contact Tyler Hennes at [email protected] or (316) 253-8654.

 June 8 Camp: $20 (St. Louis)

 June 29 Camp: $20 (Cape Girardeau)

I further authorize that my child/ward may receive Tylenol, Pepto Bismol or Maalox while attending this camp. Signature:_____________________________________

LATE REGISTRATION (Registration on the day of camp)

In case of emergency and parent cannot be reached, contact:

 June 8 Camp: $25 (St. Louis)

Name:________________________________________

 June 29 Camp: $25 (Cape Girardeau)

Relationship:___________________________________

PAYMENT:

Home Phone: __________________________________

Amount $_____________________________________

Day Phone:____________________________________

 MasterCard

 Check Enclosed

Cell Phone:____________________________________

Acct#:________________________ Exp. Date: _______

Insurance Co.:__________________________________

Signature:_____________________________________

Policy No.:_____________________________________

Make check payable to Southeast Missouri State University

Group No.:_____________________________________

 Visa

 Discover

Return completed registration/emergency forms to: Southeast Missouri State University Football Camp Director One University Plaza MS 0200 Cape Girardeau, MO 63701

Known allergies or other conditions: _______________ _____________________________________________ _____________________________________________ _____________________________________________

FORM MUST BE COMPLETED TO PARTICIPATE.

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