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Mail Registration Form/Parent Waiver Release Form To: YSU Football Office, 2012 Football Camp, One University Plaza, Youngstown, 44555 Fill in the form below and mail or register online at www.penguinscamps.com Questions? For more information on camps, contact the YSU Football office at 330.941.3478 or contact Director of Football OperationsDan Kopp via email at [email protected]

APPLICATION FORM MEDICAL WAIVER and PARENT CONSENT: O-LINE/D-LINE SKILLS CAMP Camper’s Name:______ Saturday, June 2 (Grades 9 -12)...... $40 Name (please print)______Parent’s Medical Insurance Carrier______(Place high school name here if registering your team.) ONE-DAY ALL-SKILLS CAMPS Insurance Group Number:______Session 1: Monday, June 4 (Gr. 9 -12)...... $ Address:______ 30  Session 2: Tuesday, June 5 (Gr. 9 -12)...... $30 Insurance Policy Number:______City:______State:______Zip:______Session 3: Wednesday, June 6 (Gr. 9 -12)...... $ I am aware of the risks, hazards and inherent dangers that may arise due to my child’s participation in the Youngstown State University Summer Camp held at  30 Youngstown State University (collectively referred to as University”): $ Phone (Home):______ Session 4: Thursday, June 7 (Gr. 9 -12)...... 30 $ In consideration for______being allowed to participate in said activity,  Session 5: Friday, June 8 (Gr. 9 -12)...... 30 it is agreed that all risks attendant to watching and/or participating in camp activities, including, but not limited to bodily injury, are assumed by the camper and his/ Phone (Cell):______her parents and/or legal guardian as indicated by the signature hereto. I hereby certify that the above named camper is physically able to participate in the camp and that I know of no physical impairments which would in any manner limit his/her participation in the program. QB/WR/TE SKILLS CAMP I, for myself, and on behalf of my child, hereby release, waive and discharge UNIVERSITY, its instructors, agents and employees from every claim, liability or demand Birthdate:______Grade (Fall 2012):______$  Monday, June 11 (Gr. 9 -12)...... 50 of any kind sustained, whether caused by the negligence of the UNIVERSITY or otherwise. This release shall be binding upon any heirs, administrators, executors and assigns of mine. I further agree to indemnify the UNIVERSITY from any loss, liability, damage or cost it may incur due to my child’s participation in said activity in any Email address:______way whether caused by the UNIVERSITY or otherwise. I also certify that I am the legal parent or guardian of the above named camper and have full right to provide McFADDEN/WILKINS KICKING CAMP this release. School Attending in 2012:______ Monday, June 18 (Gr. 9 -12)...... $50 In the event of illness or injury resulting or arising directly or indirectly out of said activity, I hereby give my consent and authorization for (1) the administration

of emergency first aid care and treatment at the scene of an emergency by faculty, staff members or volunteers of UNIVERSITY or (2) the administration of any Ohio – F2323/012512 Youngstown, treatment deemed necessary by a licensed physician or dentist and (3) the transfer to any hospital reasonably accessible. This authorization is not intended to cover Student-Athlete Conduct Agreement major surgery unless the medical opinions of two (2) licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance Head Football Coach:______Total Amount While at attending, I promise to conform to all regualtions of the of such surgery. Enclosed $______Parent/Guardian’s Name:______Youngstown State University Summer Football Camp.Camper Parent/Guardian Signature______Please make checks payable to: Height:______Weight:______T-Shirt Size:______Camper Parent/Guardian Name______Date______Signature:______YSU Football Camp Choose the position you want to play in camp: (choose one only) Note: Credit card purchases can be processed online at Please list any physical conditions that the camp staff should be aware of (allergies, recurring illnesses, disabilities, chronic illnesses, etc.) Date:______Offense: OL QB RB WR TE Defense: DB LB DL www.penguinscamps.com List of conditions:______Designed and printed by Non-Profit Org. US. POSTAGE PAID Youngstown, OH PERMIT NO. 264

One University Plaza • Youngstown, Ohio 44555

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WINS OVER FBS OPPONENTS Since joining the FCS level, YSU has accumulated O-LINE/D-LINE SKILLS CAMP 19 victories over FBS opponents. Saturday, June 2, 2012 | $40 9:00 AM - 3:00 PM | Grades 9 -12 This camp is designed to teach fundamentals and is a great chance to learn new drills to help improve for the CONFERENCE CHAMPIONSHIPS upcoming season. All drills and film sessions will be The Youngstown State Penguins have won conducted by the YSU coaching staff. two conference championships since 2005. ONE-DAY ALL-SKILLS CAMP FOUR NATIONAL CHAMPIONSHIPS Monday-Friday, The Youngstown State Penguins are one of only two programs June 4 - 8, 2012 | $30 in the Football Championship Subdivision with at least four national titles. 4:00 - 6:00 PM | Grades 9 -12 This fast-paced two-hour camp will give the YSU Brandian Ross – Green Bay Packers coaching staff a chance to assess your talent and give you a feel for what it is like to be part of a practice. Campers may attend more than one workout. This is a great chance to show the coaching staff what you can do. QB/WR/TE SKILLS CAMP Monday, June 11, 2012 | $50 9:00 AM - 3:00 PM | Grades 9 -12 This camp is intended to offer a unique learning Coach Eric Wolford experience for quarterbacks, wide receivers and tight As Coach Eric Wolford enters his third season as the Head Football Coach at ends where teaching is emphasized and individual Youngstown State the momentum the program keeps building should make for improvement is the goal. All drills and film sessions not only a very exciting 2012 campaign, but a future as well. will be conducted by the YSU coaching staff. Lunch In his second year in 2011, YSU defeated the No. 1 ranked FCS team during will be provided. Quarterbacks should bring a the regular season for the first time in school history with a 27-24 triumph at football with their name written on them. top-ranked North Dakota State. The Penguins set nearly 30 school game and season team and individual records for the year. For the first time since 2006, YSU defeated all three MVFC schools from Illinois and battled Big Ten Legends McFADDEN/WILKINS Division Champion Michigan State to the late stages of the game as well in 2011. Youngstown State had first-team selections at tailback and quarterback KICKING CAMP in the MVFC and had finalists for the Walter Payton Award (top FCS offensive Monday, June 18, 2012 | $50 player) and the Jerry Rice Award (top FCS freshman) on the season. YSU had all-conference selections on the offensive and defensive lines and more than 9:00 AM - 3:00 PM | Grades 9 -12 20 freshmen saw action during the campaign. In each of his first two seasons, Former YSU and NFL placekickers Paul McFadden and the Penguins have been ranked in the top 25 at some point during the season. will work with punters, placekickers and A graduate of Ursuline High School, who played his home games on long snappers to improve all facets of their game. Stambaugh Stadium’s turf, he built an impressive resume serving as a collegiate Learn from two of the best in our program’s history assistant for 16 years prior to taking over at YSU. Of those, 12 were spent on the in an informative setting. FBS level serving as an assistant at South Carolina, Illinois, Arizona, North Texas, Houston, South Florida and Kansas State. WHAT TO BRING (All Camps): Positive Attitude, football cleats, tennis shoes and comfortable workout shorts and shirt. 2012 YSU Football Schedule Registration is located in the F-7 parking lot September 1 at Pittsburgh North of Stambaugh Stadium. September 8 Valparaiso September 15 Albany September 22 UNI* Teams With 8 Or More Participants September 29 Idle Receive A $5.00 Discount October 6 at North Dakota State* October 13 at Illinois State* October 20 Southern Illinois* October 27 at South Dakota State* November 3 South Dakota* November 10 at Western Illinois* November 17 Indiana State* November 24 FCS Playoffs *Missouri Valley Football Conference Game