21st Annual UTPB Falcon Volleyball Camp

21st Annual UTPB Falcon Volleyball Camp
Each camp has a limited enrollment. Register today!
Pre-registration is preferred. An extra $20 fee will be charged for registration on first day of camp.
Falcon Advanced HS Camp: July 6-8
9:00am-Noon
Grades 9-12
Pre-registration: $120
Day-of registration: $140*
Falcon Advanced HS Camp #2: July 31
(bring sack lunch on Day 1)
August 1
Grades 9-12
Pre-registration: $120
9:00am-4:00pm
9:00am-Noon
Day-of registration: $140*
Falcon Skills MS/Elem Camp #1: July 9-10
9:00am-Noon
Grades 5-8
Pre-registration: $80
Day-of registration: $100*
Falcon Skills MS/Elem Camp #2: August 5-6
9:00am-Noon
Grades 5-8
Pre-registration: $80
Day-of registration: $100*
*Late registration is at 8:00am on the first day of camp
Falcon Skills Camp is for students entering grades 5-8.
The focus of this camp is passing, serving, and basic team
play. Spiking, blocking, and emergency defensive skills
will be covered to a limited degree.
Falcon Advanced HS Camp is designed for students
entering grades 9-12. This camp is mentally, as well as
physically, challenging. Advanced skills are emphasized
(quick sets, blocking, team play etc.) Considerable time is
dedicated to the athlete’s specialty position.
Why Attend the UTPB Falcon Camp?
 Individual attention is given to all campers
 Small sided and full scrimmages are included
 Campers meet players from other schools
 College coaches run camp
 All players receive a T-Shirt & Season Pass for all
Falcon Volleyball Home Matches in 2015 ($50 value)
 Lots of Reps/Contacts each day
Assistant Coach and Camp Director, Melissa Lusk
Melissa Lusk enters her second season as the assistant
volleyball coach at UTPB. Lusk was a four-year player
for UTPB from 2010-2014. She was a three-time
Heartland Conference first-team selection during her
time at UTPB.
For more information about Falcon Volleyball Camp:
Email: [email protected]
Call: (432) 552-4680
Head Coach, Tim Loesch
Tim Loesch enters his first year as head volleyball
coach at UTPB. Loesch comes to UTPB having most
recently spent three seasons as head indoor and sand
coach at Division I Stetson in DeLand, Florida. In
2013, Loesch helped lead the Hatters to an 18-16
record and the program's first appearance in the
Atlantic Sun tournament since 1995. Stetson's nine conference
victories broke the school record, and the team's seven-match winning
streak was the longest in 27 years. Loesch's first indoor season in fall
of 2011 saw the Hatters win nine matches, more than their previous
three seasons combined. Loesch arrived at Stetson from NCAA
Division II Limestone College (Gaffney, S.C.) where he served seven
seasons as the head coach for their women's volleyball team. He also
established the men's varsity volleyball program at Limestone.
21st Annual UTPB Falcon Volleyball Camp
Camper:
Name:
Check each camp that will be attended.
_______
Address:
Falcon Advanced HS Camp #1
Pre-registration $120
City:
(July 6-8 for grades 9-12)
Day-of registration $140
Falcon Advanced HS Camp #2
Pre-registration $120
(July 31-Aug 1 for grades 9-12)
Day-of registration $140
Falcon Skills MS/El Camp #1
Pre-registration $80
(July 9-10 for grades 5-8)
Day-of registration $100
Falcon Skills MS/El Camp #2
Pre-registration $80
(August 5-6 for grades 5-8)
Day-of registration $100
State:
Zip:
Camper’s email:
Grade camper will enter in the Fall___________
School__________________________________
T-shirt Size
YM
AS
AM
AL
Legal Guardian:
Name:___________________________________
E-mail:___________________________________
Cell Phone:______________________________
Total amount due: $
Cell/Work Phone:___________________________
If you will be staying on campus during your camper’s sessions – or
your camper will be driving herself – we must get a free, temporary
parking pass for you. Please provide the following data:
Driver’s name:
_
Owner of vehicle:
_
Year/Make/Model of vehicle:
_
Vehicle license plate number:
_
Payments Accepted:
Check, cash, or money order
Make checks payable to UTPB Volleyball
Return This Form & Payment to : UTPB Volleyball Camp
4901 E University Blvd
Odessa, TX 79762
UTPB Liability Waiver
MUST be completed and signed
Medical Information:
Medical Insurance Co.__________________________
Policy Number________________________________
Family Doctor_________________________________
Family Doctor Phone___________________________
Does the camper have any physical limitations?
No - Yes (If yes, please list on a separate sheet of paper.)
I am the Parent/Guardian of the above participant, who is under eighteen years of age — or the participant who is eighteen years of age or older. I am fully competent to sign this Agreement. I give permission for Participant to
participate in the above-referenced Activity. I acknowledge that the nature of the Activity may expose Participant to hazards or risks that may result in Participant’s illness, personal injury or death and I understand and appreciate
the nature of such hazards and risks.
In consideration of Participant being permitted to participate in the Activity, I hereby accept all risk to Participant’s health and/or his/her injury or death that may result from such participation and I hereby release the above
named Institution, its governing board, officers, employees and representatives from any and all liability to Participant, Participant’s personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes
of action for loss of or damage to Participant’s property and for any and all illness or injury to Participant’s person, including his/her death, that may result from or occur during Participant’s participation in the Activity, whether
caused by negligence of the Institution, its governing board, officers, employees, or representatives, or otherwise. I further agree to indemnify and hold harmless the Institution and its governing board, officers, employees, and
representatives from liability for the injury or death of any person(s) and/or damage to property that may result from Participant’s negligent or intentional act or omission while participating in the described Activity.
I have carefully read this agreement and understand it to be a release of all claims and causes of action for participant’s injury or death or damage to participant’s property that occurs while participating in the described activity
and it obligates me to indemnify the parties named for any liability for injury or death or any person and damage to property caused by participant’s negligent or intentional act or omission.
_______________________________________________________
Printed Name
_______________________________________________________
Signature
Emergency Phone: _______________________________________________________
Date