Insurance Company: ____________________________________ Policy Number: ____________________________________
Parent or Guardian Signature: ________________________________________________________________________________ INSURANCE INFORMATION:
Date:________________ Applicant’s Signature: ________________________________________________________________
RELEASE and INDEMNITY AGREEMENT
We, (I), the undersigned do hereby assume all risks of any personal injuries (fatal or otherwise) that may result from any speed and agility camp activity; on behalf of myself, my heirs, personal representatives, and assigns, do hereby release and indemnify the Grinnell-Newburg Community School District, the speed and agility camp, the director, instructors, and other agents from all liability, including all claims, causes of action, attorney fees and costs, for any injury, or damage which may result from the below applicant’s participation in (or related travel to) Grinnell Strength & Speed Camps. I FURTHER CERTIFY THAT THE ABOVE MENTIONED PERSON HAS MEDICAL INSURANCE IN CASE OF EMERGENCY.
What is STRENGTH Camp? Tiger Strength camp is a six week training program focused on improving athlete performance using the principles of progressive overload, which challenges athletes through incremental increases in intensity and/or volume over the course of each set and each week of each block. Athletes will have an individualized and sport specific program designed to fit their needs.
Why Chocolate Milk? Immediately following a workout, muscles are stressed and muscle fibers may have undergone some damage. Protein is associated with muscle growth and tissue repair, so athletes need to increase their protein intake to reap the benefits of training sessions. Instead of buying expensive protein shakes, your athlete can have 2 cartons of chocolate milk after every strength workout for a small fee. (HS-$10, MS-$5)
What is SPEED Camp? All campers will be taught the techniques and skills related to linear acceleration, topend speed mechanics, lateral speed / agility skills, plyometric training and injury reduction strategies. These sessions are NOT conditioning sessions, but meant to improve overall speed and athleticism.
High School Strength Camp WHAT: Training for Multi-Sport Athletes WHEN: Monday, Wednesday & Friday th th June 13 - July 25 *Male Off-Season at 8:00-9:00 AM *Female Off-Season at 11:00- NOON *Make Up Session at 4:00-5:00 PM NOTE: Must have coach approval to attend Make Up Session. WHO: ALL Athletes entering grades 9-12 WHERE: GHS Athletic Facilities COST: $60.00 (includes t-shirt) (Purchase BOTH Strength & Speed Camps for $75.00)
NOTE: Baseball/Softball players will lift as a team and DO NOT need to sign up for Strength Camp.
Middle School BASIC WHAT: Middle school students will be introduced to all phases of a complete and comprehensive athletic development program including: strength and power development, linear acceleration, lateral speed/agility progressions and injury reduction strategies. These developmental sessions will emphasize a SAFE and progressive structure that allows students to train effectively and prepares ALL athletes for the GHS program. WHEN: Monday, Wednesday & Friday th st June 13 – July 1 9:00 – 11:00 AM WHO: ALL athletes entering grades 6-8 WHERE: GHS Athletic Facilities COST: $50.00 (includes t-shirt)
WHAT: Training for Multi-Sport Athletes
Street Address: ___________________ City/Zip: __________________________ Phone Number: (
) ______-_______
Grade (next fall): ________ T-SHIRT (circle): S M L XL XXL XXXL HS Options: ___ HS Strength Camp ($60.00) ___ Add Chocolate Milk ($10.00) ___ HS Speed Camp ($40.00) ___ BOTH (S & S Camps) ($75.00) MS Options: ___ MS BASIC ($50.00) ___ Add Chocolate Milk ($5.00) *No student-athlete will be turned away due to financial hardship. Questions contact Coach Shipley @
[email protected] Work Phone: (
WHEN: Tuesday & Thursday th th June 14 – July 26 8:00 – 9:00 AM (13 sessions)
) ______-_________
Emergency Phone: (
WHO: ALL athletes entering grades 9-12 WHERE: GHS Athletic Facilities
(Purchase BOTH Strength & Speed Camps for $75.00)
ATHLETE’S INFO: Name: ___________________________
PARENT/GUARDIAN INFO: Name(s): __________________________
High School Speed Camp
COST: $40.00 (includes t-shirt)
Sign – Up Form:
For Questions Contact: Coach Shipley at
[email protected] OR Coach Faulkner at
[email protected] ) _____-_______
DETACH & MAIL: nd Payment DUE by June 2 Make check out to: GHS Speed & Agility Camp MAIL TO: Tracy Neighbors Grinnell High School 1333 Sunset Grinnell, IA 50112