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Camp Will Fill Quickly So Get Your Registration in Soon!! Prospect 2012 Instructional Hitting & Fielding Holiday Prospect Camp Registration Form Camp This camp is for 2013 and 2014 grads to showcase Name _____________________________________ Campers will receive professional instruction on all their skills. The camp will include speed/agility Address ___________________________________ aspects of baseball during the Instructional Hitting testing, hitting evaluation, defensive evaluation, and Fielding Holiday Camp. Areas we concentrate and pitcher bullpens. Evaluations will be sent to City _______________________________________ each participant after the camp. There will an on include: hitting, fielding, and throwing. admissions talk and a campus tour of Concordia St State ___________________Zip ________________ Paul available prior to the showcase if desired. When : December 26, 27 & 28 from 10:00 am- Phone ____________________________________ More info on talk/tour will be sent following your 2:00pm each day registration. Email _____________________________________ Where: Concordia University- St Paul, MN School ____________________________________ Sea Foam Stadium & Indoor Hitting Facility Grade in Fall _______ Ages: 13-18 ______ All Skills Camp ($125 per player) When: Saturday Oct 6th at 9:00 AM • Campers need to bring their glove, bat, turf Who: 2013 and 2014 High school Graduates T-Shirt Size (circle one) S M L XL shoes (no metal spikes) and a lunch. Where: Robert E. Barnes Field • All participants will receive a camp T-Shirt Cost: $75 _______ Prospect Camp ($75 per player) Would you like a campus tour (prospect camp)? Yes or No Camp will fill quickly so get Position(s) your registration in soon!! Parent Signature ____________________________ Date __________ Sign up online at www.ConcoridaStPaulBaseballcamps.com OR Send this registration form in Please Make Checks payable to: Concordia University Baseball Medical Information Form must be Sign up online at: Sign up online at: www.ConcordiaStPaulBaseballcamps.com completed and returned with registration www.ConcordiaStPaulBaseballcamps.com Mail completed forms to: Concordia University Baseball Attn: Mark “Lunch” McKenzie 275 Syndicate St. N St. Paul, MN 55104 Mark “Lunch” McKenzie- Head Coach- 12 th Year Important – Please Read Carefully 43 years of Coaching experience. 2012 Concordia University & Baseball USA Holiday Instructional Mauer Quickswing Clinician. Hitting & Fielding Camp and Prospect Camp Minnesota Twins Youth Camp Hitting Instructor. At Concordia University, St. Paul Sea Foam Stadium Dome Assistant Coach on the 1997 USA Baseball 16U National Team & the December 26-28, 10:00am-2:00pm 2008 & 2010 USA Baseball 18U National Team. Head Coach of the 1998 Gold Medal winning USA Baseball 16U Program Acknowledgement and Release National Team. I _________________________(participant), 14 years with USA Baseball, 1997-present. and_________________________ (parent or guardian). In consideration 1995 Minnetonka High School Male Coach of the Year. for my participation in the Concordia University & Baseball USA 1998 United States Olympic Committee Developmental Coach of the Holiday Instructional Hitting & Fielding Camp and Prospect Camp do Year. Fall and Winter 2012 hereby covenant and agree to the following: 2003 Baseball Minnesota College Coach of the Year. 1) The fee for the Program in which I am participating is 2005 Northern Sun Conference Coach of the Year. Concordia University- St Paul explained on the price sheet. 2010 Baseball Canada Humanitarian of the Year. 2) Payment in full is required prior to the commencement or Lunch has coached 70 players that have been drafted or signed immediately after each session of the Program and no cash professionally including 13 Fist Round Picks. & Baseball USA refunds will be given for my failure to complete the Program. Over 400 of his students have gone on to college baseball or softball. 3) Concordia University & Baseball USA Inc., its employees or agents have not provided me with any warranties or Steve Butler Assistant Coach 4 th year. representations that participation in the Program will improve Former Team Captain @ Concordia University - St. Paul Third or enhance my performance or physical condition. Baseman .313 career Batting Average, started 101 games for the Golden Waiver and Release: I acknowledge that: Bears, 2003 NSIC Champions. By signing this document, I declare that I have no medical problems that 7 Years of Professional Baseball as a Utility Player, SS, 2B, OF, 3B, 1B, Holiday Instructional Clinic would preclude my participation in the Program. My participation in the RHP Program is voluntary and I assume all risk of injury or contraction of American Association, South Coast League, Saint paul Saints, South any illness or medical condition that may result, or the aggravation of and Georgia Peaches, Fort Worth Cats and finished career with the Saint any pre-existing medical condition I may have, or loss or theft of any Paul Saints in 2010. personal property resulting or arising out of my participation in the Played in over 250 professional games with nearly 700 career at bats and Prospect Camp Program. I understand and acknowledge that Concordia University & 800 plate appearances. Baseball USA Holiday Instructional Hitting & Fielding Camp, its employees or agents have no expertise in diagnosing, examining or Marcus McKenzie Pitching Coach 5 th year. treating any medical condition, whether existing or incurred as a result USA Baseball TOS Task Force Member 2011. of my participation in the Program. I understand and acknowledge that Former Minnesota Gopher Pitcher 7-1 as a senior in 2007. the Program has made no guaranty of success or improvement as a result Former Saint Cloud River Bat in the Northwood’s League 2004, 7-0 as a of my participation in the Program. freshman. 4 Years of Professional Baseball, LHP. I, hereby, on behalf of myself, personal representatives, heirs, executors, American Association, Frontier league, Arizona Winter league, Golden administrators, agents and assigns, forever release and discharge League. Concordia University and or Baseball USA Inc., its affiliates, Saint Paul Saints, Southern Illinois Miners, Rockford River Hawks, employees, agents, representatives, successors and assigns from any and Calgary Vipers and finished career with the Saint Paul Saints in 2010. all claims or causes of actions (known and unknown) that I may have in Holds 7 Minnesota State High School League Pitching Records. the future as a result of the Programs negligence. This waiver and Metro Player of the year 2002, LHP/CF release of liabilities includes but is not limited to, injuries that result Baseball America American Legion All World Series First baseman from any negligent instruction or supervision provided by the Program. I 2002. HAVE READ THIS WAIVER AND RELEASE AND FULLY Great Lakes Regional Tournament American Legion Outstanding Player UNDERSTAND THAT IT IS A COMPLETE RELEASE OF 2002 LIABILITY. THAT I HEREBY WAIVE ANY RIGHT THAT I MAY NOW HAVE OR WILL HAVE TO BRING ANY LEGAL ACTION Mark Moriarty- 1st Year AGAINST CONCORDIA UNIVERSITY AND OR BASEBALL USA Pitching Coach for 4 years at Augustana College (SD) INC., ITS EMPLOYESS, AGENTS, SUCCESSORS OR ASSIGNS, Two Augustana Pitchers signed professional contracts (Oakland A’s and FOR ANY LIABILITIES THAT MAY RESULT, WHETHER St Paul Saints. Coached 5 all conference, 1 all region pitcher. DIRECTLY OR INDIRECTLY, FROM THE PROGRAMS 6 conference, 1 regional, and 1 national pitcher of the week NEGLIENCE. 2011- Pitchers set school records for saves, strikeouts and shut outs in a season By signing below, I acknowledge that I have carefully read and fully 2012- Team ERA finished 3.37 (22 nd in Nation) and 12 th in the nation for understand this acknowledgement of release. strike outs/9 (8.3) Played Professionally for St Paul Saints (RHP) Sign: Date: Played Collegiately at St Scholastica where he is a member of the Baseball Hall of Fame and 25 th Anniversary Team Member of 2004 Northwoods League Championship Team (Madison Mallards) .
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