Saint Louis University Cross Country Camp
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1 Saint Louis University Cross Country Camp June 25-29, 2018 CAMP INFORMATION: Saint Louis University is offering a summer cross country camp, which includes 5 days of training and instruction from the Saint Louis University Coaching Staff and current Billiken cross country runners. Runners will have an opportunity to run with and learn from Billiken runners that are former All-State runners from both Missouri and Illinois. The camp will provide runners with an opportunity to experience what it is like to train and compete at the Division I level and will provide valuable experience about training, racing, nutrition and mental toughness. DATES: Monday June 25 th - Friday June 29 th LOCATION: Saint Louis University Track and Field Facility: 3320 Rutger St. TIMES: Monday-Friday: 8AM to 12:00PM COST: $ AGES: Open to runners grades 7-12 REGISTRATION: Begins on April 1st on a first come, first serve basis **Camp size is limited to 50 participants, so early registration is recommended** **To Sign up Contact Coach Bradley directly: or timothy.bradley@slu.edu Campers should wear proper running shoes and bring a bag, towel, water bottle and extra t-shirt. We will also be doing various workouts during the week (see camp schedule) so runners are encouraged to bring racing flats or spikes. For additional questions timothy.bradley@slu.edu *All Saint Louis University Camps and Clinics are open to any and all entrants, and are only limited by age, gender, or grade level.
2 Monday, June 25 th Saint Louis University Cross Country Camp Schedule June th, 2018 Training Run: Hill Circuit Speaker Series: Counselors Q + A: Clinic: Hurdle Mobility Team Building Game: Ultimate Frisbee 7:30-8:00am 10:30-11:00am Tuesday, June 26 th Training Run: Recovery Run Speaker Series: Coach Tim Bradley Clinic: Strength + Core Team Building Game: Footgolf Wednesday, June 27 th Training Run: Track Workout Speaker Series: Coach Flo: Freeburg HS Clinic: Foam Rolling + Stretching Team Building Game: Kickball Thursday, June 28 th Training Run: Pre-Meet Run Speaker Series: Jacque Taylor (SLU) Clinic: Mental Training Team Building Game: Olympic Trivia Friday, June 29 th Pre-Race Pep Talk Warmup for Time Trial Girls Time Trial: 2k Boys Time Trial: 3k Awards & Lunch 8:15-8:30am 8:30-9:05am 9:05-9:30am 9:35-10:00am 10:30-11:30am
3 Check Payable to: Coach Tim Bradley LLC Please send: registration, release/waiver form, medical form, copy of insurance and payment to: Coach Tim Bradley Assistant Cross Country Coach Saint Louis University Cross Country 3330 Laclede Ave. St. Louis, MO _ (You will receive confirmation upon receipt of your registration, release/waiver form, and payment.) Name: Year of HS Graduation: Address: City, State: Zip: Phone: Current Personal Best: 800m 1600m 3200m 5k XC *All Saint Louis University Camps and Clinics are open to any and all entrants, and are only limited by age, gender, number or grade level. SAINT LOUIS UNIVERSITY ATHLETIC CAMP RELEASE AND WAIVER OF LIABILITY CROSS COUNTRY I understand that playing or participating in the above sport may be a potentially dangerous activity involving risk of injury. I understand that in any contact sport, such as the sport involved at this camp, an athletic participant can be seriously hurt. I am aware that the dangers and risks of my child s/ward s playing or participating in the above sport include, but are not limited to, falls, contact or collisions with other participants, equipment and facilities, and the effects of weather, including high heat and humidity (facilities are not air conditioned). I understand that my child/ward may incur a serious injury, including paralysis or death, as a result of the dangers and risks associated with the above sport. I have certified to the coach, by my signature below, that my child is in good health and physical condition and sufficiently able to participate in the above
4 sport and the camp. I understand that the coach recommends that my child/ward obtain a physical examination to identify any physical condition or limitation of which I might not be aware that could affect his participating in the above named sport. I have advised the coach of any limitations on my child s/ward s activities for medical. Knowing and having been informed of the potential dangers and risks associated with playing the above sport; and in consideration of my child/ward being allowed to participate in the camp, I hereby agree on behalf of myself, my family members and my child/ward to assume all such risk and, further, to waive, release, discharge and hold harmless the coach, Saint Louis University, and their respective employees, agents, representatives, physicians, athletic trainers and volunteers from any and all liability, actions, causes of actions, claims or demands for personal injury, death or property damage of any kind or nature, and any other claims whatsoever arising out of, or in any way connected with, my child s/ward s playing and participating in the above sport and camp. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The terms hereof shall serve as an assumption of risk, release and waiver for myself, my family, my child/ward and our heirs, executors, administrators, guardians of anyone else who might assert a claim on our behalf. I have been advised that the camp will provide secondary medical insurance coverage for camp participants. I understand that this insurance is not substitute for my primary insurance and provides maximum coverage up to $5,000 in accordance with the terms of the secondary insurance plan/policy. I hereby consent to permit the coach and staff working at the camp to provide emergency first-aid or medical treatment for my child/ward, according to their best judgment, in the event he/she suffers an injury or illness while participating in the camp or on the camp premises. Date Signature of Parent or Legal Guardian MEDICAL INFORMATION CAMPER NAME CAMP DATES CAMPER ADDRESS DATE CITY/STATE/ZIP
5 MEDICAL HISTORY (To be completed by parents) A. Allergy (drugs, food, asthma, etc.) Y N B. Pre-Existing injury currently under treatment Y N C. Medical conditions currently under treatment Y N D. Birth Deformities (one eye, one kidney, etc.) Y N E. Fractures or other disability type injuries Y N F. Mental disorders or convulsion Y N G. Known past illness for more than one week s duration Y N PLEASE INCLUDE AN EXPLANATION OF ANY QUESTIONS ABOVE ANSWERED YES. PHYSICAN S NAME PHONE ADDRESS CITY STATE ZIP NAME OF DENTIST PHONE MEDICAL INSURANCE POLICY # ADDRESS OF INSURANCE COMPANY PHONE EMERGENCY INFORMATION Parent or Guardian (1) PHONE(w) PHONE(h) (2) PHONE(w) PHONE(h) EMERGENCY CONTACT ***IMPORTANT*** * Please attach a front and back copy of your child's insurance card to this form
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