Due to size limitations, individual campers will not be accepted to this year’s Sacramento State Team Camp.

A non-refundable team deposit must be included with the application. A check for $1,500 is required from a school, booster club or school district for each team to hold a spot for the camp. No personal checks will be accepted for teams attending. Please be sure to mail the application and check prior to April 30, 2011.

Each camper must provide a properly fitted helmet, chin strap, mouth piece, shoulder pads, jersey, hip pads, tail pad, thigh pads, knee pads, pants, socks and shoes.

Sacramento State Athletics purchases secondary excess accidental medical coverage, in the amount of $25,000, for all individual camp participants. There is a deductible ($100) which shall be the parent’s responsibility. Teams must provide a certificate of insurance endorsed as follows: "The State of California, The Trustees of the California State University (CSU), California State University, Sacramento (CSUS), their officers, representatives, agents, employees and volunteers are additional insureds."

Please be sure to read the attached liability release and medical treatment authorization form and provide all information requested. The parent/legal guardian must sign the liability release form and medical treatment authorization.

In case of an emergency, students may request a refund of their registration fee. If the request is made at least seven days prior to the start of a camp session, there shall be no penalty fee. Requests made less than seven days prior to the start of a session will incur a $15 charge.

There will be a $20 fee for checks returned by bank. Stopped payments do not constitute a refund. Refunds must be requested.

10 a.m.-1 p.m. Check-In (Lunch not provided)

1:00 p.m. Coaches Meeting (Broad Facility)

1:30 p.m. Roll Call (Overnight Campers)

2:00 p.m. Camp Introduction (Stadium)

2:30 p.m. Stretch & Warm-up

2:45 p.m. Team Practice

4:00 p.m. Scrimmage

5:30 p.m. Announcements (Day Campers Depart)

5:45 p.m. Coaches Meeting

6:30 p.m. Dinner (Overnight Campers)

7:30 p.m. Down Time/Meetings

10:00 p.m. Bed Check/Lights Out

6:45 a.m. Breakfast (Overnight Campers)

7:45 a.m. Roll Call (Overnight Campers)

8:15 a.m. Stretch & Warm-up

8:30 a.m. Team Practice

9:30 a.m. Scrimmage

10:45 a.m. Announcements

11:30 a.m. Lunch (All Campers)

1:00 p.m. Head Coaches Meeting (Broad)

1:30 p.m. Roll Call

2:00 p.m. Stretch & Warm-up

2:15 p.m. Team Practice

3:15 p.m. Scrimmage

4:30 p.m. Announcements (Day Campers Depart)

5:00 p.m. Dinner (Overnight Campers)

6:30 p.m. Roll Call

6:45 p.m. Stretch & Warm-up

7:00 p.m. 7-on-7/Practice/Special Teams

7:45 p.m. Announcements

8:00 p.m. Down Time/Meetings

10:00 p.m. Bed Check/Lights Out

6:45 a.m. Breakfast (Overnight Campers)

7:45 a.m. Roll Call (Overnight Campers)

8:15 a.m. Stretch & Warm-up

8:30 a.m. Team Prep

8:45 a.m. Scrimmage #1

9:30 a.m. Scrimmage #2

10:30 a.m. Red Zone Challenge (Hornet Stadium)

12:00 p.m. Dorm Check Out

(Clip this section and mail with your check)

Name:_____________________________________

Home Address:______________________________

City:_______________________________________

State:_____________ Zip:___________________

Home Phone:_______________________________

E-Mail Address:_____________________________

High School:________________________________

Day Camper - dismissed at 5 p.m.

(includes three meals) $115

Overnight Campers

(three nights/eight meals)

30-59 Campers $275

68-79 Campers $265

80-99 Campers $255

100+ Campers $245

Coaches

First three free, each additional $100

All costs are per camper

Open until filled

Sacramento State Team Football Camp

6000 J Street

Sacramento, CA 95819-6099

Sacramento State Football Camp

Further Questions: (916) 278-2459

Sacramento State Athletics purchases secondary excess accidental medical coverage, in the amount of $25,000, for all individual camp participants. There is a deductible ($100) which shall be the parent’s responsibility. In addition, all campers must have primary insurance coverage. Teams must provide a certificate of insurance endorsed as follows: "The State of California, The Trustees of the California State University (CSU), California State University, Sacramento (CSUS), their officers, representatives, agents, employees

and volunteers are additional insureds."

Please be sure to read the attached liability release and medical treatment authorization form and provide all information requested. Both the parent/legal guardian and camper must sign the liability release and medical treatment authorization form.

I request that my child (identified on this form) be permitted to participate in the identified sport/athletic Camp activity and agree to the following: I understand and agree that my child’s participation in this activity may expose him/her to risks of injury or death. The risks include but are not limited to death, injury, serious neck and spinal injuries, paralysis, brain damage, injury to vital organs, bones, joints, muscles and tendons. I will counsel my child so he/she understands that it is important for his/her safety and the safety of others, to follow all instructions of the Camp coaches and staff. I agree that I am responsible for my child’s conduct while he/she is at camp.

In consideration for my child’s participation in this activity, on behalf of myself and my child, I release, discharge and hold harmless the Camp, State of California (State), California State University, Sacramento (CSUS), the California State University (CSU), its Trustees, officers, coaches, volunteers, employees and agents from all liability, claims, costs, and expense, arising out of these activities which may result in injury or illness to my child. I also agree to defend and indemnify the Camp, State of California (State), California State University, Sacramento (CSUS), and its Trustees, officers, coaches, volunteers, employees and agents.

I am the parent/legal guardian of the child. I further agree that the Camp Staff and CSUS are authorized to obtain and authorize emergency medical treatment for my child, up to and including emergency hospitalization and surgery. I agree to be personally responsible for any related medical expenses. On behalf of my child, and myself I further release the Camp, State, CSUS, CSU and any medical provider of emergency treatment to my child for any related liability. A copy of this agreement shall suffice as original.

Health Insurance Company:

Policy Number:

Child’s Name:

Parent/Legal Guardian Name:

Parent Phone:

Employer:

Signed:

Date:

All Sacramento State camps are open to any and all entrants per NCAA rules, but are limited as noted on the following camp flyer by number, age, grade level and/or gender.