September 8th, 2012 High School Senior Baseball Prospect Camp:
2012 South Dakota State University Baseball Prospect Camp Name: ______________________________________________________ Parent / Guardian: _____________________________________________ Home Address: _______________________________________________ City: _____________________________ State: ________ Zip: ________ Phone #: _______________________ Date of Birth: ____/_____/______ Email: ______________________________________________________ Current School: _______________________________________________ Primary Position: ______________
T-Shirt Size: M
L
XL
XXL
Secondary Position: ______________
GPA:______/4.0 ACT:_____
Liability Release and Indemnity Agreement I hereby request that you accept this application for enrollment in South Dakota State University Baseball Camp during the dates set forth in this application. I hereby release the Board of Regents of South Dakota State University, all its employees and South Dakota State University Baseball Camp and its agents from all participant claims on account of any injuries which may be sustained by me while attending South Dakota State University Baseball Camp and I agree to indemnify the Board of Regents of South Dakota State University and its employees and South Dakota State University Baseball Camp and its agents for any claim which may hereafter be presented by me as a result of any such injuries.
_______________________________
___________
Participant Signature (required)
Date
_______________________________
___________
Parent/Guardian Signature (required)
Date
Medical Treatment Authorization I / We being the parents and / or the legal guardians of the applicant authorize Jackrabbits Baseball Camp and its agents permission to request emergency medical treatment or care as necessary to ensure the well-being of our dependent. Further, I claim that the registrant has had a physical examination in the past year and was found fit for all physical endeavors.
_______________________________ Parent / Guardian Signature All participants should be covered by a personal medical insurance policy. Each camper is asked to supply the company name, address, policy number, and policy owner. The accident insurance provider by the camp is on an excess basis.
Insurance Company: _______________________________________________ Policy # and Group #: _____________________________________________ If a camper will require any accommodations due to special needs, we ask that you notify us via e-mail or in writing of those needs a minimum of two weeks prior to the camp start date so we can make the accommodations.
Office Use Only: Cash $_______ Check $______ / #________
September 8th, 2012 High School Senior Baseball Prospect Camp: Who: Camp is Open to All High School Seniors Where: Erv Huether Field – Located on the Campus of South Dakota State University When: Saturday, September 8th – 9:00am-4:00pm - Registration begins at 8:15am Cost: $100 for early registration (info received by Sept. 1st); $125 with evaluation at 2 positions; registration the day of camp - “All prices have included a 7.5% sales tax”
$150 for
I would like to take the opportunity to personally invite you to the SDSU Baseball Senior Prospect Camp. This camp will give you an opportunity to showcase your talents, along with receiving instructions from SDSU coaches. Dave Schrage SDSU Head Baseball Coach / Camp Director Bio: 27 years of coaching experience; 24 years as head coach; head coach at Waldorf College, Northern Iowa, Northern Illinois, U of Evansville, Notre Dame, South Dakota State Camp Format: High school prospect camp will start with a showcase format, including running times, batting practice on the field, specific position showcase. All participants will also receive individual instruction at their position from SDSU staff. Scrimmage games will follow. Each player will be able to pitch, hit, and play his position. *Camp T-shirt will be included in the cost of camp. Lunch will not be provided. Bring snacks, power bars, etc… PLEASE ENROLL ME IN THE FOLLOWING CAMP: SEPTEMBER 8TH HIGH SCHOOL SENIOR PROSPECT CAMP (9am – 4:00PM) $100 SEPTEMBER 8TH HS SENIOR PROSPECT CAMP W/ EVALUATION (9am – 4:00PM) $125 Equipment Needed: Baseball pants, hat, cleats shoes, glove, bat, batting gloves, helmet and catcher’s gear. To sign up for the September 8th, 2012 SDSU Baseball High School Senior Prospect camp, please fill out the form attached and return with payment, cash or check. Please make check out to South Dakota State University. Return to the athletic office at the following address: South Dakota State University Glenda Dunn 2820 HPER Center Brookings, SD 57007 OR, you may bring the completed application form and payment with you on the day of the camp, but at the addition day of camp cost ($150).
- There will be a cancellation fee of $25 for anyone who cancels after registering. FOR MORE INFORMATION CONTACT: Ben Norton Assistant Baseball Coach [email protected] 260-413-3001
T-Shirt Size: M
L
XL
XXL
Secondary Position: ______________
GPA:______/4.0 ACT:_____
Liability Release and Indemnity Agreement I hereby request that you accept this application for enrollment in South Dakota State University Baseball Camp during the dates set forth in this application. I hereby release the Board of Regents of South Dakota State University, all its employees and South Dakota State University Baseball Camp and its agents from all participant claims on account of any injuries which may be sustained by me while attending South Dakota State University Baseball Camp and I agree to indemnify the Board of Regents of South Dakota State University and its employees and South Dakota State University Baseball Camp and its agents for any claim which may hereafter be presented by me as a result of any such injuries.
_______________________________
___________
Participant Signature (required)
Date
_______________________________
___________
Parent/Guardian Signature (required)
Date
Medical Treatment Authorization I / We being the parents and / or the legal guardians of the applicant authorize Jackrabbits Baseball Camp and its agents permission to request emergency medical treatment or care as necessary to ensure the well-being of our dependent. Further, I claim that the registrant has had a physical examination in the past year and was found fit for all physical endeavors.
_______________________________ Parent / Guardian Signature All participants should be covered by a personal medical insurance policy. Each camper is asked to supply the company name, address, policy number, and policy owner. The accident insurance provider by the camp is on an excess basis.
Insurance Company: _______________________________________________ Policy # and Group #: _____________________________________________ If a camper will require any accommodations due to special needs, we ask that you notify us via e-mail or in writing of those needs a minimum of two weeks prior to the camp start date so we can make the accommodations.
Office Use Only: Cash $_______ Check $______ / #________
September 8th, 2012 High School Senior Baseball Prospect Camp: Who: Camp is Open to All High School Seniors Where: Erv Huether Field – Located on the Campus of South Dakota State University When: Saturday, September 8th – 9:00am-4:00pm - Registration begins at 8:15am Cost: $100 for early registration (info received by Sept. 1st); $125 with evaluation at 2 positions; registration the day of camp - “All prices have included a 7.5% sales tax”
$150 for
I would like to take the opportunity to personally invite you to the SDSU Baseball Senior Prospect Camp. This camp will give you an opportunity to showcase your talents, along with receiving instructions from SDSU coaches. Dave Schrage SDSU Head Baseball Coach / Camp Director Bio: 27 years of coaching experience; 24 years as head coach; head coach at Waldorf College, Northern Iowa, Northern Illinois, U of Evansville, Notre Dame, South Dakota State Camp Format: High school prospect camp will start with a showcase format, including running times, batting practice on the field, specific position showcase. All participants will also receive individual instruction at their position from SDSU staff. Scrimmage games will follow. Each player will be able to pitch, hit, and play his position. *Camp T-shirt will be included in the cost of camp. Lunch will not be provided. Bring snacks, power bars, etc… PLEASE ENROLL ME IN THE FOLLOWING CAMP: SEPTEMBER 8TH HIGH SCHOOL SENIOR PROSPECT CAMP (9am – 4:00PM) $100 SEPTEMBER 8TH HS SENIOR PROSPECT CAMP W/ EVALUATION (9am – 4:00PM) $125 Equipment Needed: Baseball pants, hat, cleats shoes, glove, bat, batting gloves, helmet and catcher’s gear. To sign up for the September 8th, 2012 SDSU Baseball High School Senior Prospect camp, please fill out the form attached and return with payment, cash or check. Please make check out to South Dakota State University. Return to the athletic office at the following address: South Dakota State University Glenda Dunn 2820 HPER Center Brookings, SD 57007 OR, you may bring the completed application form and payment with you on the day of the camp, but at the addition day of camp cost ($150).
- There will be a cancellation fee of $25 for anyone who cancels after registering. FOR MORE INFORMATION CONTACT: Ben Norton Assistant Baseball Coach [email protected] 260-413-3001
