2010 INDIANA FOOTBALL CAMPS

2010 IU FOOTBALL TEAM CAMP - SESSION I

June 13-15, Bloomington, Indiana
at Indiana University

CAMP COSTS

$325.00 - overnight

$240.00* - commuter

* check with your high school coach to see if your team is using the commuter option

WHAT TO BRING

  • Helmet & Shoulder Pads

  • Football Cleats

  • Tennis Shoes

  • T-Shirts

  • Socks

  • Gym Shorts

  • Toiletry Items (toothbrush, toothpaste, soap, etc.)

  • Pillow & Pillow Case

  • Bed Linens

  • Towel

  • Alarm Clock

  • Spending Money (the camp store is open daily)


* Team Group Discounts Apply

IU Football Camps open to all and any entrants

FOR REGISTRATION INFORMATION/INQUIRIES:

IU FOOTBALL TEAM CAMP REGISTRATION - SESSION I
June 13-15, 2010

Registration NoteA $150 deposit is required to register for the IU Football Team Camp. Your remaining balance will be charged to your credit card once registration closes around June 1, 2010. All monies, less the $100 non-refundable administrative fee, will be refunded for medical purposes only and must be accompanied by a physician's letter of explanation prior to the start of camp. Camp may be prorated on a daily basis.

If you have questions, please call 812-855-9618.

Please complete the form below and submit camp payment.

 
Camper's School (select one)*
 Bloomington North
 Brownsburg
 Castle
 Center Grove
 Columbus North
 Mooresville
 Valparaiso
 Whiteland
 Avon
 

Camper's Name (Last, First)*
 
Address*
 
City*
 
State*
 
Zip*
 
Camper's Home Phone
 
Father's Cell
 
Mother's Cell
 
Parent's E-Mail Address
 
Height
 
Weight
 
Grade Entering (as of Sept. 2010)
 9
 10
 11
 12
 

Position (Select One)
 QB
 RB
 WR
 TE
 OL
 DL
 LB
 CB
 S
 K/P
 

T-Shirt Size (adult sizes)
 S
 M
 L
 XL
 XXL
 

Roommate Preference (roommate preference must be declared in advance)
 

CAMPER OPTIONS (select one)*
 Overnight Camper
 Commuter Camper
 

* check with your high school coach to make sure the commuter option is available to your high school team  

MEDICAL CONSENT FORM
To enable the Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your child, we must have a completed Consent Form on file each year. This way, we can help your child without delay in an emergency.
 
Medical: Camper's Name (Last, First)
 
Insurance Company
 
Policy Number/Group #
 
Insurance Company Phone
 
Name in which Policy is listed
 
Drug Reactions
 
Present Medication (include dosage)
 
If the camper should be restricted from any activity, please note
 
Date of Last Tetanus Toxoid
 
Any Past Illness or other information that would be useful in the event of medical treatment
 
Name and Phone Number to call if parents cannot be reached
 

Hay Fever
 Yes
 No
 

Asthma
 Yes
 No
 

Eczema
 Yes
 No
 

Insect Stings
 Yes
 No
 

Other
 

* I grant permission to the Directors, Assistants, or other persons responsible for her care to act on my behalf of said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give consent to such medical treatment as deemed necessary including surgery, x-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse.  

 I authorize the IU Football Camps to photograph my child in camp activities for promotional purposes. These photos will be made available on-line for parents to view (with a username and password) and purchase at the conclusion of camp. Information on the website will be distributed at the start and finish of camp.  

* Waiver: In consideration of being allowed to participate in the IU Football Camps, I, for myself, my heirs, personal representatives or assigns, do herby release, waive, discharge and covenant not to sue IU Football Camps, Bill Lynch LLC, Forward Marketing LLC, its officers, employees and agents for liability from any and all claims including the negligence of the IU Football Camps, Forward Marketing LLC, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the IU Football Camps.  

Parent/Guardian Name*
 


PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field. We need a registration form and consents completed for each participant. REMINDER - the remaining balance will be charged to your credit card around June 1, 2010. Your final charge will include any applicable group discount.

Note: A charge from either Forward Marketing or HoosierSportsCamps.com will appear on your credit card for your on-line registration. However, if any of the IU Football Camps are cancelled for any reason, refunds must be collected directly from Bill Lynch LLC, Phone 812-855-9618.
 
Qty 
 $150.00 IU Football Team Camp Session I Deposit