Speed, Strength and Conditioning at UIU WHO CAN JOIN: All incoming 6th – 12th graders HOW TO REGISTER: Return completed form to Kate Grover or LeAnn Cushion at UIU Rec Center. Mail to: Upper Iowa Rec Center, P.O Box 1857, Fayette, IA 52142 DATES: June 10th, 2013- July 18th 2013 (Tuesday, Wednesday, Thursday; 3 days per week) TIME: High School Students 8:00am – 9:30am, Middle School Students 10:00am-11:30am PRICE: $150 per athlete for 6 weeks (17 sessions) or $10 per session (No workouts on July 4th) LOCATION: Upper Iowa Recreation Center, Fayette, IA ADDITIONAL INFORMATION: Our Speed and Strength camp is geared for male and female athletes interested in learning how to jump higher, run faster, and become overall stronger. The program focuses on progressing and maintaining athletic movement while refining and ingraining fundamental skills, of speed, agility, and power. Athletes will utilize training equipment to help learn proper mechanics, such as, agility ladders, cone drills, medicine balls, mini hurdles, etc. Each athlete will perform a pre and post performance test (performance test results will be given to each athlete). The emphasis of the camp is on proper technique, development and fun! SPEED, AGILITY, STRENGTH, POWER, INJURY PREVENTION, MOTIVATION, CONFIDENCE
PHYSICALS: We must have a copy of the participant’s current physical to participate. STUDENT NAME: HOME ADDRESS:
___________________________ GENDER (M/F): __________________________ ___________________________ GRADE (next yr): _________________________ ___________________________ ___________________________ School sports you are participating in during the upcoming school year: (i.e. football, hockey, track) ________________________________________________________________________________________ Parent/Guardian Name: ____________________________Home Phone Number:_____________________ Work/Cell Phone Number: __________________________ Email Address: ___________________________ If Above Cannot Be Reached, Please Contact: Name: _________________________________________ Relationship to Participant: __________________ Home Phone Number: ____________________________ Work/Cell Phone Number: ___________________ List Any Current Medical Conditions & Medications_______________________________________________ Doctor: ______________________________________ Phone Number: ______________________________ Clinic Name: __________________________________ Clinic Address: _______________________________ If we are unable to contact you in case of an emergency, may we have your permission to transport your child to a medical facility? Yes _____ No _____ Signature (Minor): ______________________________ Signature (Adult/Guardian)_____________________ Date: _____/_____/_____ Questions: Kate Grover (
[email protected]) or LeAnn Cushion (
[email protected]) Method of payment Check________________ Cash_____________________