University of South Alabama Maximum Exposure Baseball Skills Camp University of South Alabama, Stanky Field, Mobile, Alabama

University of South Alabama Maximum Exposure Baseball Skills Camp University of South Alabama, Stanky Field, Mobile, Alabama For information about the baseball program and Stanky Field facilities, and to register on-line or download an application visit www.jagbaseballcamps.com If your goal is to be seen by Division 1 schools and junior colleges, don’t miss this camp. Featuring Coaches From: ► ► The University of South Alabama-Jaguars Junior Colleges ► ► University of Alabama-Crimson Tide Others to be announced ►Troy University The camp provides maximum exposure for each camper—not like many showcases that have hundreds of participants. The camp provides players with the opportunity to be seen by top Division 1 programs and junior college coaches. The coaches will not only be observing players, they will be instructors. The camp is designed for and limited to upcoming high school juniors, seniors and 2009 graduates who are seriously dedicated to improving their baseball skills. A limited number of catchers, pitchers, infielders and outfielders, will be accepted for each camp in order to give each camper personalized instruction and maximum observation. With limited enrollment, participants will be accepted on a first come basis. Camp Overview Catching Infield Hitting Blocking Fielding Footwork Hands Fundamentals Drills Throwing Strategy Positioning Angles Video (analyzed by staff) Mental Part of Catching (calling the game) Double Plays Strength Training Pitching Outfield Scrimmages All Aspects All Aspects On-field Practices Take-home video analysis June 22 – June 24 June 22 1 – 2 p.m. Overnight Camper Registration (Stanky Field Club House) 2-2:30 p.m. Day Camper Registration 2:30 -10 p.m. Instruction/Scrimmage June 23 9 a.m.-10 p.m. Instruction/Scrimmage June 24 9 a.m.-Noon Scrimmage Noon – 1 p.m. Dorm Check-out Camp Cost Cost $325 for Day Campers $390 for Overnight Campers Please note that $50 mandatory deposit guarantees space in the camp. It covers costs Day camper tuition includes dinner on the related to insurance, instruction, and first day of camp. (No other meals included.) administrative fees. For this reason, the The overnight fee covers meals beginning with deposit is non-refundable except in dinner on the first evening through breakfast emergency situations. All processing fees are on the final day and lodging in the USA dorms. A $50 deposit must accompany the application non-refundable. to guarantee a space in the camp. Registration will be confirmed when the following have been received: 1. ●Completed Application 2. ●Emergency Medical Forms 3. ● Release from Liability Download an application and other required forms at: www.jagbaseballcamps.com. If you have questions or want to request an application by mail call the USA Baseball Office at (251) 414-8243, or email [email protected] All University of South Alabama sports camps are open to any and all applicants and are limited only by the number of slots available per camp and the age, grade level and/or gender of the participant. University of South Alabama Maximum Exposure Baseball Camp Application Application will not be accepted unless complete and $50 non-refundable registration fee enclosed. Any remaining balance must be paid at registration.. Camper cannot participate in any camp activities until all forms are received including completed medical and liability releases. Name ____________________________________________ Age _________DOB_______________________ Address____________________________________________________________________________________ __________________________________________________________________________________________ City State Zip Parent/Guardian Name __________________________________Home Phone ( )_____________________ Business/cell Phone ( ) ________________Email (print clearly) _______________________________ High School _______________________________Position pref. (1 st & 2 nd )_____________________________ Grade Fall ‘09_______ June 22-24 ( ) Day Camper ( ) Overnight Camper If overnight, Roommate’s Name________________________________________________________________ (Please confirm roommate before submitting name and indicate if roommate has registered for camp) ( ) Send Confirmation to email address above ( ) Send confirmation to mail address above ( ) Fax confirmation to ( ) ____________________ Questions, Call 251.414.8243 or email [email protected] Full amt. enclosed ( ) $325 Day ( ) $390 Overnight ( ) $50 deposit enclosed Make check payable to: USA Baseball Camp, PO Box U-1285, Mobile AL 36688 All processing fees are non-refundable. If paying with credit card, application and required forms can be faxed to: 251.414.8244 Camper’s Name ________________________________________________________________________ ( ) MC ( ) Visa ( ) Amex Card Holder Name __________________________________ Acct.# __________________________________________Exp. Date ______________________________ Amt. to be charged $_______________ Signature______________________________________________ EMERGENCY MEDICAL INFORMATION – Max Exposure Camp These forms must be completed and returned prior to the first day of camp for camper to participate in the camp. This form should be returned to the Baseball Camp Office: PO Box U-1285, Mobile, AL 36688 or fax to (251) 414-8244. CAMPER NAME : _________________ ADDRESS: ____________ Street City State/Zip Code AGE: SEX BIRTH DATE______________________ PARENT/GUARDIAN/OTHER EMERGENCY CONTACTS NAME: ____ Relationship HOME PHONE: ( ) WORK/CELL PHONE: ( ) ____________________________ ADDRESS:______________________________________________________________________________________________ Street City State/Zip HEALTH INFORMATION STATEMENT Check below any information you feel the staff may need to maximize the safety and the well being of the camper. To the right of the condition statement is space for more information relating to the condition checked. Please be specific. In case of emergency, this health information may be the only source of accurate important information. This information is confidential. [ ] Mental or emotional health issue [ ] Seizure disorder [ ] Lung Disease (asthma, persistent cough, tuberculosis) [ ] Disease of Heart or Blood Vessels, Increased or Abnormal Blood Pressure [ ] Pain in Chest or Shortness of Breath (heart murmur, rheumatic fever) [ ] Stomach or Intestinal Trouble (ulcers, gall bladder or liver disorder, jaundice, hernia, colitis) [ ] Arthritis, Diabetes, Kidney or Bladder Disease [ ] Hay Fever or Allergies [ ] Impaired Sight or Hearing, Chronic Ear Infections [ ] Recent Surgical Operations, Accidents or Injuries [ ] Any Current Infectious Disease [ ] Any Current Skin Disease [ ] Allergy to Foods [ ] Do You Wear Glasses? Yes [ ] No [ ] Sometimes [ ] Do You Wear Contact Lenses? Yes [ ] No [ ] [ ] Date of last TETANUS BOOSTER [ ] Significant Orthopedic and/or Neuromuscular Impairment (e.g. loss of limb, spinal cord injury) __ [ ] Any other current health related issues? Please note: All medications that accompany the camper to camp will be given to the Athletic Trainer. The Trainer will dispense the medication in accordance with the directions provided by the camper. All authorized over-the-counter and prescription medication should be listed on this form. [ ] Allergy to Medicines (including penicillin, tetanus) [ ] Medication that needs refrigeration [ ] Medicines currently taken by camper, including non-prescription or over-the-counter medications (list names, doses, times) Camper Name _____________________________________________________ [ ] Under on-going care of a Physician (NAME AND PHONE #) for chronic or recurring problem Doctor’s Name Clinic/Hospital______________________________________ City Phone: ( ) _______________________________________ Health Insurance Provider Name Policy Number: ________________________________ As a parent or guardian, I understand that if a serious illness/injury develops, medical or hospital care will be given. I further understand that in case of serious illness/injury, I will be notified. However, if it is impossible to contact me, I give my permission for emergency treatment, x-ray or surgery, as recommended by an attending physician. I also understand if my child becomes ill or injured, my health insurance is primary coverage for those expenses. The University of South Alabama carries accident insurance that is secondary coverage in the event of an injury. SIGNED DA TE: __________________________________________ (Parent or Guardian) These forms must be completed and signed to complete a camper’s registration and be allowed to check in and participate in camp activities RELEASE FROM LIABILITY THIS FORM MUST BE RETURNED PRIOR TO FIRST DAY OF CAMP To be completed by a participant under 19 years of age and participant's parent or guardian. The participant and parent or guardian must sign in the presence of two (2) witnesses. TO THE UNIVERSITY OF SOUTH ALABAMA: I understand that my son/daughter, , has the opportunity to participate in (Name) to be held at the University of South Alabama. (Name of Camp) (Date) I understand that travel to and from the Camp is my responsibility over which the University has no responsibility or control. In the event of inclement weather, camp staff may transport my child to an enclosed facility either on or off the University of South Alabama campus. Further, participation in the Camp is voluntary, and the undersigned are aware of, and agree to aide by the rules and regulations of the camp. In consideration for the University

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