NAME:

PARENTS:

ADDRESS:

CITY: STATE:

HIGH SCHOOL:

CELL:

OFF. POSITION:

DEF. POSITION:

AGE: 2014-2015 GRADE:

T-SHIRT SIZE:

CAMP ATTENDING (SESSION 1 OR 2):

____________________________________

IF YOU HAVE ANY QUESTIONS CONTACT:

COACH WIESER @ 620-803-9595

2014 GARIN HIGGINS PROSPECT SHOWCASE

10th TO 12TH GRADES

Camp #1 Friday, July 18 10:00 AM – 12:30 PM

Maize South High School 3701 N. Tyler Road Wichita, KS 67205

Camp #2

Saturday, July 26 10:00 AM – 12:30 PM Emporia State University

2013 National Playo f f Part i c ipant

CAMP INFORMATION

FOOTBALL PLAYERS ENTERING GRADES 10-12

CAMPERS WILL BE TAUGHT:

TESTING TECHNIQUES 40 YARD DASH PRO AGILITY

VERTICAL JUMP

OFFENSIVE & DEFENSIVE SKILLS

SPECIFIC POSITION TECHNIQUES

This camp is designed for all participants

who want an opportunity to receive instruction and recruiting evaluation from

the Hornet Football Staff.

REGISTRATION FOR CAMP STARTS AT 9:00 AM

EQUIPMENT NEEDED

WORKOUT APPARELL

CLEATS & ATHLETIC SHOES

CAMP COSTS

$30.00

T-SHIRT PROVIDED

Mail Form back to :

ESU Football

Box 4020 – Athletics, Attn: Coach Wieser

1200 Commercial Street

Emporia, KS 66801

Make Checks Payab le to :

Garin Higgins – Prospect Showcase

***REFUNDS: WILL BE ACCEPTED IN WRITING BEFORE

JULY 10TH. AFTER JULY 10TH, REFUNDS WILL BE GRANTED WITH A $10 ADMINISTRATIVE CHARGE RETAINED BY ESU.

I HEREBY STATE THAT THE EMPORIA STATE HORNET FOOTBALL SKILL CAMP IS NOT RESPONSIBLE FOR ANY PRE-EXISTING INJURY OR RECURRENCE OF ANY UNDISCLOSED PRE-EXISTING INJURY OR ILLNESS OF THE ABOVE CAMPER. I ALSO AUTHORIZE THE DIRECTORS OF THE HORNET FOOTBALL SKILL CAMP TO ACT FOR ME ACCORDING TO THEIR BEST JUDGMENT IN AN EMERGENCY REQUIRING MEDICAL ATTENTION. I FURTHER ACKNOWLEDGE THAT EMPORIA STATE UNIVERSITY OR ANYONE ELSE ASSOCIATED WITH THE EMPORIA STATE HORNET FOOTBALL SKILL CAMP WILL NOT BE LIABLE FOR ANY DAMAGE FROM INJURY OR ILLNESS SUSTAINED AT THE EMPORIA STATE HORNET FOOTBALL SKILL CAMP.

SIGNATURE OF PARENT/GUARDIAN

DATE:

INSURANCE COMPANY

POLICY NUMBER