Camper’s Cell Phone: ( ) Address: State: Zip: Parent/Guardian Name: Parent’s Email: Parent’s Cell Phone: ( Home phone: ( ) ) Team (for Team Camp Only): Roommate Request: Dorm rooms are double occupancy, please request only one roommate. Roommates are only guaranteed if both campers request each other on their original application. SESSION I SESSION III INDIVIDUAL CAMP – JULY 14-17 SPECIALTY POSITION CAMP – JULY 22-24 Resident $380 ❏ Commuter $295 ❏ ❏ JULY 14-18 ❏ Commuter ONLY $315 SESSION II TEAM CAMP – JULY 18-20 Resident $295 ❏ Commuter $245 ❏ m SETTER m PIN HITTER (OUTSIDE/OPPOSITE) m MIDDLE BLOCKER m LIBERO/DEFENSIVE SPECIALIST SESSION IV TEAM CAMP – JULY 25-27 Resident $295 ❏ Commuter $245 ❏ BLUE CAMP INDIVIDUAL & TEAM CAMP – JULY 14-20 POSITION & TEAM CAMP – JULY 22-27 ❏ Resident $610 Commuter $490 If you register online, you will receive immediate email confirmation. If you mail in your application with check/money order, you will receive confirmation via email within one week of UF Volleyball Camp receiving your application and payment. CAMPERS MUST HAVE MEDICAL INSURANCE: The camp carries an EXCESS medical insurance policy to cover medical expenses for injuries/accidents which occur in the course of camp activities. Medical expenses, including any deductibles, which are declined for payment through the camper’s personal insurance and/or through the excess policy become the personal responsibility of the camper’s parents/guardians. AMERICANS WITH DISABILITIES ACT: For individuals with disabilities, requiring special accommodations, please contact the camp director within a minimum of seven days of the first day of camp so the proper consideration may be given to the request. MEET THE STAFF Resident $345 ORANGE CAMP ❏ Note: Physical/Physician’s statement and insurance information will be accepted at registration on the first day of camp. ❏ Commuter $280 YOUTH DAY CAMP SESSION I & II Mail in the remaining balance before July 1, 2014. SESSION III & IV ❏ ❏ Resident $575 Commuter $475 UAA policy restricts those staying in the dorm to campers entering 9th grade or older. To pay by check or money order you must complete this form and mail with payment to: FLORIDA VOLLEYBALL CAMP/UAA PO Box 14485 • Gainesville, FL 32604 To pay by credit card and receive instant confirmation go to GATORZONE.COM/CAMPS/VOLLEYBALL PARENTS MUST READ, COMPLETE, AND SIGN THE ENTIRE CONSENT FORM PRIOR TO CAMP (ON BACK). UNIVERSITY ATHLETIC ASSOCIATION, INC. FLORIDA VOLLEYBALL CAMP PO BOX 14485 GAINESVILLE, FL 32604-2485 City: Mail forms with check or money order for $50 non-refundable deposit to secure a spot in camp. REGISTER ONLINE AT GATORZONE.COM/CAMPS/VOLLEYBALL Birthdate: H.S. Grad. Year: Go to GATORZONE.COM/CAMPS/VOLLEYBALL or Complete the Application and Consent Form (Signed by Physician) 2014 FLORIDA VOLLEYBALL CAMP INFORMATION Email: HOW TO REGISTER 1 2 3 4 Presorted First-Class Mail US Postage Paid Jacksonville, FL Permit No. 1111 Camper’s Name: Please tear here and return filled out (front and back) GENERAL APPLICATION INDIVIDUAL CAMP JULY 14-17 YOUTH CAMP JULY 14-18 TEAM CAMP JULY 18-20 SPECIALTY POSITION CAMP JULY 22-24 TEAM CAMP JULY 25-27 SPECIALTY POSITION CAMP INDIVIDUAL CAMP SCHEDULE Mon., July 14 1:00 PM - 3:00 PM 2:30 PM - 3:00 PM 2:00 PM - 4:30 PM 4:30 PM - 5:00 PM 5:00 PM - 6:00 PM 6:00 PM - 9:00 PM 11:00 PM REGISTRATION Commuter Registration Group placement drills Camp Introductions Dinner Instruction Bed-check Tues. – Wed., July 15-16 8:00 AM - 8:45 AM 9:00 AM - 11:30 AM 11:30 AM - 12:30 PM 12:00 PM - 1:30 PM 1:30 PM - 4:00 PM 4:00 PM - 6:00 PM 5:00 PM - 6:00 PM 6:00 PM – 6:30 PM 6:30 PM - 9:00 PM 11:00 PM Breakfast Instruction Lunch Open Gym Instruction Open Gym Dinner Help Session Tournament Play Bed-check Thurs., July 17 8:00 AM - 8:45 AM 9:00 AM - 11:00 AM 11:10 AM - 12:00 PM 12:00 PM - 12:30 PM 12:30 PM Breakfast Tournament Play All-Star Match Awards Ceremony Check-out HIGH SCHOOL TEAM CAMP This camp focuses on specialized training and skill development by position. Each athlete must choose from one of the following to train during the entire duration of the camp: • Setter • Pin Hitter (outside or opposite) • Middle Blocker • Libero/Defensive Specialist Campers will have the opportunity to apply skills acquired into evening competition. Athletes will work in groups of similar age and experience. SPECIALTY POSITION CAMP SCHEDULE Tues., July 22 12:00 PM - 1:15 PM 12:30 PM - 1:15 PM 1:30 PM - 2:00 PM 2:00 PM - 4:00 PM 4:00 PM - 6:00 PM 5:00 PM - 6:00 PM 6:00 PM- 9:00 PM 11:00 PM REGISTRATION Commuter Registration Introductions Instruction Open Gym Dinner Instruction Bed-check Wed., July 23 8:00 AM - 8:45 PM 9:00 AM - 11:30 AM 11:30 AM - 12:30 PM 12:00 PM - 1:30 PM 1:30 PM - 4:00 PM 4:00 PM - 6:00 PM 5:00 PM - 6:00 PM 6:00 PM – 9:00 PM 11:00 PM Breakfast Instruction Lunch Open Gym Instruction Open Gym Dinner Instruction Bed-check Thurs., July 24 8:00 AM - 8:45 AM 9:00 AM - 11:30 AM 11:30 AM - 12:30 AM 12:30 PM - 2:30 PM 2:30 PM - 3:30 PM 3:30 PM - 4:00 PM 4:00 PM Breakfast Tournament Play Lunch Tournament Play All-Star Match Awards Ceremony Check-out Team camp is designed for high school teams ONLY, not junior high. Team strategies as opposed to individual skills will be emphasized. Last year’s camp had over 90 teams attend Session II or Session IV. Competition amongst other schools takes place during each session. Team camp concludes with an all-camp tournament. TEAM CAMP SCHEDULE Friday 2:00 PM - 4:00 PM 3:00 PM - 5:30 PM 5:30 PM - 6:15 PM 6:15 PM - 6:30 PM 6:45 PM - 9:15 PM 10:00 PM REGISTRATION Assigned Team Practice Dinner Camp Introductions Team Training High School Coaches Social Saturday 8:00 AM - 8:45 AM 9:00 AM - 11:30 AM 11:30 AM - 12:30 PM 12:15 PM - 1:15 PM 1:30 PM - 4:00 PM 4:00 PM - 5:00 PM 5:00 PM - 6:00 PM 6:15 PM – 9:30 PM Breakfast Team Training/Competition Lunch Conditioning Seminar Training/Competition Coaches Clinic Dinner All Camp Tournament Sunday 8:00 AM - 8:45 AM 9:00 AM - 11:30 AM 11:30 AM - 12:30 PM 12:30 PM - 1:30 PM 1:30 PM - 2:00 PM 2:00 PM Breakfast Tournament Play Lunch Tournament Finals Awards Ceremony Check-out TO ATTEND TEAM CAMP • Have a minimum of 8 players and no more than 12 players from your team committed to attending Florida Volleyball Camp this summer. • Be a high school team and attend camp with your high school coach. ORANGE & BLUE CAMPS For those campers looking to take full advantage of camp and all that it has to offer, consider either the Orange (Sessions I & II) or Blue (Sessions III & IV) camps. By working on your individual game leading into Team Camp, you can maximize your entire camp experience. • Have your coach send in team application and attach at least 8 player’s name and email address. • Florida Volleyball Camp will contact each team member via email with registration information once your school is accepted. Each member of the team that is attending camp must complete our on-line registration or return the application and consent form by July 1, 2014. • SIGN UP EARLY! CONSENT CONTACT INFO FOR ALL MINORS PARTICIPATING VISIT GATORZONE.COM/CAMPS/VOLLEYBALL FOR SPECIFIC DETAILS REGARDING: • HOUSING • MEALS • DIRECTIONS TO CAMP • CHECK-IN / CHECK-OUT • REGISTER WITH CREDIT CARD ANY OTHER QUESTIONS, CONTACT US: WEBSITE: GATORZONE.COM/CAMPS/VOLLEYBALL EMAIL: [email protected] .EDU CAMP VOICEMAIL: (352)-375-4683 EXT. 1-3244 FAX: (352)-375-7807 TWITTER & FACEBOOK Join the 2014 Florida Volleyball Camp Facebook page by including your email in the general application. We will send you an invitation to join our page where you will receive updates leading up to and during camp including pictures and details of daily activities. You can also join Florida Volleyball Camp’s official Twitter feed by following us @FloridaVBCamp. 2014 FLORIDA VOLLEYBALL CAMP @FLORIDAVBCAMP (Under age of 18 at time of registration) Consent to Medical Treatment and Release of Liability READ BEFORE SIGNING -- MUST HAVE TO PARTICIPATE! Please tear here and return filled out (front and back) INDIVIDUAL CAMP Individual camp is designed to improve the fundamental skills of volleyball: serving, passing, setting, attacking, blocking, and individual defense. In addition, campers will work on team defensive and offensive systems. Campers will be placed into groups of similar ability on the first day. In consideration of being allowed to participate in this camp I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the University Athletic Association Inc., the University of Florida, the Board of Regents of the State of Florida, the State of Florida, and their officers, servants, agents, or employees (hereinafter referred to as RELEASEE) from any and all liability, claims, demands, or course of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me/my child, or to any property belonging to me/my child, WHETHER CAUSED BY THE NEGLIGENCE OR THE RELEASEE, or otherwise, while participating in this camp, or while in, on or upon the premises where the camp is being conducted. To the best of my knowledge, I/my child am/is in good physical condition and I am not aware of any physical infi rmity which would place me/my child at risk to participate in any way with the camp’s activities. I am fully aware of risks and hazards connected with this camp. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSON INJURY, INCLUDING DEATH, that may be sustained by me/my child, or any loss or damage to property owned by me/my child, as a result of being engaged in the camp’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEE or otherwise. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEE from any loss, liability, damage or cost, including court costs and attorneys’ fees, that may accrue related to my/my child’s participation in the camp. WHETHER CAUSED BY NEGLIGENCE OR RELEASEE or otherwise. During the period of the camp, I hereby give permission for the staff of the University Athletic Association Inc. or this camp to administer appropriate medical attention to me/my child in the event of any accident, illness, or injury. I will be responsible for any and all costs of medical coverage and treatment provided not covered by insurance. It is my express intent that this Waiver of Liability and Hold Harmless Agreement/Consent to Medical Treatment shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall bedeemed as a RELEASE, WAIVER, this Waiver of Liability and Hold Harmless Agreement/ Consent to Medical Treatment shall be construed in accordance with the laws of the State of Florida. In signing this release, I acknowledge and represent that I have read and understand it and sign in voluntarily; I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete considera tions fully intending to be bound by same. I HAVE READ THIS WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. PARENT/GUARDIAN’S SIGNATURE Date Signed PLEASE PRINT PARENT/GUARDIAN’S NAME Print Camper’s Name Emergency Phone Number(s) INSURANCE COMPANY Insurance Phone Number ( Policy Number ) Group Number Name on policy Relationship to Camper YOUTH DAY CAMP For Girls and Boys ages 10-12; Monday, July 14 through Friday, July 18. Camp runs Mon.Thurs. 9:00 a.m. – 4:00 p.m., Fri. 9:00 a.m. – 12 noon. All Youth Day campers receive lunch each day except Friday. This camp is a great way for your child to learn about volleyball in a fun environment. Youth Day Campers participate in special activities designed just for their age group. All Youth Campers will receive their own ball at the conclusion of camp. GATORZONE.COM/CAMPS/VOLLEYBALL Subscriber Phone Number Subscriber Date of Birth PHYSICIAN’S STATEMENT I hereby certify that has no restrictions which would prevent him/her from active and full participation in any and all activities related to the Camp. Doctor signature: Date: Known allergies Tetanus Booster Date Medication camper will bring to camp, if any COPY OF PHYSICAL (COMPLETED WITHIN ONE YEAR OF CAMP) ACCEPTABLE IN LIEU OF PHYSICIAN’S SIGNATURE
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