pitching clinic series 2013-14 - University of Missouri Softball

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REGISTRATION INFORMATION
You can send your completed registration, along with fee to that address listed on
the registration form. More information on Missouri Softball camps can be found
at www.mutigers.com or www.missourisoftball.org. Confirmation, along with
detailed camp information, will be forwarded to you upon receipt of registration
form/payment.
Registration forms must be received at least 1 week before the camp date.
Cancellation/Refund Policy. Your fee will be refunded if you cancel your enrollment
two weeks prior to the camp start date. At any time after this date refunds will be
made for medical reason only.
Requests for refunds must be accompanied by a signed notice by the applicant’s
physician. Camps are open to any and all entrants limited only by age, grade level,
gender and/or number.
MEDICAL RELEASE FORM
Parents/Legal Guardians: This indemnification form must be completed and
signed by a parent or legal guardian in order for the camp registration to be complete.
Incomplete forms will be returned by camp administration.
PARENT/LEGAL GUARDIAN APPROVAL
PITCHING
CLINIC SERIES
2 013 - 14
______________________________________________________
Signature of Parent/Guardian
Date
MEDICAL TREATMENT AUTHORIZATION
I/We being the parent or legal guardian of the applicant, authorize the University of
Missouri and its agents permission to request emergency medical treatment or care
necessary to insure the well-being of our dependent and claim that the registrant has
had a physical examination deeming her fit for all physical endeavors.
______________________________________________________
Signature of Parent/Guardian
Date
Emergency Contact Phone Number__________________________
Are you or your dependents entitled to benefits under any employer, union group, Blue
Cross, Blue Shield, Medicare, Medicaid or any other governmental program?
Yes _____ No _____
______________________________________________________
Person Carrying Other Insurance Coverage
______________________________________________________
Employer of Sponsor
______________________________________________________
Insurance Company
______________________________________________________
Plan or Policy Number
______________________________________________________
Preexisting Injuries?
U niversity of M issouri S oftball C amp
100 M izzou A thletic T raining C omplex
C olumbia , MO 65211
www . mutigers . com
(573) 884-2837
The undersigned parent or legal guardian of_____________________________
The applicant, for and in further consideration of the Missouri Tiger Softball Camp
accepting said application, does hereby release and discharge the Curators of the
University of Missouri and its representatives, employees, from any and all debts,
claims demands, actions, damages, causes of, or by occasion on, as a result of the
applicant’s participation in the Missouri Tiger Softball Camp and hereby agree to
liability, claims, judgements or demands for damages arising as a result of any course
instruction given the applicant by the Missouri Tiger Camp.
W O M E N ’ S 2 011
C O L L E G E 19 9 4
WORLD SERIES
N C A A 2 013
R E G I O N A L 2 010
C H A M P I O N S 1994
/ 2 010 / 2 0 0 9
/ 19 9 1 / 19 8 3
/ 2 012 / 2 011
/ 20 09 / 20 08
/ 1991 / 1983
C O N F E R E N C E 2 011 / 2 0 0 9 / 19 9 7
CHAMPIONS
Conference Coach of the Year
Midwest Region Staff of the Year
2 0 0 7, 2 011
2 0 0 9 , 2 010 , 2 012
NCAA Postseason Appearances
17
All-Americans
25
All-Region Honorees
43
All-Conference Honorees
47
FE ATU R E D P IT CHING IN ST RUC TO R: D O U G G I L L I S
Six Time Team USA Pitcher & Lead Pitching Instructor for the International Softball Congress
2010 International Softball Congress All – World Selection as a player
Gold Medal 2002 Pan American Championships
Pitching Consultant for University of Missouri Softball
Coached over 300 students that now play at the college level
AGES: OPEN ENROLLMENT: LIMITED TO 36 CAMPERS Sunday, Nov. 10
1:00-5:00 PM
Sunday, Dec. 15 1:00-5:00 PM
Monday, Jan. 20
1:00-5:00 PM
Sunday, Feb. 9
1:00-5:00 PM
Sunday, March 16
1:00-5:00 PM
Sunday, April 20
1:00-5:00 PM
Tuesday, May 13
TBD
Wed., May 14
TBD
Time are subject to change. Confirmation sent with email.
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COST: $75 PER CLINIC
ALL NEW PITCHING CAMP DESIGN FOR THIS YEAR
> Smaller ground design so each camper has there own camp time
> Each student has camp topics individually adjusted for them at each camp
> Campers will be filmed for feedback at every camp by Lead Instructor Doug Gillis
> All campers will see Lead Instructor Doug Gillis individually at every camp
> Every camper will have follow up drill / exercises monitored by MU staff and players
> Campers will have individual ongoing file, to help manage progress and specific needs > The new design has a hard cap on attendees, and every camper has the right to their
spot for next and on-going camps - so get your spot established soon! > The Dec. 15 Holiday Camp will remain as a group camp -- Topic "Velocity Improvement" All pitchers are asked to provide their own catcher, please bring your own catching
equipment. Younger pitchers using a youth ball should also bring one to their session.
INTRODUCING THE iLESSON CONCEPT:
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The University of Missouri Softball Team, with Featured Pitching Instructor Doug Gillis, will host a series of pitching
clinics in the Dan Devine Pavilion. The Pavilion is located off of Providence Blvd. just West of Memorial Stadium. Those
attending the clinic are encouraged to park across the street at the football stadium and walk over the pedestrian “Tiger
Head” Bridge to the Pavilion.
All camps now include the iLesson concept! Campers can now be evaluated & assigned drills/exercises that meet the
skill level more appropriately . This will be done by access to many video stations that all have iLessons library on it, this
access to over 500 unique coaching points.
FOR MORE INFORMATION CONTACT: LISA SIMMONS AT [email protected] OR 573- 882-3942
REGISTRATION FORM
Name:_____________________________________
E-Mail:____________________________________
Home Address:_______________________________
City: __________________ State: _____ Zip:_______
Phone:_____________________________________
Birth Date:______________ Age: ________________
Grade for Next Fall:___________________________
Position(s):__________________________________
School:____________________________________
Club Team:__________________________________
We would like to register for the following clinics
($75 per clinic):
 Sunday, November 10, 2013

Sunday, December 15, 2003
 Monday, January 20, 2014
 Sunday, February 9, 2014

Sunday, March 16, 2014

Sunday, April 20, 2014

Tuesday, May 13, 2014

Wednesday, May 14, 2014
Make checks payable to: University of Missouri Athletics
An MU booster or staff member may not pay for a prospect to attend
any MU camp or clinic, unless he/she is a parent, legal guardian or
immediate family member of the prospect.
Mail signed form and payment to:
M issour i Sof t ball Camp
100 M iz z ou At hlet ics Tr aining Complex
Columbia, M O 65211
Please detach and return. Email confirmation will be sent when payment
is received.