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With Coach Joe Dickinson Invitation Packet Elite QB & WR Training Academy

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With Coach Joe Dickinson

Invitation Packet

Elite QB & WR Training Academy

Greetings from DeBartolo Sports University…

It is my pleasure to announce that we have partnered with MB Nike SportsCamps to create and offer an all-inclusive Elite training program for highschool and youth aged quarterbacks and wide receivers.

For 6 days and 5 nights, athletes will have the opportunity to train in anintense environment with coaches that have had success developing players atthe NFL, college, high school, and youth level.

The program is led by former University of Oklahoma Offensive CoordinatorJoe Dickinson, who brings over 25 years of Division 1 college coachingexperience exclusively to this program. Together, we have created a trulyElite experience that is modeled after NFL and college mini-camps. At thismini-camp, you will be instructed on how to improve your technical, tactical,and mental ability on the football field.

I invite you to take a closer look at the Elite Quarterback and Wide ReceiverTraining Academy, part of MB Nike Sports Camps, and hope that you wouldconsider joining us for what will be a memorable, rewarding and intense weekof football.

Regards,

Donald EngstromDonald Engstrom

Executive Director

DeBartolo Sports University

Featuring QB Coach Joe Dickinson

Elite QB & WR Training Academy

With Coach Joe Dickinson

ELITE QUARTERBACK ACADEMYProgram Overview

Athletes from across the globe have traveled to DeBartolo Sports University’s Academyprograms in search of the best training. At the Elite QB & WR Training Academy, high schooland youth participants receive instruction on how to improve their technical, tactical, and mentalabilities on the football field. The training program is for 6 days and 5 nights with athlete check-in on Sunday of the training week and check-out on Friday.

Quarterbacks and receivers will participate in approximately 25 hours of positionspecific instruction (15 hours on the field and 10 hours in the classroom).

Overnight Package: Fee includes 25 hours of skill instruction over 6 days, Elite Training Academy performance apparel by Nike, three meals daily, and overnight accommodations. Evening activities are optional but have additional fees.

Extended Day Package: Fee includes 25 hours of skill instruction over 6 days, Elite Training Academy performance apparel by Nike, lunch and dinner. Evening activities are optional but have additional fees (athletes arrive facility between 8:00am and 8:30am and depart at 9:00pm).

Day Package: Fee includes 25 hours of skill instruction over 6 days, Elite Training Academy performance apparel by Nike, and lunch (athletes arrive facility between 8:00am and 8:30am and depart at 5:00pm).

Weekend Stay over: $175 includes housing and meals for Friday night, Saturday and Sunday morning

Featuring QB Coach Joe DickinsonWith Coach Joe Dickinson

Elite QB & WR Training Academy

Orlando, FloridaJune 9 – June 14, 2013

Shawnee High SchoolJuly 12-14 (Day Only)$450 - Newly Added

Boston, MassachusettsJuly 21 – July 26, 2013July 28 – August 2, 2013

Curry College1071Blue Hill AveMilton, MA

Overnight Extended Day Day

Quarterbacks $1,470 $1,200 $895

Wide receivers $770 $620 $470

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

With Coach Joe Dickinson

Elite QB & WR Training Academy

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

With Coach Joe Dickinson

Elite QB & WR Training Academy

Sunday

12:00pm-2:00pm

1:30pm-2:30pm

Overnight athletes arrive and check-in

Extended Day and Day athletes arrive and check-in

3:00pm-4:00pm Players meet coaches and are evaluated

5:00pm Dinner

6:00pm Overnight Athlete Orientation

10:30pm Bed-Check

11:00pm Lights Out

Monday - Thursday

7:30am Wake-up Call

8:00am Breakfast (overnight participants only)

9:00am Morning Meeting

10:00am Morning skill and performance sessions

12:00pm Lunch

2:00pm Afternoon skill session

5:00pm Dinner (overnight and extended day participants only)

6:30pm Evening Activity

10:30pm Bed Check

11:00pm Lights Out

Friday

7:30am Wake-up Call

8:00am Breakfast (overnight participants only)

9:00am Morning Meeting

10:00am Morning skill and performance sessions

12:00pm Lunch

2:00pm Afternoon skills session

Featuring QB Coach Joe Dickinson

Schedule of Events

With Coach Joe Dickinson

Elite QB & WR Training Academy

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

With Coach Joe Dickinson

Elite QB & WR Training Academy

How do I register for the event?

All participants must pre-register for the event. Visit www.USSportsCamps.com/football/debartolo online or submit the forms at the end of this packet. A $250 deposit plus a non-refundable $15 registration fee is required at the time of registration and final payment must be received 3 weeks prior to the start of the program.

Who will my roommate be?

All athletes are housed in dorm rooms. You may request a roommate if coming with a friend.

What supervision is there for young athletes?

Our youth campers are placed in a room adjacent to an Academy Advisor. Academy Advisors are on duty 24 hours.

Will the Elite QB and WR Academy 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.

What do we eat?

All of the meals are prepared by the facility dining hall and served buffet style. 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 and send them home without a refund.

Will I need any spending money?

Many athletes and parents have inquired as to how much extra spending money an athlete will need per week. We feel that approximately $50 per week will be needed to buy an evening snack, an occasional soda and price of admission for our selected, well-chaperoned and supervised off-campus trips. Cash may be placed in the athletes account or you may charge this money to a credit card (and we will place cash into their bank). Money and other valuables should be kept in the camp's bank. The bank will be available to the athletes to withdraw/deposit money and valuables at scheduled times and prior to any off-campus trip or event. At check in, you will be able to “deposit” your money into the camp bank. Any deposits or withdrawals must be signed by the camper and by the staff member handling the transaction.

What should I bring with me?

10 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. MB Nike Sports Camps and DeBartolo Sports University are not responsible for lost or stolen items. Please do not bring any unnecessary or expensive items.

All overnight athletes must bring a $100 key deposit. We will collect this at check in. You will get the key deposit back at check out if your child has not lost their key. If an athlete loses their key, the facility charges $100 to replace it. Also, if a child locks their key in their room, the facility charges $5 to open the doors after the first offense. The $5 will be deducted from the $100 deposit each time a camper has a lock out after the 1st time.

Frequently Asked Questions

Featuring QB Coach Joe DickinsonWith Coach Joe Dickinson

Elite QB & WR Training Academy

If you have to cancel, for any reason, we will issue you a credit for all tuition fees paid, that may be used towards a future DeBartolo / MBSC program and valid through the following summer. Your credit is transferable to any family member and may be used in the sport that you are initially registered in. Cash refunds will be given only with the purchase of Cancellation Protection (see terms below).

Athletes who leave during their session, will receive a pro-rated credit, valid through the following summer. Athletes who do not check-in or attend their registered session will receive a credit for all camp fees paid, valid through the following summer with the same rules as previously stated.

Cancellation Protection

US Sports Camps offers our camp families Cancellation Protection for $35 per session, due at the time of registration. Cancellation Protection entitles you to a full refund of your camp tuition fees paid to date (Please note: $35 Cancellation Protection and Registration fee are non-refundable.) if you cancel for any reason before your final payment date (the first day of the month prior to the month your camp begins, i.e. final pay date of May 1st for any camp in your sport beginning in the month of June).

With Cancellation Protection, if you cancel after your final payment due date, we will issue you a camp credit for your tuition payments made. Your camp credit will be transferable to an immediate family member and can be used for the sport in which you were registered. Camp credits are valid through 2013.

I have read and agree to the Cancellation and Refund Policy:

__________________________________________ ____ /____ /____

Signature of Parent or Guardian Date

Cancellation / Refund Policy

Featuring QB Coach Joe DickinsonWith Coach Joe Dickinson

Elite QB & WR Training Academy

About DeBartolo Sports UniversityEdward DeBartolo Jr., five-time Super Bowl Championship owner of the San Francisco49ers 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 athletesand coaches improve their skills, realize their talents, and maximize their potentialthrough unparralleled development programs.

We aim to help athletes and coaches improve their skills, realize their talents andmaximize their potential. DSU is a sports educational organization, dedicated toteaching, coaching, training and empowering student-athletes to achieve their potentialboth 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 similartraining fundamentals are necessary to succeed in all sports. Whether it is football,lacrosse, baseball, or basketball, DSU will provide athletes and coaches with first classinstructors and first class events. DSU specializes in sport specific and position specifictraining and all of our programs were created as first class training and developmentprograms for amateur athletes.

The focus of DSU is to bring young talent to the forefront by offering developmentalprograms, designed to help amateur athletes and coaches reach their potential throughcoaching and mentoring from the pros. The training and development experts have notonly played and coached at the highest professional level, but have trained some of themost successful professional athletes. With mentors like Joe Montana and Jerry Riceand coaches like Joe Dickinson, DSU offers athletes a once in lifetime opportunity.

With Coach Joe Dickinson

Elite QB & WR Training Academy

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)

With Coach Joe Dickinson

Elite QB & WR Training Academy

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 ______

Mother’s Name: __________________ Father’s 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 DickinsonWith Coach Joe Dickinson

Elite QB & WR Training Academy

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

Credit Card Number:

Credit Card Expiration: CVC Code:_____ / _____ ___________

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

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

Payment Terms: A $250 deposit is required at the time of registration and final payment is due by June 1.

With Coach Joe Dickinson

Elite QB & WR Training Academy

As a participant in the DeBartolo Sports University programs (“Event”), I acknowledge that participation in the Eventexposes me to a possible risk of personal injury. I assume full responsibility for any and all such risk engaging in theseactivities, 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 forlawsuits, 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, independentcontractors and affiliates, from any and all liability from property damage, personal injuries or other claims arising from orin 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 orother 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 demandshereby waived, released or discharged by me.

I will defend, indemnify, and hold harmless Company , including and attorney’s fees, from any lawsuits, claims or damagesarising in connection with my actions or activities on or off of the Event premises, regardless of any fault of Company, orarising 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 toCompany royalty free the right and authority to use, sell, reproduce, and distribute, quoted material, biographicalinformation, 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 deemappropriate. I acknowledge that I have read and fully understand this Injury Waiver and General Release Form. Thisagreement will be binding on me, my spouse, my children, legal representatives, heirs, successors and assigns. Company isthe sole owner of all rights in an to the materials and shall have the sole right to broadcast such materials in whole or inpart 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 beensigned by Subject. Parents also represent, warrant and agree that Parents (is)(are) entitled to the care and custody ofSubject 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 andGeneral Release Form signed by Subject; that Parents hereby acknowledge that Parents have read the Injury Waiver andGeneral Release Form and are satisfied that it is fair and equitable for the benefit of Subject; and that Parents will notrevoke 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

With Coach Joe Dickinson

Elite QB & WR Training Academy

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 DeBartoloSports and Events LLC dba DeBartolo Sports University is authorized to administer orconsent 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 anycontraband or dangerous instrument; to allow participation in and to transport mychild(ren) for recreational activities including but not limited to , amusement parks,theaters, shopping centers, sporting attractions, etc.; My signature below indicates thaton behalf of myself, my spouse, and my minor child(ren), I acknowledge and agreethat;

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

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

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

Signature of Parent or Guardian:________________________Date:_________

Family Physician:_______________________ Phone #: (_____)___________

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

With Coach Joe Dickinson

Elite QB & WR Training Academy

Contact Us

For more information or to register, please contact:

DeBartolo Sports University750 Lindaro Street, Suite 220

San Rafael, CA 94901PH: (800) 433-6060

FAX: (415) 479-6061Email: [email protected]

USSportsCamps.com/football/debartolowww.facebook.com/DeBartoloSportsUniversity

www.twitter.com/DeBartoloSportU

Featuring QB Coach Joe DickinsonWith Coach Joe Dickinson

Elite QB & WR Training Academy