Waller Bulldog Track and Field Summer Camps

W
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							                                      Members of the camp’s coaching
                                                  staff
            Camp
            Waiver                            Lauren Kershner
                                                                             2007
                                     Girl’s Head Track Coach at Waller
I give permission for
______________________ to partici-   High School
pate in the 2007 event conducted
                                     Member of the Sam Houston State
by the Waller Bulldog Track and
                                     Track and Field Team
                                                                         Waller Bulldog
Field Camp. I understand that I
must provide insurance coverage
                                     (Sprinter/Hurdler)                  Track and Field
for my child and acknowledge
                                     2000 & 2001 300 hurdle State
                                                                         Summer Camps
that the Waller Bulldog Track and
                                     Champion
Field camp and any agent in-
volved with the Track and Field                 Clint Blinka
Camp shall be held harmless in                                             Grades 6th—12th
the event of injury.                 Men & Women’s assistant track
                                     coach at Sam Houston State Uni-
SIGNATURE FOR RELEASE OF
                                     versity
LIABILITY
                                     Member of the Sam Houston State
Parent________________________
                                     Track and Field Team
Date____/____/2007                   (Decathlon/Pole-Vault)

                                     NCAA Division 1 qualifier—Pole
                                                                                   Lauren Blinka or Clint Blinka
                                                                                   $________Enclosed amount
                                           TRACK & FIELD CAMP INFORMATION




                                                                                   **Make checks payable to


                                                                                            Sealy , TX 77474
                                                                                   Mail to: 305 Hill Street
The Waller Track & Field Camp
                                    Who can come: Boys and Girls who will




                                                                                                                                                                                                                                                                                                                 Email______________________.com
                                                                                                                                             Alternative#____________________




                                                                                                                                                                                                                                                          Insurance CO & Policy #__________
                                                                                                                                                                                                    School_________________________
will help athletes become faster,   be entering the 6th grade through 12th grade




                                                                                                                                                                                                                                                                                                                                                                       Shirt Size: S M L XL XXL
 stronger and smarter athletes.
                                    Camp Pricing: $60/per camper. T-shirt
 We will teach techniques that
                                    included. $10 Multiple camp/Sibling dis-
  will improve speed, strength      count.
 and overall skills. Our hope is
                                    Registration: Post mark check by June 7th .
that we can help individuals be-    Walk ups also welcome.




                                                                                   REGISTRATION FORM
come the best overall athlete he
                                    Equipment: Each camper will need to
          or she can be.




                                                                                                                                                                                                                                                                                              Phone#_________________________

                                                                                                                                                                                                                                                                                                                                                   Parents Name____________________
                                                                                                                                                                                Address_________________________
                                                                                                                          Name:__________________________




                                                                                                                                                                                                                                      City____________________________
                                    wear running shoes and running clothes.
                                    Spikes if possible and a water bottle.
Each camp will offer event spe-
  cific techniques and drills.      Location: Waller Stadium

 Clinics will help beginners as     Dates & Times:

  well as advanced athletes.                      June 11-14

                                    9:00-10:30      Sprint Clinic

                                    10:30-12:00 Thrower's Clinic




                                                                                        Camp attending:



                                                                                                                                      Throwers Clinic
                                                  June 25-28




                                                                                                                                                                                                        Hurdle Clinic
                                                                                                          Sprint Clinic




                                                                                                                                                                                                                                                                         Jump Clinic
                                    9:00-10:30      Hurdle Clinic

                                    10:30-12:00 Jump Clinic

						
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