Thank you for selecting The Ohio State University Football Women s Clinic! We are confident that you will enjoy this clinic and leave with a new appreciation for football! Included in this packet is all of the important information you will need to prepare. Please review this information carefully. The Adult Consent, Waiver and Release Form is included at the end of this packet. COMPLETED ADULT CONSENT FORMS SHOULD BE SUBMITTED TO THE CAMPS OFFICE BY JUNE 5, 2015. AFTER JUNE 5, PARTICIPANTS SHOULD BRING THE COMPLETED FORM TO THE EVENT S CHECK-IN. Adult Consent, Waiver and Release Form (Ages 18 & Older): Registrants may only participate in the session after they have submitted the Adult Consent, Waiver and Release Form ( Consent Form ) at the clinic s check-in. The Consent Form should be fully completed and signed by the participant. Please disclose your pertinent medical history, including but not limited to, any medications you are currently taking or required to take. Please note that when you disclose pertinent medical history, you may be requested to provide additional information (e.g., documentation from the treating physician) for our camp medical staff to review prior to being permitted to participate in the clinic. If you have questions, please contact Cassie Bernard (Assistant Director - Buckeye Sports Camps Office) by email at bernard.109@osu.edu. Accommodations: If you have questions about accessibility or you need to request assistance to participate in any of the Ohio State Athletics Department s sports camps, including accommodations for dietary restrictions, please contact Cassie Bernard (Assistant Director - Buckeye Sports Camps Office) by email at bernard.109@osu.edu. In order to adequately assess your request, please contact us at least 14 days prior to the start of the camp. Campus Construction: Campus construction is occurring in phases and will be changing through the summer. For the latest information, visit http://go43210.osu.edu/. For the campus construction map, visit http://go43210.osu.edu/trafficimpacts.pdf. Questions: If you have any questions, please contact Buckeye Sports Camps Office: BuckeyeCamps@osu.edu 614-247-CAMP 9am-5pm Weekdays
FOOTBALL WOMEN S CLINIC JUNE 14, 2015 9AM 3PM Clinic Schedule: Check-in for all participants will be held from 8AM 9AM. Participants will check-in on at Woody Hayes Athletic Center (WHAC see map, letter E). After checking in, participants will have their picture taken with Coach Urban Meyer, with the clinic to follow starting at 9AM. The clinic will wrap up at approximately 3PM. All activities will be held at the WHAC. The morning activities will be limited to paid participants only. For the afternoon s activities, spectators are permitted to observe from designated areas. Woody Hayes Athletic Center Woody Hayes Athletic Center 2491 Olentangy River Rd. 535 Irving Schottenstein Drive Columbus, OH 43210 Columbus, OH 43210 (MapQuest or GPS) (Google Maps) While we are excited about the activities planned for the clinic, participants may opt out of any portion of the clinic throughout the day. Parking: Participants and afternoon spectators should park in the Jesse Owens/Buckeye Field Lot (see map, number 14). Parking will be FREE in this lot for the duration of the clinic. Any vehicles that are not parked in the lot designated for the clinic will be subject to parking tickets. Parking fines are the responsibility of the vehicle owner. What to bring: Participants should wear comfortable clothes and athletic shoes. We recommend bringing sunscreen for the afternoon activities that will be outdoors. Lunch will be provided and water will be available throughout the day. Spectators: Spectators are welcome to observe the afternoon activities from 1PM 3PM. In order to create a safe environment for our participants and spectators, please follow the instructions of Ohio State personnel and only watch the camp from designated public areas at the Woody Hayes Athletic Center. Please use caution when walking around the facility and/or watching the clinic.
Pictures with Coach Urban Meyer: Participants will have a professional photo taken with Coach Meyer. Please note this photograph is not included in the camp registration fee. Pictures may be viewed within 24 hours after they are taken at www.vippermanphoto.com. Photos are taken by the football camp photographer. ALL ORDERS MUST BE PLACED BY NO LATER THAN JUNE 30, 2015. QUESITONS ABOUT PHOTOGRAPHS AND ORDERING SHOULD BE DIRECTED TO MR. VIPPERMAN AT: ROB@VIPPERMANPHOTO.COM. 8 x 10 - $25 each 5 x 7 - $20 each Digital Download (with copyright release) - $30 Package 1: 1 8 x 10 and 1 5 x 7 - $30 Package 2: 1 8 x 10 and 2 5 x 7s - $35 All payments can be made by any major credit card through PayPal on-line at http://www.vippermanphoto.com. For mail-in orders, all checks should be made payable to and remitted to: Robert Vipperman 355 Regents Road Gahanna, Ohio 43230 P: 614-558-8609/ F: 614-917-9398
SPORT: FIRST NAME: LAST NAME: CAMP/CLINIC DATE(S): ADULT CONSENT, WAIVER AND RELEASE (Must be at least 18 years old to sign) In consideration of the Ohio State University Buckeye Sports Camp acceptance of me as a participant in the sports camp for the period in the dates indicated above, and in return for the opportunity to participate in this camp: It is agreed that all risks attendant to watching and/or participating in camp activities, including, but not limited to bodily injury, are assumed by the participant and that this assumption is acknowledged, approved, and agreed to by said participant as indicated by the signature hereto. Buckeye Sports Camps will be financially responsible for and has excess insurance that will cover most injuries/accidents occurring during camp (subject to policy terms, conditions and limits) but only as secondary coverage after participant s insurance has paid. I hereby certify that I am physically able to participate in The Ohio State University Buckeye Sports Camp and that I know of no physical impairments which would in any manner limit my participation in such a program. I hereby grant permission for physicians, dentists, other licensed health care providers and their designees employed or directed by The Ohio State University to administer outpatient medical, surgical, or dental services as appropriate or necessary antigens or other injections, to perform emergency procedures as necessary or to refer to other duly licensed medical personnel when necessary. In consideration for honoring my request to participate in the above activity, I, for myself, my executors, administrators, and assigns, do hereby release and forever discharge The Ohio State University, and its Board of Trustees, its respective entities, administrators, faculty members, employees, agents, and students from any claims that I might have with regard to damages, demands, or any actions whatsoever, including those based on negligence or failure to supervise, in any manner arising out of the my participation in this activity. I also hereby agree to save, hold harmless, and indemnify The Ohio State University, its Board of Trustees, and/or its respective entities, administrators, faculty members, employees, agents, and students against any and all claims, including claims of negligence or failure to supervise, which I might bring against them as a result of my participation in the above activity. I recognize that this Release means that I am giving up, among other things, rights to sue the University or its Board of Trustees, its respective entities, administrators, faculty members, employees, agents or students for injuries, damages or losses that I may may incur. Medical InsURance InfoRMaTIon: COMPANY NAME: PHONE#: GROUP#: ID#: Medical History, if pertinent (including, but not limited TO, injuries, surgeries, allergies) 1 Write NONE if Not applicable: MEDICATIONS 1 Write NONE if Not applicable: Other special considerations (e.g., dietary needs) or ACCOMMODATIONS 1 Write NONE if Not applicable: PARTICIPANT s Signature (Must be at least 18 years old) EMERGencY contact InfoRMATIon Name: PHONE#: DATE: Name: PHONE#: 1 Please note: Our camp medical staff may request addtional information (e.g., documentation from the paticipant s treating physician) to review prior the participant being permitted to participate in camp. If you have questions prior to your camp or clinic, contact Cassie Bernard, Asst. Director of Camps, at bernard.109@osu.edu.
BUCKEYE SPORTS CAMPS FACILITY AND PARKING MAP A 17 B C D 16 F E 14 G H 13 I 15 12 N. High St. J K Kenny Rd. 4 M N 5 9 10 O P Q 8 6 7 S 18 11 R 3 T V U SOUTH CAMPUS RESIDENCE HALLS Kennedy Commons Park 1 Smith L 2 Kenny Rd. University Hospital Stradley W Steeb PARKING 1 Ohio Union SOUTH Garage 2 Steelwood Lot 3 West Stadium Lot 4 Adventure Rec. Lot 5 Coffey Rd. Lot 6 NW Stadium Lot 7 NE Stadium Lot 8 South French Field House Lot 9 North St. John/French Lot 10 North St. John/ Ice Rink Lot 11 Lane Ave. Garage 12 North Schottenstein Lot 13 Bill Davis/Schottenstein Lot 14 Jesse Owens/Buckeye Field Lot 15 Fawcett Center Lot 16 Biggs Training Facility Lot 17 Upper & Lower Fields Lot 18 Tuttle Garage FACILITIES A Buckeye Varsity Field (FH) B Varsity Tennis Courts (Outdoor) C Upper & Lower Practice Fields D Jesse Owens Memorial Stadium E Woody Hayes Athletic Center F Buckeye Field (SB) G Harmon Family Football Park H Fawcett Center I Bill Davis Stadium J Schottenstein Center K Fred Beekman Park L Steelwood Training Center M Adventure Recreation Center N Coffey Rd. Intramural Fields O French Field House P St. John Arena Q OSU Ice Rink R Jesse Owens North Rec. Cnt. S Ohio Stadium T Recreation and Phys. Act. Cnt. U McCorkle Aquatic Pavilion V Lincoln Tower Fields W Jesse Owens South Rec. Cnt.
BUCKEYE CAMPS - FOOTBALL BUCKEYEFB2015 A B C $40.00 D Flash Store Code 06/08/2015-06/24/2015 Available Nike Fly Shorts Nike Fly Shorts Nike Fly Shorts Nike Club Fleece Hoody Orders will ship and deliver within 3-4 weeks E $40.00 F $20.00 G H of END DATE pending product availability. Nike Fleece Crew I IT'S TIME TO GET YOUR GEAR. Here's how: Nike Brasilia Gymsack J Nike Legend Dri-Fit Nike Legend Dri-Fit Short Sleeve Tee Short Sleeve Tee $20.00 K Nike Legend Dri-Fit Nike Men's All Purpose Nike Core Short Sleeve Short Sleeve Tee Long Sleeve Tee Cotton Tee ORDERING INSTRUCTIONS STEP 1: Go to lidsteamsports.com on or after the start date listed above. STEP 2: Click on "Flash Stores" STEP 3: Type in the flash store code (listed on top of the instruction sheet) and click "Submit Code" STEP 4: Select team merchandise and add to shopping cart. STEP 5: Once shopping is complete, click on "Checkout" and either register as a new customer or log in with previously registered information. *PLEASE NOTE - Orders must be completed on or before the End Date listed. Flash Store ID:50122 E-MAIL QUESTIONS TO: ContactLTS@lids.com