2017 Texas A&M Tennis Camp

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Winifred Haynes
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1 2017 Texas A&M Tennis Camp HOWDY! Thank you for registering for the 39 th season of the Texas A&M Tennis Camp! We are looking forward to providing you with an exciting, unforgettable experience where you will improve your skills, make life-long friends, and have a great time! Please review the following important information and feel to call or us if you have any questions. You are our top priority. This information can be downloaded at under Download Forms. For Directions to Texas A&M University please visit: For a campus map please visit: Check In Check in will be on Sunday of your camp session from 12 to 2:00pm at the Cambridge Dorm. Check Out Check out will be at 12 noon on the Friday of your camp session at the Cambridge. Parents are encouraged to attend the closing ceremony at the George P. Mitchell 40 Tennis Center on the Texas A&M Campus. It will start at 11:00am. Note that all campers are to ride the bus back to the dorm (and not in personal cars) to check out. Addresses Dorm Cambridge Dorm 501 University Oaks Blvd. College Station, TX Courts George P. Mitchell 40 Tennis Center Chandler and Penberthy Dr (courts are west of Reed Arena) College Station, TX Camp Director s Contact Information (please call Bobby Kleinecke during the spring semester due to Coach Weaver s spring schedule) Bobby Kleinecke bkleinecke@tamu.edu Mark Weaver mweaver@athletics.tamu.edu Camp Mail Please send camp mail to Camper s Name, 3013 Archer Circle, Bryan, TX Transportation Transportation to and from the Easterwood Airport in College Station is available. Inform the directors of your travel itinerary. Health & Safety The health and safety of our campers will be a priority while they are in our care. Drugs, alcohol, and tobacco products are strictly forbidden and will result in immediate dismissal from camp without a refund. Keys The campers are to return room keys at the end of the camp session. The loss/damages of the key will be the responsibility of the camper. Payments Final payments are due two (2) weeks prior to your camp session. Please go online and pay by credit card. Cancellation Policy A non-refundable fee of $100 will be charged for all cancellations that occur within 2 weeks prior to the first day of your camp. Note: NCAA rules require university camps to adhere to the stated refund policy. Exceptions aren't allowed and would trigger a compliance violation on both the school and the camper. Waiver/Medical Treatment and Physical Forms Please send the two completed forms to 3013 Archer Circle, Bryan, TX If this is not possible, the camper must bring the forms with them to check in. No camper will not be admitted to camp without these forms on file. The Physical Form can be replaced by a copy of the camper s school physical form. Physicals must be dated within a calendar year from the end of your camp session). Friends and Roommates Please make sure that the campers you listed as your roommate are in fact signed up for the same session. If you know of friends that you would like to room with, be sure and have them visit the website at

CHECKLIST OF WHAT TO BRING TO CAMP Beyond a positive attitude, a great work ethic, and your smile, campers should bring: q Make sure the camp balance is complete q Be sure you have mailed in your

2 CHECKLIST OF WHAT TO BRING TO CAMP Beyond a positive attitude, a great work ethic, and your smile, campers should bring: q Make sure the camp balance is complete q Be sure you have mailed in your completed Waiver/Medical Treatment Form or with you at check-in (it is a good practice to bring a copy of any forms mailed in). q You will also need to mail a signed Physical Form from your physician or bring it with you to check-in. It must be less than one year old from the end of the camp that you will attend. q Tennis attire for 6 days (some campers change clothes after the morning session) q Tennis shoes (NO RUNNING SHOES) and athletic socks q Racket(s) q Laundry bag q Swimsuit q Sunscreen lotion q Hat or cap q Spending money for the Camp Store and snacks (if desired) q Toiletry Kit (LABEL ITEMS to avoid loss) q 2 full flat sheets, pillow, blanket or sleeping bag, 2 towels, bath mats, hand towels (bring FULL SIZE sheets to accommodate for different bed sizes) q Water jug (2 liter or larger with wide mouth) q Alarm clock

3 Sunday Check-in Information Make sure ALL the following paperwork is complete before check-in: 1. Payment 2. Medical Form 3. Insurance Card 4. Confirmation Information 5. Waiver/Medical Treatment Form 6. Physical Form from your doctor Please make sure your child has had a good lunch before campers are dropped off. Please make every attempt to arrive on time. The campers WILL play on Sunday afternoon right after check-in. Please make contact ahead of time for roommate requests. We will be more than happy to make these accommodations in advance. Campers will need to check-in at registration from 12:00pm-2:00pm on Sunday at Cambridge House. Orientation will begin at 2:30pm after campers have checked-in. Closing Ceremony on Friday will begin at approximately 11:00am. Parents and guests are welcome to view all the activities on Friday morning. Materials provided at check-in: Emergency contact information Counselor contact Information Camp itinerary Camp Store bank registration Parking When visiting the camp, please pay for parking at the kiosk next to the Mitchell Tennis Center and display the receipt on your dashboard. Parking at Friday's Closing Ceremony is complimentary beginning at 8am. Parking is available at Cambridge House.

4 Texas A&M Tennis Camp Map to College Station

Texas A&M Tennis Camp Locations Dorm: The Cambridge 501 University Oaks Blvd College Station, TX 77840

5 Texas A&M Tennis Camp Locations Dorm: The Cambridge 501 University Oaks Blvd College Station, TX Tennis Courts: Texas A&M University George P. Mitchell Tennis Center West Rd. College Station, TX 77840

8 PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY REVISED This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic activities. These questions are designed to determine if the student has developed any condition which would make it hazardous to participate in an athletic event. Student's Name: (print) Sex Age Date of Birth Address Grade Personal Physician In case of emergency, contact: School Name Relationship Phone (H) (W) Explain Yes answers in the box below**. Circle questions you don t know the answers to. 1. Yes No Yes No Have you had a medical illness or injury since your last check!! 13. Have you ever gotten unexpectedly short of breath with!! up or sports physical? exercise? 2. Have you been hospitalized overnight in the past year?!! Do you have asthma?!! Have you ever had surgery?!! Do you have seasonal allergies that require medical treatment?!! 3. Have you ever had prior testing for the heart ordered by a!! 14. Do you use any special protective or corrective equipment or physician? devices that aren't usually used for your sport or position (for!! Have you ever passed out during or after exercise? Have you ever had chest pain during or after exercise?!!!! example, knee brace, special neck roll, foot orthotics, retainer on your teeth, hearing aid)? Do you get tired more quickly than your friends do during!! 15. Have you ever had a sprain, strain, or swelling after injury?!! exercise? Have you broken or fractured any bones or dislocated any!! Have you ever had racing of your heart or skipped heartbeats?!! joints? Have you had high blood pressure or high cholesterol?!! Have you had any other problems with pain or swelling in!! Have you ever been told you have a heart murmur?!! muscles, tendons, bones, or joints? Has any family member or relative died of heart problems or of sudden unexpected death before age 50?!! If yes, check appropriate box and explain below: Has any family member been diagnosed with enlarged heart,!!! Head! Elbow! Hip (dilated cardiomyopathy), hypertrophic cardiomyopathy, long! Neck! Forearm! Thigh QT syndrome or other ion channelpathy (Brugada syndrome,!!! Back! Wrist! Knee etc), Marfan's syndrome, or abnormal heart rhythm?! Chest! Hand! Shin/Calf Have you had a severe viral infection (for example,!!! Shoulder! Finger! Ankle myocarditis or mononucleosis) within the last month?! Upper Arm! Foot Has a physician ever denied or restricted your participation in!! 16. Do you want to weight more or less than you do now?!! sports for any heart problems? 17. Do you feel stressed out?!! 4. Have you ever had a head injury or concussion?!! 18. Have you ever been diagnosed with or treated for sickle cell!! 4. Have you ever been knocked out, become unconscious, or lost!! trait or cell disease? your memory? Females only If yes, how many times? When was your last concussion? 19. When was your first menstrual period? How severe was each one? (Explain below) When was your most recent menstrual period? Have you ever had a seizure?!! How much time do you usually have from the start of one period to the start of Do you have frequent or severe headaches?!! another? Have you ever had numbness or tingling in your arms, hands,!! How many periods have you had in the last year? legs or feet? What was the longest time between periods in the last year? Have you ever had a stinger, burner, or pinched nerve?!! 5. Are you missing any paired organs?!! An individual answering in the affirmative to any question relating to a possible cardiovascular health 6. Are you under a doctor s care?!! issue (question three above), as identified on the form, should be restricted from further participation 7. Are you currently taking any prescription or non-prescription!! until the individual is examined and cleared by a physician, physician assistant, chiropractor, or nurse (over-the-counter) medication or pills or using an inhaler? practitioner. 8. Do you have any allergies (for example, to pollen, medicine,!! food, or stinging insects)? 9. Have you ever been dizzy during or after exercise?!! 10. Do you have any current skin problems (for example, itching, rashes, acne, warts, fungus, or blisters)?!! 11. Have you ever become ill from exercising in the heat?!! 12. Have you had any problems with your eyes or vision?!! It is understood that even though protective equipment is worn by the athlete, whenever needed, the possibility of an accident still remains. Neither the University Interscholastic League nor the school assumes any responsibility in case an accident occurs. If, in the judgment of any representative of the school, the above student should need immediate care and treatment as a result of any injury or sickness, I do hereby request, authorize, and consent to such care and treatment as may be given said student by any physician, athletic trainer, nurse or school representative. I do hereby agree to indemnify and save harmless the school and any school or hospital representative from any claim by any person on account of such care and treatment of said student. If, between this date and the beginning of athletic competition, any illness or injury should occur that may limit this student's participation, I agree to notify the school authorities of such illness or injury. I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct. Failure to provide truthful responses could subject the student in question to penalties determined by the UIL Student Signature: Parent/Guardian Signature: Date: Any Yes answer to questions 1, 2, 3, 4, 5, or 6 requires further medical evaluation which may include a physical examination. Written clearance from a physician, physician assistant, chiropractor, or nurse practitioner is required before any participation in UIL practices, games or matches. THIS FORM MUST BE ON FILE PRIOR TO PARTICIPATION IN ANY PRACTICE, SCRIMMAGE OR CONTEST BEFORE, DURING OR AFTER SCHOOL. For School Use Only: This Medical History Form was reviewed by: Printed Name Date Signature Phone Phone **EXPLAIN YES ANSWERS IN THE BOX BELOW (attach another sheet if necessary):

PREPARTICIPATION PHYSICAL EVALUATION -- PHYSICAL EXAMINATION Student's Name Sex Age Date of Birth Height Weight % Body fat (optional) Pulse BP / ( /, / ) brachial blood pressure while sitting Vision:

Unequal As a minimum requirement, this Physical Examination Form must be completed prior to junior high athletic participation and again prior to first and third years of high school athletic

9 PREPARTICIPATION PHYSICAL EVALUATION -- PHYSICAL EXAMINATION Student's Name Sex Age Date of Birth Height Weight % Body fat (optional) Pulse BP / ( /, / ) brachial blood pressure while sitting Vision: R 20/ L 20/ Corrected:! Y! N Pupils:! Equal! Unequal As a minimum requirement, this Physical Examination Form must be completed prior to junior high athletic participation and again prior to first and third years of high school athletic participation. It must be completed if there are yes answers to specific questions on the student's MEDICAL HISTORY FORM on the reverse side. * Local district policy may require an annual physical exam. NORMAL ABNORMAL FINDINGS INITIALS* Lymph Heart-Auscultation of the heart the supine Heart-Auscultation of the heart the standing Heart-Lower extremity Genitalia (males Marfan s stigmata pectus excavatum, hypermobility, MUSCULOSKELETAL *station-based examination only CLEARANCE! Cleared! Cleared after completing evaluation/rehabilitation for:! Not cleared for: Reason: Recommendations: The following information must be filled in and signed by either a Physician, a Physician Assistant licensed by a State Board of Physician Assistant Examiners, a Registered Nurse recognized as an Advanced Practice Nurse by the Board of Nurse Examiners, or a Doctor of Chiropractic. Examination forms signed by any other health care practitioner, will not be accepted. Name (print/type) Date of Examination: Address: Phone Number: Signature: Must be completed before a student participates in any practice, before, during or after school, (both in-season and out-of-season) or games/matches.

Cypress-Fairbanks Independent School District

Cypress-Fairbanks Independent School District Parent Permission Form Fine Arts Field Trip Student Name (Last) (First) (Middle) ( ) - Campus Organization Student Cell Phone (Optional) (_ ) - (_ )_ - ParentGuardian