1. 2015 July 26thJuly 26th 9 th – 12 th Grades INDIVIDUAL 2015 Camp Schedule CAMP DATE AND LOCATION: Crookston, MN: SPORTS CENTER Date: July 26, 2015 Check-In: 10:30 a.m. @ SPORTS CENTER PRACTICE SCHEDULE: 10:30 a.m.Check In, Height/Weight, Campus Tours 12:00 p.m.Welcome Coaches Introduction 12:10 p.m.NCAA Info Presentation 12:30 p.m.Dynamic Warm Up 12:45 p.m.Speed/Agility Testing 2:15 p.m.Primary Position Drills 2:45 p.m.Competition Drills 3:15 p.m.Secondary Position Drills 3:45 p.m.Competition Drills 4:15 p.m.Closing/Camp Awards The UMC High School Football Camp is a one day individual camp designed specifically for high school students in grades 9 through 12. This is a non-contact, non- padded football camp and will include: speed and agility training, combine testing, position specific coaching, individual instruction, drill work and competitive situations. The camp also includes important information regarding academic eligibility, the recruiting process and other character components that can make or break a football career. If you are looking to improve your skills as a football player and become an impact player on the field, then attending this camp is a step in the right direction! Questions? Email: tsummers@crk.umn.edu Register Online at www.goldeneaglesports.com

2. Name______________________________________ Age_______Email___________________________ Address____________________________________ __________________________________________ City________________________State___________ Zip Code___________________________________ High School________________________________ Parent/Guardian_____________________________ Home Phone________________________________ Cell Phone__________________________________ Parent Email________________________________ Height_______________ Weight_______________ T-Shirt Size_________________________________ Head Football Coach__________________________ Offensive Position____________________________ Defensive Position___________________________ Circle Payment Type:CashCheck Camper’s Name__________________________________ Known Allergies_________________________________ Current Medications ______________________________ Medical History Information_______________________________________________________________________ Physician: I hereby certify that __________________________ is physically fit to participate in an active football program and that I know of no physical impairments which would in any way limit his participation in such a program. Physician Signature ______________________________ Print Name _____________________________________ Date__________ *The doctor’s signature may be submitted by sending a copy of the camper’s physical form which is not more than one year old. Physical forms from the 2013-2014 school year will be accepted. Parents: I understand that while I am participating in the UMC Football Camp, there is a risk of injury. I understand that such an injury can range from a minor injury to a major injury. Such injuries could result in bone or joint injury, muscle injury, concussion, chronic disabling conditions, and possibly even death. I understand that I may be injured while participating in the UMC Football Camp. I authorize the UMC Football Camp Coaches and Athletic Training Staff to obtain any first aid or emergency care that may become necessary while participating in the UMC Football camp. Insurance Company______________________________ Policy Owner___________________________________ Policy Number__________________________________ I hereby certify that I have read and fully understand this authorization Parent/Guardian signature_________________________ Date______________ UMC Football Camp Registration Parent and Physician Forms Friday, July 26 th, 2015 University of Minnesota, Crookston Please Make Checks Payable to: UMC Football Camp Send to: Sports Center 2900 University Ave Crookston, MN 56716 The University of Minnesota Crookston is an equal opporunity educator and employer. Event Sponsors: