CENTRAL WASHINGTON UNIVERSITY

Football Camp: June 21-25, 2008

GENERAL CAMP INFORMATION

The registration fee is $280 per athlete which includes camp and complete room and board. A non-refundable $20 administrative fee is charged for any cancellations. Cancellations in writing received by the Conference Program by June 17 for Camp II, will receive a refund minus a $20 non-refundable administrative fee. For campers leaving camp early, refunds are granted on a case-by-case basis minus administrative fee and program fee. No refunds will be made for campers dismissed from camp.

FREE T-SHIRT

Every athlete will receive a free Team Football Camp T-shirt.

WHAT TO BRING

Campers must bring their own towels, washcloth, soap, sunscreen, personal toiletries and bathing suit. Also bring football,
football shoes, t-shirts, shorts, socks, sweats, athletic supporters, tennis shoes, practice jersey and full football gear. This is a full-gear camp, you must be completely outfitted to participate in any drill. A $20 rental fee will be charged to campers unable to provide their own equipment. Please leave all valuables at home. CWU is not responsible for damages or loss to camper’s personal property.

SUPERVISION

The team coaches are required to stay in CWU housing with campers. The team coach is responsible for returning sleeping
room keys for campers. In the event that all keys are not returned, the team coach will be assessed a $35 fine for each lost key. Team coaches are also responsible for their players during non-sanctioned, after-hours activities while attending CWU camps.
CWU reserves the right to send any camper home if found to be undesirable for any reason.

ARRIVAL AND DEPARTURE

Check in is from noon to 2 p.m. on June 21in theVantage room. All participants must attend the Orientation Meeting at 9 p.m. Camp concludes at 1 p.m. on June 25. Check out for sleeping rooms is 8 a.m. and all keys must be returned to the Vantage room. There will be a $35 fine for each lost key assessed at checkout.

PHYSICALS / INSURANCE

All CWU camp participants are required to provide a non-returnable physical fitness statement from their physician, a CWU Camper Health/Emergency Information Form and proof of their own medical insurance prior to their participation in the CWU Camp. CAMPERS WILL NOT BE ALLOWED TO PARTICIPATE WITHOUT PROPERLY COMPLETED FORMS. The CWU athletic training staff will be on duty during sessions and on-call throughout the day.

Camper’s Name ______________________________________________________

Address _____________________________________________________________

_____________________________________________________________________

Birth Date ____________________ Phone (______) ________________________ Sport Camp Attending

Camp Dates June 21-25

Does your child have:

Allergies ■ Yes ■ No If yes, list. _____________________________________

Chronic Illness, such as heart condition, asthma, epilepsy, diabetes, etc.
■ Yes ■ No If yes, list. ______________________________________________
Has your child had any injuries and/or operations during the past year?
■ Yes ■ No If yes, list type and dates. _________________________________

Has your child’s physical activity been restricted during the past year?
■ Yes ■ No If yes, list reasons and duration. ___________________________

Is your child taking any medications? ■ Yes ■ No If yes, why? ____________

Name of medication(s) and Dosage(s). __________________________________

Has your child ever taken any sulfa drugs? ■ Yes ■ No

Has your child had adverse reactions to any drugs? ■ Yes ■ No

If yes, list drug(s) and reaction(s):

Date of last tetanus immunization: _____________________________________

I, the undersigned, individually and as a parent/guardian of

________________________________________________________ (camper)
a minor, ask that he/she be admitted to participate in the sports camp
sponsored by Central Washington University. I do hereby agree to release,
discharge and hold harmless the State of Washington, Central Washington
University, its officers, agents, trustees, employees and volunteers from any
and all liabilities, claims, costs, expenses, injuries and or/losses, that I or my
minor child may sustain as a result of my minor’s attendance at the sport
camp or in the course of competition and/or activities held in connection
with the sport camp. I hereby give consent for medical treatment and agree
to assume all responsibility for payment of medical bills and expenses.
Furthermore, I will be responsible for filing all claims with all insurance
companies. I agree to pay for lost keys and damage caused by my child while
at camp. You have my permission to release a copy of this form and the
personal insurance information below to any medical provider treating
my child.I also give permission for my child’s photograph to appear in
promotional material regarding future camps.

Signature of

Parent/Guardian___________________________________ Date _____________ Emergency

Contact Person ______________________________________________________

Relationship

Address _____________________________________________________________

Phone:Work (______) _________________ Home (______) __________________
Family

Physician ____________________________ Phone (______) __________________

Medical Insurance

Name of Insured _____________________________________________________
Policy/Group # ______________________________________________________

Name _________________________________________________________

(Please type or print)

Daytime Phone Number (_________) ______________________________

(Please include area code)

Street Address __________________________________________________ ___________________________________________________

City __________________________ State ____________ Zip __________________

School Name Sumner High School___ Grade in Fall: __________________

Coach _Keith Ross___

T-Shirt Size (circle one): S M L XL XXL

(CWU will destroy the following information immediately after processing.)

Camp Dates Attending: ■ June 21-25 (#20261)

Make your check payable to:

Spartan Boosters

Amount: $280

Registration Deadline: June 13^th

Please include with registration:

Copy of FRONT and BACK of medical insurance card.

And

A non-returnable physical fitness statement from your physician.