2012 holiday quarterback training

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From December 27-December 30, 2012 DeBartolo Sports and Events will host the 4th Annual Holiday Quarterback Training Academy featuring Coach Joe Dickinson.

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Page 1: 2012 Holiday Quarterback Training
Page 2: 2012 Holiday Quarterback Training
Page 3: 2012 Holiday Quarterback Training

Greetings from DeBartolo Sports University…

It is my pleasure to announce that we have teamed up with the Marriott Waterford in Oklahoma City, Oklahoma for the 4th Annual Holiday Quarterback Training Academy.

From December 27, 2012 thru December 30, 2012 you will be treated to an experience that provides you the opportunity to build on your football foundation by training with experts that have had success developing athletes at the NFL, college, high school and youth level.

We have modeled this program after NFL and college mini-camps. All athletes will participate in skill training, film study and performance sessions led by Quarterback Coach Joe Dickinson. Our notable Quarterback Academy alumni include: Josh Freeman (QB – Tampa Bay Buccaneers), Rudy Carpenter (QB – Dallas Cowboys), Matt Barkley (QB – USC), and Daxx Garman (QB – Oklahoma State).

We invite you to take a closer look at the Holiday Quarterback Training program and hope that you would consider joining us for what will be a memorable, rewarding and intense week of football.

Best of luck to you this football season,

Donald Engstrom

Executive Director

DeBartolo Sports University

Featuring QB Coach Joe Dickinson

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ELITE QUARTERBACK ACADEMY Program Overview

Summary: Through the years, athletes from across the globe have traveled to DeBartolo Sports University’s academy programs in search of the best training. At the Holiday Quarterback Training, high school and youth participants will receive instruction on how to improve their technical, tactical, and mental abilities on the football field. Quarterbacks will receive approximately 20 hours of position specific instruction (12 hours on the field and 8 hours in the classroom). When: Thursday December 27, 2012 through Sunday December 30, 2012 Where: Marriott Waterford SoccerCity OKC (Location of on-field training) 6300 Waterford Blvd 4520 Old Farm Road Oklahoma City, OK 73118 Oklahoma City, OK 73162 Cost: Quarterbacks: $895 The fee includes four days of skill instruction, DeBartolo Sports performance apparel by Nike, transportation from the Marriott Waterford to and from the training facility, and lunch daily. Registration: All participants must pre-register for the event. Visit www.DeBartoloQBAcademy.com and complete the online registration. A deposit is required at the time of registration and final payment must be received by Friday December 9, 2012 (pay over-time option available). Space is limited to the first thirty registered and paid quarterbacks. Participants will also need to complete the enclosed registration documents. Cancellation and Refund Policy: Only written cancellations received before December 9, 2012 are refundable, less a $75 handling charge. Cancellation after December 9, 2012 is not refundable but can be held as a credit for any future DeBartolo Sports University program. Contact: If you have questions about the Holiday Quarterback Training please contact us at: Phone: 813.739.4091 SMS Text: 657.200.1378 Fax: 813.676.2603 Email: [email protected] Web: www.DeBartoloQBAcademy.com Facebook: www.facebook.com/DeBartoloSportsUniversity

Featuring QB Coach Joe Dickinson

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Coach Dickinson brings over 25 years of high school and collegiate coaching experience

exclusively to DeBartolo Sports University programs.

Recognized as one of the premier developers of quarterbacks in the nation, Coach Dickinson has

trained several of the nations top quarterbacks coming out of the high school ranks.

Quarterbacks including Matt Barkley (USC), Dayne Crist (Notre Dame), Terrelle Pryor (Ohio State),

Jake Heaps (BYU), Blake Bell(Oklahoma), and 2011’s top quarterback recruits Cody Keith (National

Prep Player of the Year, East Carolina University), Conner Preston (Southern Methodist

University), and Daxx Garman (Oklahoma State) have all sought his training.

Under the guidance of Coach Dickinson, youth quarterbacks Augie DeBiase (Jacksonville,

Florida) and Grady Sullivan (Southlake Carroll, Texas) received National attention with their superior

play during the 2010 season and respective invitations to play in the Junior Rank Diamond Bowl and

the Eastbay Youth All-American Bowl.

In 2008 and 2009 Coach Dickinson helped current NFL QB Rhett Bomar prepare for the NFL Combine and pre-season camp. Throughout this

period he also worked with New Orleans Saints QB Chase Daniel, Tampa Bay Buccaneer first round draft choice QB Josh Freeman, and Dallas

Cowboy QB Rudy Carpenter.

Coach Dickinson served as the Offensive Coordinator and Recruiting Coordinator at several Division 1 football programs including: Tulsa (’86-

’89), Marshall (’90), Northern Illinois (’91-’95), Oklahoma (’83-85,‘96-’98), Tulane (’99-’00), and Central Oklahoma (’03-’06). The complete

offensive mastermind, Coach Dickinson’s offenses routinely ranked at the top of the NCAA. Throughout his extensive career Dickinson had the

opportunity to coach alongside some of the best minds in football. He was on staff at Oklahoma University with Hall of Fame Coach and Super

Bowl Champion Barry Switzer when they won the 1985 National Championship. While at Marshall, he coached with the legendary Jim Donnan,

and during his time at Tulsa he coached with College Football Hall of Fame Coach John Cooper.

Early in his career at Oklahoma, Coach Dickinson worked with Pro Football Hall of Fame QB Troy Aikman. From there, he would go on to

recruit, coach, and mentor several 1st round draft picks including: JP Losman (QB, 2004/Round 1/Pick 32), Patrick Ramsey (QB, 2002/Round

1/Pick 32), Roy Williams (S, 2002/Round 1/Pick 8), and Stockar McDougle (OL, 2000/Round 1/Pick 20). From 1994-1997, four of Coach

Dickinson’s running backs would have NFL careers: LeShon Johnson, James Allen, De’mond Parker, and Jermaine Fezande.

Coach Dickinson mentored Heisman candidate LeShon Johnson at Northern Illinois during his nation leading rushing performance in 1993.

While at Tulsa, he produced NFL Quarterbacks T.J. Rubley and Gus Frerotte, who rank 1st and 2nd on the schools list of All-Time Passers

respectively.

In 2000, Joe Dickinson founded Fab50 Recruiting, a highly regarded scouting service for high school athletes. Today, Fab50 recruiting remains a

highly respected online scouting service.

Coach Dickinson has also appeared in the Snoop Dogg television series "Fatherhood," where he is shown tutoring Snoop Dogg's son who is

focused on developing his quarterback skills. He is also part of the up-coming documentary "The Hopeful" starring East Carolina recruit Cody

Keith. In 2011, Bright House Sports Network created a 1 hour television special focusing on Coach Dickinson and his training of young QBs.

Throughout his coaching career Coach Dickinson has had the opportunity to work and learn with some of the greatest minds to coach and play

the game including: Joe Avezanno, Rex Ryan, Jim Hanifan, Pat McPherson, Joe Jurasek, Terry Shea, Joe Montana, Randy Cross, Jon Embree,

John Blake, Bubby Brister, Jeff Weeks, Chris Scelfo, Barry Switzer, Jim Donnan, Bill Bates, and John Cooper.

Coach Dickinson currently resides in Choctaw, Oklahoma with his wife Teresa.

Contact Coach Dickinson via email at [email protected]

Featuring QB Coach Joe Dickinson

Quarterback Coach Joe Dickinson

Page 8: 2012 Holiday Quarterback Training
Page 9: 2012 Holiday Quarterback Training

Coach McCulley is a long-time coach and administrator in the Oklahoma public school system and will

be providing personal quarterback instruction exclusively to DeBartolo Sports University. Not only

does Coach McCulley bring to the table a vast knowledge of the quarterback position, but also a deep

understanding of the game of football and all aspects of what it takes to become a great player. Joe has

35 years of coaching experience: 29 years as a head coach , 5 years assistant and offensive coordinator

both in Oklahoma high schools and 1 year assistant and quarterback coach at Southeastern Oklahoma

State University.

Coach McCulley has coached 6 All-State quarterbacks, produced 25 all-state players, won 15 district

titles, had 11 state quarterfinals, 4 state semi-final appearances, and 1 State Championship. He has been

elected by his peers as an All State Coach and 12 times as District Coach of the Year.

Joe has worked with numerous college football camps including the University of Oklahoma, Oklahoma

State University, and the University of Tulsa. He had the opportunity to help establish the first team

camp in Oklahoma with long time University of Tulsa head coach and current University of Mississippi Offensive Coordinator David Rader.

As a player McCulley played quarterback for Anaheim High School in Southern California where he was mentored by former NFL coach Dick

Coury. After graduation he played quarterback at the University of Tulsa under the guidance of then offensive coordinator, former NFL coach

and player Jerry Rhome. During his tenure in 1973, he was the 2nd leading passer in the nation behind Jesse Freitas of San Diego State. He was

also ranked 2nd in total offense behind longtime Dallas Cowboy and Arizona State quarterback Danny White. While playing at Tulsa he had the

opportunity and good fortune to throw to elite receivers Drew Pearson (All –pro Dallas Cowboy), Steve Largent (Seattle Seahawks Hall of Famer),

and Raymond Rhodes (Pro-bowler and former Green Bay Packer’s Head Coach).

Coach McCulley and his wife Sherry have 5 children and are currently living in Hennessey, Oklahoma where he is the Superintendent of schools.

Quarterback Coach Joe McCulley

Coach Ngu has brought her knowledge and expertise of Mixed Martial Arts to the DSU’s core training.

Ngu, who is a Black Belt in Okinawa style Karate has implemented the rapidly popular Mixed Martial

Arts (MMA) training regimen with specific specialization to kickboxing and muay thai. Her instruction

has been lent to DeBartolo Sports University since June 2010 and has attributed to the development of

over seventy-five clients.

Mixed Martial Arts (MMA) training has started to integrate its way to be a primary workout routine for

many football players across the country. From the entire Atlanta Falcons football team to individual

players such as linebacker Clay Matthews (Green Bay Packers) to quarterback Matt Leinart (Houston

Texans), MMA training has quickly gained a devoted following. "It has gotten me mentally

tougher,“ Leinart said. The quarterback also went on to say you develop an attitude that you can do

anything.

Accordingly, DSU has jumped on board with this progressive training and Ngu tailors the exercises to benefit position specific motions.

Paulette Ngu resides in Oklahoma City, Oklahoma with her husband.

Martial Arts Expert Paulette Ngu

Page 10: 2012 Holiday Quarterback Training
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Thursday, December 27, 2012

8:00AM Athletes check in @ Marriott Waterford (Room TBD)

9:00AM Welcome Meeting / Meeting #1 @ Marriott Waterford (Room TBD)

11:00AM Lunch at Marriott Waterford

11:45AM Quarterbacks load bus for SoccerCity

12:15PM Throwing session #1 @ SoccerCity

4:30PM Depart Soccer City for Marriott Waterford – End of Day

Friday, December 28, 2012

9:00AM Meeting #2 @ Marriott Waterford (Room TBD)

11:00AM Lunch at Marriott Waterford

11:45AM Quarterbacks load bus for SoccerCity

12:15PM Throwing session #2 @ SoccerCity

4:30PM Depart Soccer City for Marriott Waterford – End of Day

Saturday, December 29, 2012 & Sunday, December 30, 2012

9:00AM Meeting #3 & #4 @ Marriott Waterford (Room TBD)

11:00AM Lunch at Marriott Waterford

11:45AM Quarterbacks load bus for SoccerCity

12:15PM Throwing session #3 & #4 @ SoccerCity

2:30PM Depart SoccerCity for Marriott Waterford

*Saturday and Sunday will feature a modified schedule to accommodate those families from out of town

Featuring QB Coach Joe Dickinson

Schedule of Events

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Page 13: 2012 Holiday Quarterback Training

Notable DSU Elite Quarterback Alumni

Featuring QB Coach Joe Dickinson

College Quarterback Alumni

Name School

Matt Barkley University of Southern Cal

Blake Bell University of Oklahoma

Kedric Bostic Princeton

Richard Brehaut UCLA

Trevor Brown Brigham Young University

Brandon Connette Duke

Dayne Crist Kansas

Nelson Fishback Eastern Washington

Daxx Garman Oklahoma State Univ

Jake Heaps Brigham Young Univ

Austin Hinder Cal – Berkley

Cody Keith East Carolina University

Keaton Lewis Kansas State University

EJ Manual Florida State University

Paul Millard West Virginia

Nick Montana Washington

Nate Montana Montana

Josh Nunes Stanford

Nick Patti Boise State Univ

Ryan Polite UTSA

Conner Preston Southern Methodist Univ

Kevin Prince UCLA

Chase Rettig Boston College

Matt Scott University of Arizona

Russell Shepard Lousiana State University

Jeff Tuel Washington State Univ

Ryan Williams Miami Univ

Greg Windham Ohio Univ

NFL / Pro Quarterback Alumni

Name Team

Troy Aikman Dallas Cowboys

Todd Boeckman Jacksonville Jaguars

Rhett Bomar

Rudy Carpenter Dallas Cowboys

Chase Daniel New Orleans Saints

Josh Freeman Tampa Bay Buccaneers

Gus Frerotte Washington Redskins

Jake Locker Tennessee Titans

JP Losman Buffalo Bills

Terrelle Pryor Oakand Raiders

Patrick Ramsey Minnesota Vikings

TJ Rubley LA Rams

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Will the Holiday Quarterback Training help get me recruited?

Yes. Through our extensive recaps and coverage of the event, your name will be known in the recruiting community. While you likely won't walk away from the program with a scholarship offer, it will at the very least give you some additional exposure and introduce you to programs that you previously may not have had access to. Can my wide receiver come with me? Absolutely, in fact it is encourage. Contact us to find out how you can get your receiver enrolled. This is a perfect opportunity to build chemistry with the person catching for you. What if my parents are coming with? We strongly encourage your entire family to take part in the training experience. Please contact DeBartolo Sports University for special pricing on guests rooms and other amenities. What do we eat? Lunch will be provided by the hotel each day for the quarterbacks. All other meals are on your own. If there are any food allergies or special request for kosher or vegan meals, please contact DeBartolo Sports University in advance. What if I get into trouble? We take the responsibility of ensuring the safety of everyone very seriously, and we are very strict with enforcement of the rules and regulations. DeBartolo Sports University reserves the right to remove a child from camp and send them home without a refund. What should I bring with me? 8 pairs of socks, hats, shorts, and t-shirts for everyday workouts, casual clothes for evening activities, bathing suit, personal toiletries, prescribed medicines, sunscreen, and a cell phone or calling card. You will need your football, cleats, running shoes, notebook, and a writing utensil. Marriott Waterford and DeBartolo Sports University are not responsible for lost or stolen items. Please do not bring any unnecessary or expensive items. What is included in the participation fee?

The fee includes four days of skill instruction, DeBartolo Sports performance apparel by Nike, transportation to and from the training facility from Marriott Waterford, and lunch daily.

Have additional questions?

Email us at [email protected] for all questions about the program

Email Coach Joe Dickinson at [email protected] for all questions about the training curriculum

Frequently Asked Questions

Featuring QB Coach Joe Dickinson

Page 16: 2012 Holiday Quarterback Training

About the Marriott Waterford

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About the Marriott Waterford

OVERVIEW A signature arrival presentation of warm woods, delicate interior detailing and glowing candles enriches the historic Waterford Marriott Oklahoma City Hotel. This Oklahoma City hotel blends traditional architecture with modern amenities and fabulous lodging accommodations that feature skyline views of OKC. Enjoy a unique location near Oklahoma City's Bricktown district, just west of the exclusive Nichols Hills neighborhood and minutes from the Will Rogers Airport and Adventure District, when staying at this boutique hotel. Guests of the Waterford Marriott are showered by five area golf courses, a variety of spa treatments and irresistible dishes prepared by Blue Fire Grille & Lounge culinary experts. Savory, creative catering menus compliment business meetings, conferences, wedding receptions and banquet events at this exquisite Oklahoma City, OK hotel that dedicates 10,000 sq ft to such engagements. Hotel accommodations for the Holiday Quarterback Training may be booked for the Marriott Waterford beginning September 24, 2012. Room rates start at $85 per night. For more information, visit: http://www.marriott.com/hotels/travel/okcwa-waterford-marriott/

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About DeBartolo Sports University

Edward DeBartolo Jr., five-time Super Bowl Championship owner of the San Francisco 49ers and two-time Stanley Cup Championship owner of the Pittsburgh Penguins, continues his vision of success through DeBartolo Sports University (DSU).

His 49ers teams were built with first class, Hall of Fame players such as Joe Montana, Jerry Rice, and Ronnie Lott, and visionary coaches such as Bill Walsh, George Seifert, and others. Regarded as the “players’ owner”, Mr. DeBartolo’s vision was to help athletes and coaches improve their skills, realize their talents, and maximize their potential through unparralleled development programs.

We aim to help athletes and coaches improve their skills, realize their talents and maximize their potential. DSU is a sports educational organization, dedicated to teaching, coaching, training and empowering student-athletes to achieve their potential both on and off the field. DSU offers the highest quality events and training for athletes.

We believe that regardless of the sport an athlete chooses to focus on, a set of very similar training fundamentals are necessary to succeed in all sports. Whether it is football, lacrosse, baseball, or basketball, DSU will provide athletes and coaches with first class instructors and first class events. DSU specializes in sport specific and position specific training and all of our programs were created as first class training and development programs for amateur athletes.

The focus of DSU is to bring young talent to the forefront by offering developmental programs, designed to help amateur athletes and coaches reach their potential through coaching and mentoring from the pros. The training and development experts have not only played and coached at the highest professional level, but have trained some of the most successful professional athletes. With mentors like Joe Montana and Jerry Rice and coaches like Joe Dickinson, DSU offers athletes a once in lifetime opportunity.

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What they have said…

"Coach Dickinson is one of the best in the business when it comes to teaching the mental and physical skills needed to play the Quarterback position at the highest level. His work with me leading up to the draft and training camp got me ready for the big jump from college to the NFL. I will continue to work with him my entire career.“

-Rhett Bomar (NFL Quarterback)

“The DeBartolo name means taking care of players and doing it right. This camp was no exception”

-Joe Pickert (Father of Quarterback Cole Pickert)

“This is where the best learn how to be the best, from the best. If this one week is any indication of how much my son will improve, I can not wait to watch him develop as a young man and as a quarterback.”

-Rick Purcell (Father of youth Quarterback Roman Purcell)

“DeBartolo Sports and Coach Dickinson made the Saddlebrook Camp one of the best ones Daxx has ever been to! Coach Dickinson, Coach Loyd, and Coach McCulley are about as good as it gets for QB’s.”

-Pat Garman (Father of Daxx Garman – Oklahoma State QB)

“Nelson learned more about the quarterback position at this Academy than any other camp he's attended. Professional critiques from veterans with extensive experience at the D-1 and NFL level are what you'll receive at this academy. With a coaching staff consisting of ex-NFL players, a Heisman finalist and professional combine trainers, DeBartolo Sports University demonstrates a genuine commitment to helping young athletes improve their athletic skill sets and personal character traits.” -Greg Fishback (Father of Nelson Fishback – Eastern Washington University QB)

We are so thankful for what DeBartolo Sports has done, for the way Coach Dickinson has developed my son, from a character standpoint and an athletic standpoint, and without Coach Dickinson and DSU I don't believe Augie would be at the point he is today. I believe Augie has a great future and the only way we are going down that road is with Coach D by our side." - Mark DeBiase (Father of Quarterback Augie DeBiase)

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Registration Form

Athlete First Name:________________ Athlete Last Name: _______________

Home Address: __________________ Home Address (cont):______________

City: _________________________ State: ___________ Zip:__________

Home Phone:____________________ Athlete Cell:_____________________

Athlete Email:___________________ Parent Email: ___________________

Birthdate: ______/_______/_______ HS Graduation Year:_______________

School Name: ___________________ Apparel Size: Shirt ____ Shorts ______

Mothers Name: __________________ Fathers Name: __________________

Primary Position: _________________ Parent Cell: _____________________

Twitter handle:__________________________________________________

How did you learn about our program: __________________________________

What athletic Honors and Awards have you received: ________________________

________________________________________________________________________________________________________________________

What other achievements and awards have you received (academic, community, etc):

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are you currently being recruited by college programs, If so, who?:_______________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Is there anything special that you feel we should know about you?________________

____________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________

Featuring QB Coach Joe Dickinson

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PAYMENT FORM

BILLING INFORMATION

Name on Credit Card:

Credit Card Billing Address:

City / State / Zip:

Phone:

Email Address for Receipt:

CREDIT CARD INFORMATION

Visa Mastercard American Express Discover

Credit Card Number:

Credit Card Expiration: _____ / _____

I hereby authorize DeBartolo Sports and Events to process payment to my credit card in the amount of $__________.

Signature of Cardholder:______________________ Date: _____ / _____ / _____

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As a participant in the DeBartolo Sports University programs (“Event”), I acknowledge that participation in the Event exposes me to a possible risk of personal injury. I assume full responsibility for any and all such risk engaging in these activities, and DeBartolo Sports and Events, LLC dba DeBartolo Sports University, “Company”, its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates shall not be liable for lawsuits, claims, or damages arising from any of these actions or activities regardless of fault or negligence of Company. I, hereby release the Company and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, from any and all liability from property damage, personal injuries or other claims arising from or in connection with my participation in the Event including claims that are known and unknown, foreseen and unforeseen, future or contingent.

I covenant that I will not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceeding against Company and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, arising out of or relating to the actions, causes of action, claims and demands hereby waived, released or discharged by me.

I will defend, indemnify, and hold harmless Company , including and attorney’s fees, from any lawsuits, claims or damages arising in connection with my actions or activities on or off of the Event premises, regardless of any fault of Company, or arising in connection with enforcement of the provisions of this agreement.

For good and adequate consideration, which I acknowledge I have received, I hereby grant, release, and quitclaim to Company royalty free the right and authority to use, sell, reproduce, and distribute, quoted material, biographical information, my photograph, likeness, contact information, recorded voice or videotaped filmed appearances (the "Materials") for promotional and advertising purposes or partner programs as Company in its sole discretion will deem appropriate. I acknowledge that I have read and fully understand this Injury Waiver and General Release Form. This agreement will be binding on me, my spouse, my children, legal representatives, heirs, successors and assigns. Company is the sole owner of all rights in an to the materials and shall have the sole right to broadcast such materials in whole or in part in perpetuity for any purpose in any medium. DATE: _______________________________________ PARTICIPANT PRINTED NAME: ________________________________________ PARTICIPANT SIGNATURE: ________________________________________ STREET ADDRESS: ________________________________________ CITY, STATE, ZIP ________________________________________ ----------------------------------------------------------------------------------------------------------------------------------------- PARENTAL CONSENT (To be filled out if participant is under the age of 18)

The undersigned ("Parent"), parent of ____________________________ ("Subject"), hereby consent to affirm, and, on behalf of Subject, agree to be bound by the Injury Waiver and General Release Form attached hereto which has been signed by Subject. Parents also represent, warrant and agree that Parents (is)(are) entitled to the care and custody of Subject and (is)(are) Subject's legal guardian(s); that during the minority of Subject and for a reasonable time afterwards, Parents will use all reasonable efforts to prevent Subject from attempting to or actually disaffirming the Injury Waiver and General Release Form signed by Subject; that Parents hereby acknowledge that Parents have read the Injury Waiver and General Release Form and are satisfied that it is fair and equitable for the benefit of Subject; and that Parents will not revoke this consent and approval.

DATE: ________________________ SIGNATURE: __________________________

NAME AND RELATIONSHIP TO SUBJECT: (please print)

NAME: ________________________ RELATIONSHIP: __________________________

Featuring QB Coach Joe Dickinson

Injury Waiver and General Release

Page 26: 2012 Holiday Quarterback Training

Medical, Search & Recreational Release

Featuring QB Coach Joe Dickinson

I, the parent or guardian of ________________ by initialing the following items, acknowledge my consent and agreement that Marriott Waterford and/or DeBartolo Sports and Events LLC dba DeBartolo Sports University is authorized to administer or consent on my behalf to administration of emergency medical care to my child(ren), and I certify that my child(ren) are fit and able to engage in rigorous physical training; to enter and to search my child(ren)’s room and belongings for the presence of any contraband or dangerous instrument; to allow participation in and to transport my child(ren) out of Marriott Waterford for recreational activities including but not limited to , amusement parks, theaters, shopping centers, sporting attractions, etc.; My signature below indicates that on behalf of myself, my spouse, and my minor child(ren), I acknowledge and agree that;

a. My child(ren)’s participation in rigorous, physical training, and transportation to and participation in said recreational activities can be dangerous and involve the risk of serious bodily injury;

b. I assume FULL RESPONSIBILITY FOR AND ALL SUCH RISK of my child(ren)’s engaging in these activities, and DeBartolo Sports and Events LLC dba DeBartolo Sports University and its agents shall not be liable for any lawsuits, claims or damages arising from any of these actions or activities REGARDLESS OF FAULT OR NEGLIGENCE of DeBartolo Sports University, LLC;

c. I will defend, indemnify and hold harmless DeBartolo Sports and Events LLC dba DeBartolo Sports University, including attorney’s fees, from any lawsuits, claims or damages arising in connection with my child(ren)’s actions or activities on or off of the Marriott premises, REGARDLESS OF ANY FAULT OF DeBartolo Sports and Events LLC dba DeBartolo Sports University, or arising in connection with enforcement of the provisions of this agreement.

Signature of Parent or Guardian:________________________Date:_________

Family Physician:_______________________ Phone #: (_____)___________

Please include special instructions on a separate sheet (medications, allergies, injuries)

Page 27: 2012 Holiday Quarterback Training

Contact Us

For more information or to register, please contact:

DeBartolo Sports University

15436 N Florida Avenue, Suite 200

Tampa, FL 33613

PH: 813.739.4091

FAX: 813.676.2603

Email: [email protected]

www.DeBartoloFootballAcademy.com

www.facebook.com/DeBartoloSportsUniversity

www.twitter.com/DeBartoloSportU

Marriott Waterford is located at:

6300 Waterford Boulevard

Oklahoma City, Oklahoma 73118

Featuring QB Coach Joe Dickinson

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