2016 FOOTBALL CAMPS. Featuring Matt Lehman: 2015 All-American WR Fourth most receiving TDs in the country. Lehman

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1 2016 FOOTBALL CAMPS Featuring Matt Lehman: 2015 All-American WR Fourth most receiving TDs in the country Lehman

2 OFFENSIVE & DEFENSIVE SKILLS CAMP June 25, 2016 This one-day camp is designed for offensive skill players (QBs, WRs, RBs, TEs) and defensive skill players (DBs, LBs) entering grades Basic position drills and techniques will be taught along with the opportunity to compete in one-on-one situations. The camp will run from approximately 9 a.m. 2 p.m. and the cost is $50. Contact Coach Brian Steiner at bsteiner@clarion.edu or for more information BIG MAN CAMP June 26, 2016 This one-day camp is designed for offensive and defensive linemen entering grades Basic position drills and techniques will be taught along with the opportunity to compete in one-on-one situations. The camp will run from approximately 9 a.m. 2 p.m. and the cost is $50. Contact Coach Brian Steiner at bsteiner@clarion.edu or for more information HIGH SCHOOL TEAM CAMP August 1-9, 2016 (You choose the dates that work for you) Use this camp to get your team away from home, eliminate all outside distractions and bring the entire team to campus in preparation for the 2016 high school football season. Camp dates are available from August 1-9, so you pick the dates that work best for your team. Practice fields with new field turf, locker rooms, meeting rooms and the weight room will be available. Cost is $60 per day, per camper, and covers housing and meals. Contact Coach Brian Steiner at bsteiner@clarion.edu or for more information. EAGLE PRIDE: JULIAN HOWSARE 2014 CLARION FOOTBALL GRAD MEMBER OF NEW YORK JETS Clarion University is located off I-80, Exit 64.

3 CLARION UNIVERSITY OF PENNSYLVANIA 2016 Football Camps Application Please complete the application carefully. Your acceptance may be delayed if information is incomplete. Please enroll me in the Golden Eagles Football Camp. It is understood that Clarion University, the directors, or anyone connected with the school will not assume any responsibility for accidents, medical or dental, or any other expenses incurred as a result of accidents. Please duplicate this application for attending team members or friends. Name Age Weight Grade (September 2016) Street Home telephone number Name of school City State Zip Area Code Position m Offensive & Defensive Skills Camp June 25 Cost: $50 m Big Man Camp June 26 Cost: $50 m High School Team Camp August 1-9 Cost: $60 per day, per camper incl. housing & meals All checks (money orders preferred) must be made payable to Clarion University of Pennsylvania. Payment Type: q Check q Money Order Check Number Mail to: Clarion University Football Camp Clarion University, 840 Wood Street, Clarion, PA Additional Information: Coach Steiner , bsteiner@clarion.edu Physical examination will not be required I hereby authorize the director of Clarion Football Camp to act in his best judgment in any emergency requiring medical assistance. I certify my son/daughter has no injury or illness which could jeopardize their well-being by participating in the Football Camp at Clarion University. Parent or guardian must sign Date * Deposits are non-refundable. It is the policy of Clarion University of Pennsylvania that there shall be equal opportunity in all of its educational programs, services and benefits, and there shall be no discrimination with regard to a student s or prospective student s race, color, religion, sex, national origin, disability, age, sexual orientation/affection, gender identity, veteran status or any other factors that are protected under local, state, and federal laws. Direct related inquiries to the Director of Social Equity, Second Floor Carrier Administration Building, Clarion University of Pennsylvania, Clarion, PA asalsgiver@clarion.edu or phone

4 !"#$%&'()*$"+'",)-'.'/+')/"( 012%'++)3++4&2,5$")-5+6!"#$$$$$$$$$$$$$$$$$$$$$$$$$"#%&'()*#+'#,-&'./&)#+0#$$$$$$$$$$$$$$$$$$$$$$$$$!!!!!!!!!!!!!"#$%&!'(!)$*&+,!'*!-.$*/0$+1### # # # #########"#$%&!'(!2304/1.(1/'(#0+'#23#45/6.#*+#7&'*/4/7&*(#/)#87+'*1#9&27/Clinic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t is the policy of Clarion University of Pennsylvania that there shall be equal opportunity in all of its educational programs, services and benefits, and there shall be no discrimination with regard to a student s or prospective student s race, color, religion, sex, national origin, disability, age, sexual orientation/affection, gender identity, veteran status or any other factors that are protected under local, state, and federal laws. Direct related inquiries to the Director of Social Equity, Second Floor Carrier Administration Building, Clarion University of Pennsylvania, Clarion, PA asalsgiver@ clarion.edu or phone

5 Sports Camp/Clinic Medical Information Name of Athlete Telephone ( ) Please list camp(s) you plan to attend: 1: From / / to / / 2: From / / to / / 3: From / / to / / 4: From / / to / / COMPLETE ALL SECTIONS Please print 1. Home Date of Birth City State Zip 2. Father/Guardian Mother/Guardian Telephone ( ) Telephone ( ) Employer Employer Telephone ( ) Telephone ( ) Please indicate another person that is likely to know where you can be contacted: Name Relationship Telephone ( ) If you plan to be away from home the week your son/daughter is in camp, please indicate times and procedure that you may be contacted. FEES FOR MEDICAL TREATMENT INCURRED BY YOUR SON/DAUGHTER WHILE AT CAMP WILL BE THE RESPONSIBLE OF THE PARENT/GUARDIAN. AN INSURANCE POLICY WILL NOT BE INCLUDED IN THE CAMP FEES. IF YOUR SON/ DAUGHTER SHOULD REQUIRE MEDICAL TREATMENT WHILE AT CAMP, AND YOU WISH THE COST FOR TREATMENT TO BE COVERED UNDER YOUR MEDICAL INSURANCE PLAN, PLEASE PROVIDE THE FOLLOWING INFORMATION. 3. Basic Medical Major Medical Company or Plan Company or Plan Telephone ( ) Telephone ( ) Policy Number Group Number Policy Number Group Number Please complete the information on reverse side of this form

6 Is the athlete on any medication of any kind? q Yes q No If YES, please list medication(s), reason for taking, and any special instructions Drug Allergies or Sensitivities Other Allergies Does the athlete require special medical needs? q Yes q No If YES, please explain: Please read BOTH statements below and sign the ONE of your choice! DO NOT SIGN MORE THAN ONE! Both parents/guardian should sign one of the following sections. If one of the parents is unavailable, the signature of the available parent is sufficient. However, if the parents are divorced, only the parent having custody of the athlete should sign. If the athlete has a legal guardian(s), the guardian(s) should sign. 1. If my son/daughter needs medical attention while at sports camp/clinic at Clarion University, it is my wish that I be contacted before any medical procedures are performed, unless immediate emergency treatment is necessary to save my son/daughter s life, or to prevent permanent debilitating injury. Parent(s)/Guardian(s) Date / / 2. If my son/daughter needs medical attention while at sports camp/clinic at Clarion University, it is my wish that the treatment be begun while efforts are being made to contact me. So that treatment will not be delayed, I consent to any medical procedures that the attending physician believes to be appropriate, with the understanding that efforts will continue to be made to contact me. I also accept responsibility for all costs related to such treatment. *Exceptions. If there are any medical procedures that you do not want performed until you are contacted, please list them in the space provided. Otherwise, write none. Parent(s)/Guardian(s) Date / / If the athlete is 18 years of age, he/she must also sign this agreement Date / / It is the policy of Clarion University of Pennsylvania that there shall be equal opportunity in all of its educational programs, services and benefits, and there shall be no discrimination with regard to a student s or prospective student s race, color, religion, sex, national origin, disability, age, sexual orientation/affection, gender identity, veteran status or any other factors that are protected under local, state, and federal laws. Direct related inquiries to the Director of Social Equity, Second Floor Carrier Administration Building, Clarion University of Pennsylvania, Clarion, PA asalsgiver@ clarion.edu or phone