University of Wisconsin - DOC by pengtt


									MEDICAL RELEASE                                                               PITCHING AND CATCHING                            University of Wisconsin - Oshkosh
                                                                                CLINIC INFORMATION                                           Softball
I verify that my daughter has been checked by a licensed
physician and is physically able to participate in this Sports   Registration – Mail in registration with payment.                    Pitching and Catching Clinics
Camp/Clinic. I agree to allow my son/daughter to be
treated by a licensed physician while attending, if
                                                                 No phone or fax registrations will be accepted.
                                                                 You will not receive any confirmation of your                               Grades 1 - 8
necessary, and to assume all costs related to such
                                                                 registration.                                                         Sunday, February 22, 2009
treatment. I authorize my insurance company to pay
benefits. Also, I authorize the disclosure of medical
information to my insurance company for the purpose of a                                                                                    Grades 9 - 12
                                                                 Location – The grades 9-12 clinic will be held at                      Sunday, March 8, 2009
claim. I understand that if this application is accepted,
there is no refund of the deposit if we (parent or
                                                                 Oshkosh North High School on Sunday, March 8,
son/daughter) should cancel the application later. The           2009. The grades 1-8 clinic will be held at              Dear Pitchers and Catchers
undersigned does hereby agree to hold harmless and               Oshkosh Lourdes High School on Sunday,
indemnify the State of Wisconsin, the Board of Regents of        February 22, 2009.                                       The UW-Oshkosh Softball coaches and players
the University of Wisconsin System, and the University of                                                                 would like to invite you to participate in our
Wisconsin Oshkosh, their officers, agents and employees,
                                                                 Check-In – Check-In will take place ½ hour prior to      Pitching and Catching Clinics. The clinics will
from any and all liability, loss, damages, costs, or expenses
                                                                 each session.                                            offer age appropriate pitching and catching
which are sustained, incurred, or required arising out of
the actions of my daughter in the course of the                                                                           instruction to enhance the knowledge of
camp/clinic.                                                     What to Bring – Each player is required to bring a       elementary, middle and high school girls. The
                                                                                                                          low coach/camper ratio assures individual
                                                                 glove, sweatshirt or jacket, sweat pants and tennis
Parent/Guardian Signature                                                                                                 instruction. We invite pitchers and catchers in
                                                                 shoes. CATCHERS MUST PROVIDE THEIR OWN                   grades 1-12 to attend. Girls will be grouped by
                                                                 CATCHERS HELMET, CHEST PROTECTOR AND SHIN                age and ability level within each session. All
________________________________________                         GUARDS.                                                  participants will be video taped and will review
                                                                                                                          their tape with a coach.
Office Use Only                                                  Softball Camp Store – UW-Oshkosh Softball                 HIGH SCHOOL SENIORS ARE ELIGIBLE TO
 Date Received:                                                  T-shirts, sweatshirts, shorts and visors will be         ATTEND.
                                                                 available for purchase throughout the day.
 Check or Money                                                                                                           Our 2009 Camp Staff include some of
 Order Number:                                                   Directions – to Oshkosh North – From Highway             Wisconsin’s best, including the UW Oshkosh
 Amount:                                                         41, exit on Highway 45/Algoma Blvd. (exit 120) south     players and coaches, along with NCAA All-
                                                                 into Oshkosh. Turn left (east) onto                      Americans. We look forward to working with
                                                                 Linwood Ave. Turn left (north) onto Vinland St. Go two   you at the UW-Oshkosh Pitching and Catching
                                                                 blocks to Smith Ave. Turn right onto Smith Ave. The      Clinic.
                                                                 school is on 1100 S. Smith Ave.
                                                                 to Oshkosh Lourdes - From Highway 41, exit on            Sincerely
                                                                 Highway 21 East into Oshkosh (Exit 119).
                                                                 Follow Oshkosh Ave. to Sawyer St. Turn right onto
                                                                 Sawyer St. The school is located at 110 N.               Cindy Suess
                                                                 Sawyer St.                                               Head Softball Coach
CAMP STAFF                                                                        CLINIC SCHEDULE                               REGISTRATION FORM
Cindy Suess – UW-Oshkosh Head coach. Suess is entering her                                                                      Pitching and Catching Clinics
fifth season as the Titan’s Head Coach. Suess was selected as the
Wisconsin Intercollegiate Athletic Conference Coach of the Year     Grades 1-5 (February 22, 2009)               Name _____________________________________
in 2007. The Titans won the 2007 WIAC Conference                    9:00 am-11:30 am                                    Last                  First
Championship and 2008 WIAC Conference Tournament. Suess                                                          Address ____________________________________
led the Titans to the NCAA Regional Championship in 2007 and        Cost: $40.00 per athlete
2008, finishing second both years. Her 2007 team won 36                                                          ___________________________________________
games, the most in UW Oshkosh Softball history. Suess has the       Grades 6-8 (February 22, 2009)               City                 State         Zip
highest winning percentage of any softball coach in UW Oshkosh                                                   Emergency Phone (______) ____________________
Softball history.
                                                                    12:30 pm-3:30 pm
                                                                    Cost: $50.00 per athlete                     Age ____ Grade____ School __________________
Craig Stevens – UW-Oshkosh Assistant Coach. Stevens is in his
third year with the Titan Softball program. He brings a vast                                                     Coach/Director ________________________________
amount of collegiate experience to the Titan program, including      Oshkosh Lourdes High School
his head coaching position at Bemidji State University. He has                                                   T-Shirt Size (circle one)
also worked several baseball camps for the University of                                                         Adult S        M       L   XL
Nebraska-Lincoln.                                                                                                Youth S        M       L
Sara Hampton – UW-Oshkosh Assistant Coach. Hampton has              Grades 9-12 (March 8, 2009)
                                                                                                                 Position (check one)
been an assistant for the Titans for three seasons. She spent her   10:00 am-2:00 pm                             ______ Pitcher        _______ Catcher
college years playing for Division II Minnesota State University,   Cost: $60.00 per athlete
Mankato and was a First Team All State Catcher at Verona Area                                                    Clinic Options (check one)
High School.                                                                                                     Grades 1-5 (February 22, 2009)
                                                                      Oshkosh North High School                  9:00 am-11:30 am
Graeme Robertson – UW-Oshkosh Assistant Coach. Robertson is                                                      Cost: $40.00 per athlete         __________
in his fifth season and works with the UW-Oshkosh pitchers and
catchers. Robertson has coached two of the top pitchers in the      Clinic cost includes a UW-Oshkosh Softball
                                                                                                                 Grades 6-8 (February 22, 2009)
WIAC, including the four time WIAC Pitcher of the Year, an NCAA     T-Shirt. LUNCH IS NOT INCLUDED. Snacks       12:30 pm-3:30 pm
All-American, NCAA All Region selections and WIAC All-              and beverages will be sold throughout the    Cost: $50.00 per athlete          __________
Conference selections. He is a former New Zealand National
Team pitcher and USA/ASA Male Softball Athlete of the Year.         day. Local restaurants are within
                                                                                                                 Grades 9-12 (March 8, 2009)
Robertson has competed in several Major ISC World and ASA           walking distance if you are interested.      10:00 am-2:00 pm
National Tournaments. He has also been selected to the ISC All-                                                  Cost: $60.00 per athlete          __________
World and ASA All-American teams.
Steve Krupke – Brodhead High School Softball Coach. Krupke led      Register early to assure your spot
                                                                                                                 Enclosed is $ ______________ as full payment.
Brodhead to a 2004 State Championship & Conference titles           in the Pitching and Catching Clinic.
from 2000-2004 and 2006. As a men’s fastpitch player, Krupke        Cindy Suess may be reached at                Make checks payable to: UW Oshkosh Sports Camps
was a member of the 2006 ASA Class A and NAFA National
Championship teams.                                                 (920) 424-3236 or
                                                                                                                 Credit Cards Accepted: Visa Mastercard AMX
                                                                    if you have any questions.                   Credit Card # _______________________________
Ronessa Stampfli – Former UW Oshkosh Pitcher. NCAA DIII First
Team All-American Pitcher, four time WIAC Pitcher of the Year,                                                   Expiration Date ______________________________
four time All-Region and WIAC All-Conference selection. Pitching
Coach at Oshkosh North High School.                                                                              Card Holders Signature _______________________
Amy Sullivan – Former UW Oshkosh Pitcher. NCAA DIII Pitcher
of the Week. Two time NCAA All-Region and WIAC All-                                                              Mail to: UW Oshkosh Sports Camps
Conference selection. Current Pitching Coach at Neenah High                                                              Kolf Sports Center
School.                                                                                                                  800 Algoma Blvd
                                                                                                                         Oshkosh, WI 54901-8630
2009 UW-Oshkosh Softball Team

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