NAU Volleyball Team Camp

Transcription

1 NAU Volleyball Team Camp CAMP INFORMATION Ironwood Ridge Volleyball will be offering the opportunity for prospective Varsity players to compete at the Northern Arizona University Volleyball Team Camp on July 17-19, This camp will be open to prospective Seniors and Juniors that are actively participating in the off-season Strength/Conditioning sessions. Sophomores may be invited by the coaching staff invitation only if space is available. The Team Camp will be held at Northern Arizona University in Flagstaff, Arizona. The team will travel by school (or rental) vans and stay in dormitories on the NAU campus the dorms will be supervised by the camp staff as well as the varsity coaching staff. Meals will also be included for the team during the camp. The NAU Team Camp is three days with multiple sessions of volleyball each day. Included in the sessions will be 10 matches of competition, training, team bonding exercises, and team chalk talks with the NAU coaching staff. The final day (Thursday) will feature a double-elimination tournament for the participating teams. PLEASE NOTE: Participation in the NAU Volleyball Team Camp will not guarantee any prospective volleyball player a spot on Ironwood Ridge Volleyball Varsity roster in the Fall. The camp is open to prospective players provided they are currently participating in the off-season. NAU VOLLEYBALL TEAM CAMP TUESDAY JULY 17 WEDNESDAY JULY 18 THURSDAY JULY 19 CHECK-IN: 10:30 AM SESSION 3: 9:00 AM 12:00 PM SESSION 6: 9:00 AM TBD SESSION 1: 11:00 AM 1:00 PM SESSION 4: 2:00 PM 5:00 PM CHECK-OUT: 3:00 PM SESSION 2: 6:00 9:00 PM SESSION 5: 7:00 9:00 PM TRAVEL ITINERARY This trip is approved by Ironwood Ridge High School and all Ironwood Ridge Volleyball and Amphitheater Student-Athlete Code of Conduct Rules will be followed for the duration of the trip. The team will travel by school vans or rental vans driven by the varsity coaching staff. TUESDAY July 17 6:00 AM Depart campus for Flagstaff (players responsible for meals during van ride) 10:30 AM Check-in to team hotel/dorms See camp schedule listed above WEDNESDAY July 18 See camp schedule listed above THURSDAY July 19 See camp schedule listed above 4:00 PM Depart for Oro Valley (players will be responsible for meals during van ride) 8:30 PM Return to Ironwood Ridge (approximate arrival time) CAMP TUITION RETURNING IRONWOOD RIDGE VOLLEYBALL PLAYERS: To reserve a spot on the IRVB NAU team roster, please complete the registration form and return to the coaching staff no later than May 10, 2018 along with a deposit of $100. The cost of the camp is $250 per player (includes the camp tuition, housing, meals, and transportation to Flagstaff). If the family provides their own transportation, the cost of the camp is $215. The remaining balance needs to be paid by July 10, 2018 to participate in the camp. Please see the coaching staff for details. NEW IRONWOOD RIDGE SENIORS OR JUNIORS: Complete the registration form and return to the Ironwood Ridge coaching staff no later than July 10, The complete balance ($250) is due in order to reserve a spot in the camp. For more information or questions concerning the NAU Volleyball Team Camp, please contact Ironwood Ridge head volleyball coach Bill Lang at (520) or by at bill.lang@nighthawkvolleyball.com. Please make all checks payable to IRONWOOD RIDGE VOLLEYBALL

2 Camp (circle one) Registrant Type (circle one) Camper First Name Camper Last Name Contact Age Grade (entering in Fall 2018) High School Graduation Year School Name Club Team Position Parent First Name Parent Last Name Parent Phone Number Preferred Address Mailing Address NAU Volleyball Camp Team Camp (Ironwood Ridge High School) Resident Ironwood Ridge High School Roommate Request (limit 1) Insurance Company Policy Holder Policy Number Insurance Company Address TBD (by the IRVB Coaching Staff) Insurance Company Phone Number Past Injuries Current Health Drug Sensitivities Other Allergies How did you hear about this camp? High School Program

3 NAU Volleyball Camp Cancellation and Refund Policy Liability Waivers and Cancellation Policies Refunds will begin processing after the last camp of 2018 is completed. Cancelled before July 1 Full amount minus $50 will be refunded. Cancelled before July 10 50% refund. Cancelled on July 11 or later no refund will be given. Liability Policy I verify that my child has been checked by a licensed physician and is physically able to participate in the NAU Volleyball Camp. I hereby agree that I will not hold Northern Arizona University, the Board of Regents, the State of Arizona and NAU Volleyball Camp or its employees responsible for any loss, damages, or personal injury received as a result of participation. I hereby authorize the directors of the NAU Volleyball Camp to act for my child according to their best judgment in an emergency requiring medical attention. I agree to allow my child to be treated by a student athletic trainer or licensed physician (if necessary) and to assume all cost related to such treatment. I authorize my insurance company to pay benefits to NAU Fronske Health Center or Flagstaff Medical Center. Also, I authorize the disclosure of medical information to my insurance company for the purpose of claim. I give my child permission to participate in the NAU Volleyball Camp. By signing below you certify that you have read and agreed to the above terms for the event Guardian Signature

4 ARIZONA BOARD OF REGENTS FOR AND ON BEHALF OF NORTHERN ARIZONA UNIVERSITY ASSUMPTION OF RISK, WAIVER, RELEASE, AND CONSENT FOR CHILD'S PARTICIPATION IN [NAU Volleyball Team Camp 2018] THIS DOCUMENT HAS LEGAL CONSEQUENCES. IT MUST BE COMPLETED AND SIGNED PRIOR TO PARTICIPATION. PLEASE READ IT CAREFULLY BEFORE SIGNING. Child s Name: Age: Parent(s)/Guardian(s): Address: City: State: Zip: Telephone No. (Include Area Code) Home: Cell: Work: Emergency Contact(s) Name: Relationship: Phone Number(s): Emergency Contact Name: Relationship: Phone Number(s): Child will be picked up at the end of the Program, or for any authorized time spent off of campus by: Name: Relationship: Phone number(s): Identification will be required to be shown by the person who is picking up the child. If the parent(s)/guardian(s) listed above is not the person picking up the child, add name(s), relationship(s), and phone number(s) of other authorized individuals at the end of this document. I give permission for my child,, to participate in this Northern Arizona University ( NAU or University ) Program. In consideration of allowing my child to participate in this Program and related activities, I, on behalf of my child and for myself and my spouse, if any, and our heirs, successors, and assigns: 1. Acknowledge and understand that allowing my child to participate in the Program may involve a variety of activities. Such participation, particularly in field trips, sports camps, and physical education, may involve risks, including but not limited to, serious personal injury, partial or permanent disability, property damage, and/or death. These risks may result from my child s own actions or inactions, from the actions or inactions of others, or may be inherent to participating in the Program. I understand that I am responsible for ensuring that my child is properly prepared for all Program activities, and I represent that my child is in good health and is able to participate fully in all Program activities. 2. Assume all of the foregoing risks and accept personal and financial responsibility for all damages for personal injury, partial or permanent disability, property damage, or death of my child, or caused by my child, to the fullest extent allowed by law. 3. Agree not to sue the State of Arizona, the Arizona Board of Regents, Northern Arizona University, their officers, employees, agents, and assigns, and waive all claims, demands, losses, or damages on account of personal injury, partial or permanent disability, property damage, or death, caused or alleged to be caused in whole or in part by the actions of any person or entity, to the fullest extent allowed by law. 4. Grant to NAU and to its employees, agents and assigns the right to photograph my child and use the photo and or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes for use in connection with University Programs, whether electronic, print, digital or via the Internet. 5. Understand that the only medical treatment that will be provided by the Program is for such things as minor scrapes and bruises. Any medical costs, including emergency medical treatment that may be incurred as a result of my child s participation in the Program will be my financial responsibility. 6. Hereby consent to NAU, any appropriate medical facility, and/or to the physician(s) listed below (by parent/guardian), providing whatever medical services they may deem necessary for my child in the event of an emergency. I certify that I have adequate insurance and/or other Page 1 of 2

5 means to pay for any costs and expenses related to these services and I agree to bear such costs and expenses in full. 7. Agree to review Program rules with my child and agree my child will comply with such rules. I understand my child may be removed from the Program for misconduct or failure to follow rules or instructions of NAU, and I understand that in that event I may not be entitled to a refund of any or all Program fees and costs. 8. Waive and release all claims against the State of Arizona, the Arizona Board of Regents, and Northern Arizona University, their officers, employees, agents, and assigns that arise at a time when my child is not under the direct supervision of NAU or that are caused by my child s failure to remain under such supervision or to comply with rules or instructions, to the fullest extent allowed by law. 9. ACKNOWLEDGE THAT I HAVE READ THE ABOVE ASSUMPTION OF RISK, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT VOLUNTARILY. Parent/Guardian Signature: Date: Local Physician(s) preferred (if possible): Phone: Insurance Company (if additional to Program insurance): Policy #: Group #: Phone: Please indicate any and all special medical conditions NAU may need to know about: List allergies to any medicine, food, insect bites, bee stings, etc. and describe allergic reactions: List any and all medication(s) taken on a regular basis for any reason, including medication taken for illness(es), allergies, medical prescriptions, recent injuries or etc.; use additional paper if necessary, and please attach a copy of the prescription to this document. CHILD S AGREEMENT I,, agree that while participating in the Program, I will follow all rules, instructions, and policies pertaining to the program. Child Signature: Date: IN ADDITION TO THE PARENT(S)/GUARDIAN(S) LISTED ON PAGE 1, THE FOLLOWING INDIVIDUALS ARE AUTHORIZED TO PICK UP MY CHILD: NAME RELATIONSHIP PHONE NUMBER Department: Please forward all completed forms to: NAU, Insurance and Claims Services, PO Box 4067 Flagstaff, AZ Page 2 of 2