C ONSENT F ORM
ELMHURST COLLEGE BASEBALL
Must be filled out and returned for Prospect Camp attendance
2014 WINTER PROSPECT CAMP
Name of participant ______________________________ Birth date ______________________________________ Allergic reactions (asthma, etc.)
Yes
No
If yes, please describe _____________________________ _______________________________________________ _______________________________________________ In case of emergency: Emergency contact _______________________________ Relationship ____________________________________ Cell phone ______________________________________ Alternate number ________________________________ Your insurance company __________________________ Policy number __________________________________ I, the undersigned, hereby certify that I am the legal guardian of the participant. I hereby give my permission for the staff of Elmhurst College Baseball, during the Prospect Camp, to seek appropriate medical attention for the participant, for medical attention to be given, and for the participant to receive medical attention in the event of accident, injury, or illness. I will be responsible for any and all costs of medical attention and treatment and have medical insurance to cover the costs. I, the undersigned, for myself and as a guardian of the above named participant, understand that baseball is an active, physical sport, and that injuries can take place during play. I also understand that there will be a number of other participants attending the camp, and that our child cannot receive individualized attention and supervision at all times. I hereby acknowledge that my child is physically fit and mentally capable of participating in Prospect Camp activities. I, the undersigned, for myself, my heirs, executors, and administrators, waive, release, and forever discharge Elmhurst College Baseball, Elmhurst College, and its staff, officers, agents, representatives, successors, and assign of and from all rights and claims for damages, injury, or loss to person or property which may be sustained or occur during participation in Prospect Camp activities or while at the school, whether or not damages, injury, or loss are due to negligence. The instructors are not qualified physicians. Participation in the Prospect Camp is at your own risk.
Signature of Parent/Guardian: _________________________________________________________
ELMHURST COLLEGE BASEBALL 2014 WINTER PROSPECT CAMP 190 Prospect Avenue Elmhurst, Illinois 60126 Phone: 630-617-3143 Fax: 630-617-3726 E-mail:
[email protected] R.A. FAGANEL HALL 221 walter street Elmhurst, illinois
Sunday, January 26, 2014 (pitchers and catchers) Sunday, February 2, 2014 (position players)
REGISTRATION FORM E LMHURST C OLLEGE B ASEBALL WINTER PROSPECT CAMP 2014
Please Print Participant’s name ____________________________
P ROSPECT CAMP STAFF The camp will be led by Joel Southern, the 2012 CCIW co-Coach of the Year, who is in his eighth season as the head baseball coach at Elmhurst College. A 19-19 record in 2013 followed a 2012 season in which the team posted its highest win total in eight years, finishing in third place in the CCIW. The Bluejays finished third in the CCIW tournament as well, their first appearance in the tournament since 2007, Southern’s first year at Elmhurst. The coaching staff at Elmhurst College also includes Steve Huisel, in his sixth year on the staff, catching coach Jonathan Porter, in his second, and Zach Hofer, in his first. Volunteer assistant Gordon Murphy is in his ninth year serving as the team’s bench coach. Additionally, current Elmhurst College Baseball players will assist with the Prospect Camp.
P ROSPECT CAMP DETAILS The Prospect Camp will present high-school players the opportunity to be instructed and evaluated by the Elmhurst College Baseball coaching staff. The coaching staff and current team members will utilize the same teaching techniques and drills that are taught in the Elmhurst program. The camp will consist of a combination of full-team and positionspecific hitting, defensive, pitching, and baserunning instruction and drills. In addition to developing skills that can further your baseball career, the camp will serve as an opportunity to experience the coaching and teaching styles of our coaching staff and to get a feel for our practices and methods of instruction.
P ROSPECT CAMP LOCATION R. A. Faganel Hall gymnasium, the indoor practice facility of the Elmhurst College Bluejays 221 Walter Street, on the Elmhurst College campus
P ROSPECT C AMP I NFORMATION
Graduation year _____________________________________
S UNDAY , J ANUARY 26, 2014
High School _______________________________________
(P ITCHERS
AND CATCHERS )
12:00 P . M. — 4:00 P . M .
Position(s) _________________________________________ Parent/Guardian contact ______________________________
S UNDAY , F EBRUARY 2, 2014
Address ___________________________________________
(P OSITION P LAYERS )
City/State/Zip ______________________________________
12:00 P . M. — 4:00 P . M .
Home phone _______________________________________ Day phone _________________________________________
CHECK - IN AT
11:30 A. M .
HIGH - SCHOOL CLASSES OF
2014 — 2017
Contact e-mail ______________________________________
Circle one: COST
/ DISCOUNTS
Cost: The cost for the Elmhurst College Baseball Winter Prospect Camp is $75 if attending one session and $100 if attending both sessions. Discount: The cost will be reduced by $10 ($65 for one session, $90 for both sessions) if registration and payment are received by December 20. CONFIRMATION
Upon receipt of the registration and payment, you will receive confirmation through an information letter listing equipment needs and other helpful information. FOR MORE INFORMATION
Contact: Joel Southern, Head Coach (630) 617-3143
[email protected] Session I (pitchers/catchers) Session II (position players) both sessions Mail registration with payment to: Joel Southern, Head Coach Elmhurst College Baseball 190 Prospect Avenue Elmhurst, Illinois 60126 Checks payable to “Elmhurst College” (with memo “Baseball Winter Prospect Camp”)
E LMHURST C OLLEGE W INTER P ROSPECT C AMP 190 Prospect Avenue Elmhurst, Illinois 60126 Phone: 630-617-3143 Fax: 630-617-3726 E-mail:
[email protected]