Waller Bulldog Track and Field Summer Camps
Document Sample


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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