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TEAM / INDIVIDUALWHEN: Thursday, June 12, 2014 – Saturday, June 14, 2014
Arrive 1- 3 p.m.Registration at Craig HallCoaches meeting (Craig Hall) 3 p.m.Campers to stadium1st practice 4 p.m.
WHO: Any high school player grades9-12 — teams or individuals (Individual campers will be assigned a team.)
COST:Overnight Individual – $295Meals and dormitory lodging
Overnight Team – $225Meals and dormitory lodging
Day Individual – $225Day Team – $210
MONTANA FOOTBALL CAMPSLOCATIONWashington-Grizzly Stadium, an ideal setting for summer football camp. The weight training room and treatment center are conveniently located near-by and are available to all campers.
HEALTH AND SAFETYEach camper must provide his own health insur-ance. Medical release, personal history and insur-ance information must be completed on application. (On back of camp brochure)
WHAT TO BRINGHelmet, shoulder pads, pants, shoes, shirts, shorts, jersey, socks and towels. (Towels are NOT provided. Dorm beds have sheets, pillow, pillow case and a blanket. You are welcome to bring your own bed-ding.)
POSITION INSTRUCTIONEach camper will get instruction from UM coaching staff, current and former NFL players.
TEAM INSTALLATIONTime will be set aside for coaches to work with their own teams.
PASSING / PASS RUSH LEAGUESLeagues will be set up each day for campers. High schools with a group of players may compile their own team.
TEAM CAMP DAILY SCHEDULE7-8 a.m. Breakfast8:30-9:15 Griz Instruction9:15-10:15 Team Installation10:15-11:15 11 on 1111:20 Chalk Talk – STADIUM11:30-1 p.m. Lunch 1-2 Rest2:30-4:30 Pass League / Pass Rush4:35 Chalk Talk - STADIUM5-6:30 Dinner7-7:45 Griz Instruction7:45-8:30 Team Installation8:30-9 11 on 119:05 Chalk Talk - STADIUM10 p.m. In Dorm
Parking decals are available at registration for campers and parents. The decal is good for the entire camp.
REGISTRATION FORM FOR ALL CAMPS*NAME ____________________________________________________________HT ________WT ________ AGE ________Circle T-shirt size: L XL XXL XXXL
ADDRESS __________________________________________ CITY ____________________________ STATE ______ ZIP __________ PHONE# ___________________________
EMAIL ______________________________________ POSITION ___________________ HIGH SCHOOL ____________________YEAR IN HIGH SCHOOL (Fall ‘14) __________
If you are not registering online, please mail this registration form with payment, completed medical history form & signed acknowledgment of risk form to:
MONTANA’S FOOTBALL CAMP, HOYT ATHLETIC COMPLEX, 32 CAMPUS DRIVE, MISSOULA, MT 59812
TEAM / INDIVIDUAL CAMP INDIVIDUAL SKILL & BIG MAN CAMP KICKING & SPECIALIST CAMPJune 12-14 June 19-20 (Camp ends at 1 p.m. June 20) June 20c Team Camper (overnight) $225 c Overnight Camper $175 c Day Camper $50c Individual Camper (overnight) $295 c Day Camper $150 1 p.m. - 3 p.m.c Team Camper (day) $210 Please pay full amount with application Please pay full amount with applicationc Individual Camper (day) $225$100 deposit required with application
For office Use Only – Deposit _________________ Balance Due _____________
MED
ICA
L RE
LEA
SE F
ORM
/HEA
LTH
HIS
TOR
Y(M
ust b
e co
mpl
eted
to a
ttend
cam
p)
Cam
per’s
Nam
e
Cam
per’s
Par
ent/G
uard
ian
Cam
per’s
dat
e of
birt
h
Pare
nt’s
Day
time
Phon
e/Ce
ll Pa
rent
’s E
veni
ng P
hone
Cam
per’s
Cel
l Ca
mpe
r’s E
mai
l
Emer
genc
y Co
ntac
t (if
abov
e ca
n no
t be
reac
hed)
Dayt
ime
phon
e of
em
erge
ncy
cont
act
Eve
ning
Pho
ne
PERS
ONAL
HIS
TORY
(Hav
e th
ey n
ow o
r hav
e ha
d in
the
past
):
Hear
t Dis
ease
Ye
s No
He
art M
urm
ur
Yes
NoHe
art S
urge
ry
Yes
No
Di
abet
es
Yes
NoM
uscl
e Di
seas
e Ye
s
No
Lung
Dis
ease
Ye
s No
Epile
psy
Yes
No
Oc
casi
onal
Che
st P
ain
Ye
s No
Dizz
y Sp
ells
or B
lack
outs
Ye
s No
Irr
egul
ar H
eart
Bea
t Ye
s No
Any
Ches
t Pai
ns o
n Ex
ertio
n Ye
s No
Any
Ches
t Pre
ssur
e on
Exe
rtio
n Ye
s No
Othe
r:
If ye
s to
any
of t
he a
bove
, ple
ase
expl
ain:
Has
your
chi
ld re
cent
ly h
ad a
ny b
roke
n, s
prai
ned,
or b
ruis
ed b
ones
or
mus
cles
in th
e pa
st s
ix m
onth
s?
Y
es
No
Plea
se li
st a
ny m
edic
atio
ns y
our c
hild
is c
urre
ntly
taki
ng:
Plea
se li
st a
ny k
now
n al
lerg
ies
to m
edic
atio
n:
MED
ICA
L IN
SURA
NCE
IS R
EQU
IRED
TO
ATT
END
(Mus
t be
com
plet
ed to
atte
nd c
amp)
INSU
RANC
E IN
FORM
ATIO
N:
Insu
ranc
e Ca
rrie
r
Polic
y Ho
lder
Polic
y #
Cl
aim
s Ph
one
#
Mus
t com
plet
e m
edic
al re
leas
e, m
edic
al in
sura
nce,
ack
now
ledg
men
t of
risk
form
and
regi
stra
tion
form
. Par
ent’s
sig
natu
re re
quire
d on
regi
stra
tion
form
.
ACKNOWLEDGMENT OF RISK FORM FOR PARTICIPANTS OF MONTANA FOOTBALL CAMPS – JUNE 12-14 — JUNE 19-20 — JUNE 20, 2014
As a potential participant of the Montana Football Camp, I could possibly sustain injuries no matter how well conditioned I may be. Depending on the nature of the sport, injuries may be minor to fatal in nature. Some specific injuries that may be sustained by participants in physical activity associated with sports such as this one are as follows: stoppage of breathing, spine and neck injuries (either of which could result in paralysis), concussion, heart failure, broken legs, feet, ankles, toes or other bones, heat stroke, heat cramp, heat exhaustion, stroke, convulsion, unconsciousness, abrasions to limbs such as arms, legs and head, fainting, sudden illness, cramps, and loss of wind. In the event of illness or injury, I hereby give my consent for medical treatment and permission to the attending physicians to hospitalize, secure proper treatment and order injections, anesthesia or surgery.
Physical contact poses risks in Montana Football Camp activities as well, even though it occurs regularly as an accepted part of the sport. The propensity for major injuries, such as injuries to the spinal column, broken bones, concussion and internal injuries to major organs increases in relation to the force of impact upon contact or collision. I understand the risk of injury due to the force of a collision. I realize that if I have physical problems such as a heart condition, hypertension, orthopedic problems, or other medical problems, I should consult a physician concerning any limits to my activity.
I agree to comply with all camp rules and regulations, including those given verbally and in writing. I also agree to participate in safety meetings and the presentation of any safety material, such as a video on safety, which are designed and offered to promote safety in all camp activities. Knowing the inherent risks, dangers and rigors involved in the activities in which I choose to participate at this camp, I certify that I am fully capable of participating in the activities offered.
I certify that I have read this ACKNOWLEDGMENT OF RISK form and understand all of its terms.
SIGNATURE OF PARTICIPANT :_______________________________________________ DATE:__________ PRINT NAME:__________________________
SIGNATURE OF PARTICIPANT’S LEGAL GUARDIAN: ______________________________________________________ (If participant is under the age of 18)
PRINT NAME: _________________________________________________ DATE:____________________
*Or register online at MontanaFootballCamps.com