Central Nebraska Youth Football Camp
Transcription
Central Nebraska Youth Football Camp
Parent’s Release & Indemnity Agreement to Central Nebraska Youth Football Camp I understand that the Central Nebraska Youth Football Camp director, staff, and sponsors will NOT be held responsible for injuries or loss of property while the previously-named participant is attending. I do hereby release Central Nebraska Youth Football Camp and its employees and Kearney Catholic High School from all liability, including claims and suits in law or equity for any injury – fatal or otherwise. The signatures below absolve the Central Nebraska Youth Football Camp and its sponsors of all responsibility for loss of personal property. Furthermore, I realize the risks involved to the participant. I will pay, or cover through my insurance, any medical or hospital expenses, doctor bills or other expenses which could be incurred as a result of treatment given to the previously-named participant for illness or injury while attending or subsequent to attending the Central Nebraska Youth Football Camp, and other medical specialists in the Kearney area to act for me according to their best judgment in any emergency requiring medical attention. I further understand the camp retains the right to use, for publicity and advertising purposes, photographs of participants taken at the camp. Please print, then sign below: Participant Name: ___________________________________ Parent/Guardian Name(s): Message from Camp Director: Rashawn Harvey I’ve created this camp due to my love for the game of football, the opportunities football created in my life and due to the important lessons the sport has taught me. Being involved with little league football and attending camps as a middle school student prepared me for high school football and ultimately played a role in me earning a athletic scholarship to the University of NebraskaKearney. The athletic scholarship was the vehicle that allowed me to earn a college degree in the field of education. Being in the field of education has given me the opportunity to work with youth for 18 years, plus serve has a high school football coach at Kearney Catholic High School for 10 years. My focus at Kearney Catholic High School has been in coaching the quarterbacks, offensive and defensive lines, as well as coordinating the offense. Central Nebraska Youth Football Camp This camp will have a staff that is excited about football, but more importantly, the staff will focus on the intangible byproducts the game of football provides: discipline, teamwork, accountability, confidence, academic importance, work ethic, friendship and the power of association. If you have any questions about the camp, please contact me by phone at 308-440-5400 or by email at [email protected]. ___________________________________ Home Phone: ________________________ Cell Phone: __________________________ Register on-line by June 9, 2015 at: Centralnebraskayouthfootballcamp.com Signature: ___________________________ Date: ________________ *This release & indemnity agreement must be signed in order for your child to participate at the Central Nebraska Youth Football Camp* ***Registration forms must be postmarked by June 6, 2015*** Register On-line by June 9, 2015 centralnebraskayouthfootballcamp.com Camp Staff Camp staff will consist of local college and high school coaches, as well as collegiate football athletes. Coaches participating in the camp will have specialized knowledge of individual football positions, helping to maximize each child’s learning experience at the camp. *This is not a Kearney Public Schools Activity* Centralnebraskayouthfootballcamp.com Camp Objective The Central Nebraska Youth Football Camp is open to all students entering 6-8 grade with the purpose of maximizing each camper’s potential as a football player by focusing on the fundamentals of football. Campers will be taught the fundamentals of all offensive and defensive football positions. All campers participate and touch the football in a safe, non-contact environment. Camp Information Dates: June 22-25, 2015 Location: Kearney Catholic High School Time: T-Shirt Size: Youth= S M L 8:30 AM—11:45 AM 2015-16 Grade Level: ________ $85 per camper. This includes all four days, treats, plus a camp t-shirt. **Tuition is non-refundable** City: ______________ State: ____ Zip: ________ *Make Checks Payable to: Central Nebraska Youth Football Camp (CNYFC) _______________________________________ Camp Activities NFL Style Combine Testing Individual Offensive Position Instruction Individual Defensive Position Instruction 1 on 1 Competition Make It Fun Football Games Limit Standing Around Daily Schedule (*tentative*) Everyone Plays 8:30= Intro’s/Warm Up/Flex Teach Every Position to Every Participant 9:00= Offensive Skill Instruction Incorporate a Progression of Skill Development for Every Participant Provide Encouragement The principles above will provide an enjoyable and educational experience for all involved. Working with Central Nebraska Youth Football Camp staff will allow your child to learn much more than just football. Campers will be taught the importance of teamwork, self discipline, work ethic, consideration for others, achieving good grades, positive association and being accountable. Age: ________ Address: _______________________________ 7 on 7 Emphasize the Fundamentals Adult= S M L XL Cost/Tuition A goal of The Central Nebraska Youth Football Camp is to make a positive impact on children’s lives both on and off the field through the game of football. Our football camp will adhere to the “Seven Guiding Principles” designed by NFL Youth Programs: Camper’s Name: ____________________________ Practice Field (North side of KCHS) Registration forms must be postmarked by June 6, 2015 Parent Info REGISTRATION FORM 9:40= Water Break 9:45= Defensive Skill Instruction 10:25= 1 on 1 Challenge 10:35= Water Break 10:40= NFL Combine Testing 11:00= 7 on 7 11:15= Water Break 11:20= Football Games What to Bring to Camp Each camper should arrive everyday in a shirt, shorts, football cleats and sun block. Also, bring a water bottle and a great attitude! centralnebraskayouthfootballcamp.com Parent/Guardian Names: _____________________ Contact Phone #: _______________________ Email Address: __________________________ Emergency Contact (if different from above): Name: ___________________________________ Relationship to Camper: _______________________ Phone #: ____________________________ Medical Insurance Information: ___ I do not have medical insurance that covers my child and I agree to be fully liable for any and all medical cost incurred for treatment. ___ I do have medical insurance for my child and I agree to be responsible for all costs that my medical insurance does not cover. Insurance Carrier: ___________________________ Insurance Carrier Phone: ______________________ Policy Holder’s Name: ________________________ Relationship With Camper: _____________________ Policy/Member Number: ______________________ Group Name/Number: ________________________ Camp Enrollment Please cut out and return the registration form along with payment (cash/check/money order) payable to: Central Nebraska Youth Football Camp (CNYFC) 3706 20th Ave. Kearney, NE 68845 *Registration forms must be postmarked by 6/6/15* **Register On-line* by June 9, 2015* centralnebraskayouthfootballcamp.com