Informed consent agreement to participate in the Treasure Valley Football Camp • • • • • • • I the undersigned, have read and agree to the following: I understand the potential dangers and risks of participating in the Treasure Valley 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 Treasure Valley 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, Middleton and Meridian School Districts, and employees and all other parties referenced above as specified above. TREASURE VALLEY FOOTBALL CAMP June 15-18, 2015 Why go to camp? CAMP BENEFITS: (Tuition Includes) 1. 2. 3. 4. 5. 6. 7. TREASURE VALLEY FOOTBALL CAMP June 15-18 The Treasure Valley 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 Meridian HS, Mtn. View HS, and It is vital that ALL Varsity players attend this camp! Please make arrangements NOW to be there every day. The camp will be held at Melba HS and Treasure Valley HS. Transportation will be provided from Melba HS to Treasure Valley HS. Cost of the camp is $65 for each participant this includes a camp T Shirt and Team Transportation. 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] 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 • • • • • • • • Helmet Shoulder Pads Cleats Practice Jersey Practice Pants Belt Girdle Gloves Camp Schedule Outline JUNE 15th 10:45 Stretch/warm up 11:00 Individual 11:25 Team Install/Walk through 11:45 Inside/1 on 1’s 12:05 7 on 7/1 on 1 pass rush 12:25 Team 1 12:35 Team 2 12:45 Team 3 1:00 End JUNE 16H 10:45 Stretch/warm up 11:00 Individual 11:25 Team Install/Walk through 11:50 7 on 7/1 on 1 pass rush 12:05 Team period 12:25 H20 12:30 Team Move Ball 12:50 End/Clean Field JUNE 17TH 10:45 Stretch/warm up 11:00 Individual 11:25 Team Install/Walk through 11:50 7 on 7/1 on 1 pass rush 12:05 Team period 12:25 H20 12:30 Team Move Ball 12:50 End/Clean Field JUNE 18TH Final Scrimmages 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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