How to Register Camp fee 2012 Katy Blazin Red Cross Country Camp Register online at katyblazinred.com By mail - complete the application and return to Coach Jim Pat Darcey 22603 Holly Lake Drive Entry fee of $75 includes t-shirt, Gatorade, and daily camp instruction from former collegiate athletes. Katy, TX 77450 Be sure to include your current email address, to which confirmation of your registration will be sent and along with directions leading up to the camp. Methods of payment: PayPal, Credit Card (Visa, Mastercard or Discover), or Check (by mail only - make checks out to “Katy Blazin Red Track Club”) WAIVER OF LIABILTY Katy Blazin Red Track Club Medical Release Form is REQUIRED for every camper, and must be signed by the camper’s parent or guardian BEFORE s/he may participate in any camp activities. The waiver may be submitted at the start of camp. If the signed waiver has not already been received with registration and payment, a copy will be sent via email. Health Care and Insurance Each camper must provide his/her own medical Cross Country Camp Dates: insurance. June 4 – July 31 Monday through Thursday at 6 a.m. Disclaimer: Katy Blazin’ Red Track Club is NOT affiliated with Katy High School Athletics or Katy ISD. A weekly long run will be scheduled for either Friday or Saturday of each week. Coaching Staff Facilities and Location Coach Jim Pat Darcey FOR MAPS AND DIRECTIONS VISIT KATYBLAZINRED.COM MONDAY: Katy Park (meet by the restrooms in the north east corner of the park) TUESDAY: Cinco Ranch High School (meet in front of the natatorium) WEDNESDAY: Peckham Park (meet in front of the swimming pool) THURSDAY: Katy High School (meet in front of the natatorium)\ FRIDAY OR SATRUDAY: George Bush Park (DO NOT PARK IN THE WALGREEN’S PARKING LOT! Park in the adjacent parking lot at Katy Carpet Etc. Jim Pat Darcey is a hailed College Station, Texas native. Darcey was an integral part of legendary coach, James Giese’s cross country program at A&M Consolidated HS. Darcey was a member of two state champion teams, leading his team with a fourth place individual finish his sophomore year. Darcey went on to run cross country and track at Texas A&M University. He was a member of the 1999 National Qualifying team and ran at the NCAA Division I Championship. 2012 Katy Blazin Red Cross Country Camp Registration Form Camper Name: ___________________________________ Address: __________________________________________ __________________________________________________ Birthdate:_________________________ Coach Michelle Guzman Michelle Guzman was a decorated high school athlete at Giddings High School, coached by Jim Pat Darcey. A multi time Region III- 3A champion in both cross country and track, Guzman went on to achieve the state’s highest honor in 2005 as the Texas 3A Cross Country champion. Her effort ranks fifth on the course for fastest times. Guzman was a member of the Texas Tech cross country team that recorded a program-best third-place finish at the NCAA Division I Cross Country Championships. Coach Lea Carruthers Leandra Carruthers is a Baytown, Texas native. Carruthers was team captain of her cross country squad beginning her sophomore year. Carruthers helped push teammates to three Region III- 5A appearances. Carruthers was a Region III qualifier in the 3200m her senior year. A walk-on at the University of Arkansas, Carruthers earned a coveted spot on the Lady Razorback team. . Disclaimer: Katy Blazin’ Red Track Club is NOT affiliated with Katy High School Athletics or Katy ISD. Grade in School (Fall ‘12): School:_____________ Mother/Guardian:_________________Phone:___________ Father/Guardian:__________________Phone:___________ How did you hear about this camp? _________________________________________________ Emergency Contact:__________________Phone:__________ Medical Release Realizing the risk of injury, I hereby release Katy Blazin’ Red Track Club from all financial responsibility due to any injury that may occur. Should an injury occur, I authorize the staff of Katy Blazin’ Red Track Club to act for me according to their best judgment in any emergency requiring attention. Camper’s Name:____________________________________ Print Parent Name:__________________________________ Parent Signature:____________________________________
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