Complete the registration form on the brochure. Attach What to bring to camp: Tennis shoes, football cleats, deposit in the form of money order or cashier’s check made white socks, athletic supporters, swimming trunks, 2009 payable to Fort Valley State University Football shirts, shorts, pillow, twin sheet, blanket, laundry bag, Foundation. A non-refundable deposit is required with the towels and toiletries. application to reserve dorm space during camp. As our space is limited, we will accept only applications with full deposits There will be a camp bank for campers who wish to enclosed. bring spending money. It is requested that all money be deposited in “The Bank” at the time of your check in for Mail registration form and payment to: safe keeping. Withdrawals may be made at specified FVSU Wildcat Football Camp • C/O Keithen DeGrate times. Fort Valley State University • 1005 State University Drive Fort Valley, GA 31030-4313 The Veteran Camp Ages: 13-18 Registration Form Please Print Clearly ( ) Rookie his camp has three parts: The Skill Camp, Lineman Date: ______Please Circle Camp: Skill Camp and Kicking Camp. The three camps have the Line sTame schedule. The instructors will consist of Head Name: ______Coach Donald Pittman, the FVSU coaching staff, as well as professional athletes and coaches. Each individual will Preferred Name: ______receive expert instruction in football fundamentals. Address: ______The Skill Camp: This will be a working camp ______designed to improve the offensive and defensive skills of its participants. The emphasis will be on the Current Age: ______Grade Fall 2010: ______passing game. The offensive positions include: quarterbacks, wide receivers, tight ends and running ______School Now Attending City/State backs. The defensive positions will be inside and outside linebackers and the secondary. All skills will Please Check One: Commuter Camper Residential Camper be developed through the use of drills, film study, chalk talks, pass skeletons and game situations. How did you hear about camp?______The Lineman Camp: This will also be a working Selected Roommate: ______Note: If you wish to room with a particular person, you must check in together. camp that is designed specifically for offensive and defensive linemen. The objective of the camp is to Position: ______(Ages 13-18 Only) teach the fundamentals and the techniques of line play while also exposing the camper to the latest T-shirt Size: S M L XL XXL XXXL procedures in strength and speed development.

Parent/Guardian’s Name: ______The Kicking Camp: The kicking camp will be a working camp that is designed specifically for ______Parent/Guardian’s Home Telephone Number Business Telephone Number kickers. The objective of the camp is to teach the ______fundamentals and techniques of punting, kickoff, Parent/Guardian’s Signature Date and place-kicking. The campers will be exposed to By signing this form I, the minor’s parent and/or legal guardian, understand the the procedures in strength development. nature of the activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to The Rookie Camp: Ages: 8-12 FVSU Department of Athletics participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless Fort Valley State University This camp will stress the fundamentals of the game. Skills such 1005 State University Drive (“releasee”) from all liability claims, demands, losses, or damages on the minor’s ( ) account caused or alleged to be caused in whole or in part by the negligence of the as passing, catching, running, kicking, blocking, and tackling Fort Valley, Georgia 31030-4313 "releasee" or otherwise, including negligent rescue operation and further agree will be introduced to each camper. More extensive work will www.fvsu.edu that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a take place in the offensive and defensive positions of the claim against the releasee named above, I will indemnity, save, and hold harmless FVSU from any litigation expenses, attorney fees, loss liability, damage, or cost camper’s choice. These skills will be perfected through the use any may incur as the result of any such claim. of drills and game situations. 22001100 FFVVSSUU WWiillddccaattss Head Football Coach What does Florence Sold Out mean? Insurance and Physicals: The football camp will FFoooottbbaallll SScchheedduullee The Fort Valley State University Football provide insurance for all campers. Campers must Donald Pittman Team envisions competing in (and winning) the Division II National have a current physical to participate in the camp. You’re personally invited to participate in Please bring a copy of the examination from your DATE OPPONENT LOCATION TIME Championship Football Game held annually 8/28 Miles Birmingham, Ala. 1 p.m. the Department of Athletic’s 2010 in Florence, Ala. This season, our motto is Florence doctor. 9/4 Morehouse Fort Valley 7 p.m. Wildcat Football Camp on the beautiful Sold Out . FVSU family and fans are willing to make the 9/11 Savannah Macon, Ga. TBA campus of Fort Valley State University. necessary sacrifices, work hard and focus on the task at Athletic Trainer: A certified athletic trainer is on 9/18 Stillman Fort Valley 7 p.m. We are very fortunate to have such an hand: being bold, amazing and prepared! site.. Please make the medical staff aware any of 9/25 Open TBA TBA outstanding camp staff that will provide excellent special medical conditions of the camper. 10/2 Benedict Fort Valley 1 p.m. instructions camp to help mold young athletes. RESIDENTIAL PLAN HOMECOMING Residents are campers who room and board with us Medical Information: As a part of the camp fee, 10/9 Clark Atlanta, Ga. TBA and reside in one of our excellent and safe It is our intention to give your son a better every camper, whether residential or commuter, will 10/16 Tuskegee Albany, Ga. 7 p.m. residential halls. Campers are supervised day and understanding of football, to help him build self- have an excess accident medical insurance coverage 10/23 Kentucky State TBA TBA night by counselors. Meals are served in our modern 10/30 Lane Jackson, Tenn. TBA confidence and to expose him to a fun-filled experience plan with a value of $10,000. It is understood that dining facilities. On the first day of camp meals will 11/6 Albany State Columbus, Ga. 1:30 p.m. with other young men his age. It doesn’t matter if the every camper should have coverage through a parent include lunch and dinner. On Friday, campers will camper is just beginning in football or has played for or guardians’ medical coverage. The camp insurance have breakfast, lunch and dinner and on Saturday *Denotes Southern Intercollegiate Athletic Conference Game several years; he will return home knowing the basic policy supplements your own coverage. only breakfast will be served. President: Dr. Larry E. Rivers fundamentals to the game, as well as making new Athletic Director: Dr. Percy Caldwell friends and having the experience of living and working Head Football Coach: Donald Pittman Housing: There are two resident campers per COMMUTER PLAN in a group. Commuters are camp participants from the Fort room. Room assignments will be made in advance. Valley area who commute to camp each day from If you have a roommate preference, write the name www.fvsusports.com their homes. of the person on your application form in the We look forward to having you join us! Orientation: After lunch, on the first day of camp, designated area. Changes cannot be made after the a briefing session for campers will be held. application is accepted. Non-Refundable Fee: Meals: Lunches are included in the commuter Overnight Campers: $150 • Commuters: $100 camper fee. Key Deposit: $25 Check In: Registration is 8 a.m., June 10, 2010 at Free Time: Commuter campers are encouraged to the Wildcat Commons Clubhouse on the campus of join their fellow camp friends before and after lunch FEATURING CAMP CELEBRITY Fort Valley State University. We are pleased to introduce FVSU’s by relaxing in and around the residence hall social own and professional NFLer Tyrone area. Poole, who will be conducting lectures DAILY SCHEDULE Inclement Weather: In the event of severe weather, and hands-on demonstrations during 7:00 a.m...... Wake Up please phone the camp office for alternate plans at the camp. 7:30 a.m...... Breakfast (478) 825-3071. 9:00 - 11:00 a.m...... Football Instruction Pick Up: Poole played collegiate football at Fort Each day after the evening session at the Get Your Tickets Now! Valley State University and was drafted 11:30 a.m. - 12:30 p.m...... Lunch Wildcat Commons. Visit www.WildcatTicketOffice.com or stop by the in the first round by the Carolina 12:30 - 2:00 p.m...... Free Time / Rest Cashiers’ Office in the Troup Building, room 230, M-F Tyrone Poole Panthers in 1995. Poole has also been a 2:30 - 4:00 p.m...... Football Instruction For application and camp information, please 8:30 a.m. to 5 p.m. Questions? Please call (478) 825-6433. member of the , , New 5:30 - 6:30 p.m...... Dinner contact: Keithen DeGrate, Fort Valley State England Patriots, Oakland Raiders and . He 7:00 - 9:00 p.m...... Evening Activities University, 1005 State University Drive, Fort Valley State University is accredited by the Commission on earned rings with the Patriots in Super Bowl 10:30 p.m...... Bedtime Fort Valley, Georgia 31030-4313, (478) 825-3071 Colleges of the Southern Association of Colleges and Schools, 1866 11:00 p.m...... Lights Out Southern Lane, Decatur, Ga., 30033-4097, 404-679-4501, to award XXXVIII and Super Bowl XXXIX. associate, baccalaureate, master’s and specialist degrees. FVSU is an affirmative action and equal opportunity institution. Due to the number of campers and scheduled itinerary, campers are restricted to receive mail or personal calls, except in the case of an emergency. Emergency phone numbers are: (478) 827-3054 (Day) and (478) 825-6211 (Night).