Informed consent agreement to participate in the Rocky Mountain Football Camp • • • • • • • I the undersigned, have read and agree to the following: I understand the potential dangers and risks of participating in the Rocky Mountain Football Camp, but are not limited to, death or serious injuries which may result in complete or partial impairment of my body, general health and well being. The terms hereof shall serve as a release and assumption of risk for my heirs, estate, executor, administrator, assignees, and all members of my family. I am in good health. There is no medical reason why I am not able to participate in this program. I hereby consent to first aid, emergency medical care and if necessary, admission to an accredited hospital when necessary for executing such care, for treatment of injuries that I may sustain while participating in any activity associated with this program. I understand that it is my obligation to have a health and accident insurance policy in effect while participating in this program or to otherwise be responsible for any and all medical expenses which may be incurred as a result of an accident while participating in the program. I certify that I am the parent or legal guardian of the named participant in the Rocky Mountain Football Camp. I have read the above agreement. I consent to its terms and conditions. I acknowledge that my dependent and I have agreed to the terms and conditions, and I hereby give my consent to participation by my dependent in this program and to receive medical treatment as indicated if necessary. I further agree to hold harmless the Melba, Boise and Meridian School Districts, and employees and all other parties referenced above as specified above. MELBA FOOTBALL CAMP May 26-29, 2015 Why go to camp? CAMP BENEFITS: (Tuition Includes) 1. 2. 3. 4. 5. 6. 7. ROCKY MOUTAIN FOOTBALL CAMP May 26-28th The Rocky Mountain Football Camp is an opportunity for local high school programs to improve and develop skills, schemes, and team bonding during the summer leading into the 2015 season. Our Varsity team will be attending this camp this year. It is a collection of HS teams from across the valley. We will be matched up with teams from Rocky Mountain HS, Timberline HS and Capital HS. It is vital that ALL Varsity players attend this camp! Please make arrangements NOW to be there every day. Individual and personal instruction from the Mustang football coaches Camp T-Shirt Implementation of Mustang Football Philosophy and Terminology Position specific instruction Offensive, Defensive drills incorporated Daily Camp Awards Team Bonding Activities AREAS OF INSTRUCTION: • Run/Pass Blocking technique • Proper tackling form • Proper RB technique and pad level • Pass route execution • Quarterback Drills • Defensive Back techniques • D-line technique and leverage • LB Reads “EVERYTHING TO PROVE” What to Bring: Football Gear The camp will be held at Melba HS and Rocky Mountain HS. Transportation will be provided from Melba HS to Rocky Mountain HS. Cost of the camp is $125 for each participant this includes food and team activities. Camp fee is due by May 21, 2015, please pay Mrs. Jamison in front office. Also, camp release form (attached) is due to Coach Blaser by May 4, 2015. If you have questions, please contact Coach Blaser at [email protected] • • • • • • • • Helmet Shoulder Pads Cleats Practice Jersey Practice Pants Belt Girdle Gloves Camp Schedule Outline Tuesday May 26th 9am – Gear Check Out 10am – Practice #1 (Offense) 12pm – Off Field 12:30pm – Lunch 1:15pm – Team Activity 4pm – Return to Melba 4:30pm – Practice #2 (Defense) 6:30pm – Off Field Wednesday May 27th 10am – Practice #3 (Offense) 12pm – Off Field 12:30pm – Lunch 1pm – Team Activity 3pm – Practice #4 (Defense) 5pm – Off Field Thursday May 28th 11am – Meet @ School 12pm – Team Activity 2pm – Return to Melba 2:45pm - Lunch 4:45pm – Depart Melba for RMHS 5:25pm – Arrive @ RMHS 6pm – Practice #5 8pm – Off Field 8:15pm – Box Dinner Friday May 29th 3pm – Team Activity 4:45 – Depart Melba for RMHS 5:25pm – Arrive @ RMHS 6pm – Practice #6 8pm – Off Field 8:15pm – Box Dinner CAMP RELEASE FORM MEDICAL INFORMATION CARD CAMPERS NAME: ______________________________________________ AGE: _______________ MOTHER’S NAME: ______________________ FATHER’S NAME: ________________________________ PARENT/Guardians PHONE: ________________ MEDICAL INSURANCE CO: _________________ ADDRESS/INS CO: _______________________________ Subscribers Name: _____________________________ SSN: _______________________________ Insurance Policy #: __________________ Group: ________________ ID#:______________________ Emergency Contact & Phone: __________________________________________________________
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