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Gary Stevens

Quarterback & Receiver Academy

AT ST. EDWARD HIGH SCHOOL

OFFERED TO BOYS ENTERING GRADES 8 - 12

DATES: TIME: LOCATION: COST:

MONDAY, JUNE 28, 2010 ­ THURSDAY, JULY 1, 2010 1 PM ­ 4 PM ST. EDWARD HIGH SCHOOL 13500 DETROIT AVENUE, LAKEWOOD, OH 44107 $100 NON-REFUNDABLE (Includes T-shirt)

WHAT TO BRING: FOOTBALL HELMET, FIELD TURF SPIKES, AND WATER MEDICAL: QUESTIONS: CERTIFIED ATHLETIC TRAINER ON SITE PLEASE CALL ST. EDWARD ATHLETIC OFFICE AT 216-521-8828

FOCUS OF THE CAMP

This camp is designed to provide the high level athlete with advanced techniques and coaching points that will enhance their performance. Staffed by former college and professional players, the academy will provide proven techniques to increase understanding of the game and the finer points necessary to perform to maximum ability. CAMP INSTRUCTORS GARY STEVENS ­ Former Offensive Coordinator for the Miami Dolphins and The Miami Hurricanes / Coached Hall of Fame NFL Quarterback Dan Marino, Cleveland Browns Quarterback Bernie Kosar, Buffalo Billls Quarterback Jim Kelly and Heisman Trophy Winner Gino Torreta. Bernie Kosar - Cleveland Browns Dan O'Leary - Buffalo Bills Tom Arth - Indianapolis Colts Gino Torreta ­ Heisman Trophy Winner Bam Childress ­ New England Patriots Elvis Grbac ­ University of Michigan Rick Finotti ­ Head Coach, St. Edward Russ Jacques ­ Head Coach, Strongsville Nick Restifo ­ Offensive Coordinator, St. Ignatius Joe Perella ­ HS, College & Pro Offensive Coordinator John Storey ­ Head Coach, VASJ Joe George - Offensive Coordinator, Benedictine

[Registration Form on Reverse]

Gary Stevens

Quarterback & Receiver Academy

2010 GARY STEVENS QUARTERBACK & RECEIVER ACADEMY REGISTRATION & WAIVER

NAME ADDRESS: CITY: HOME PHONE: SCHOOL: Adult T-Shirt Size (check one): ( ) Small ( ) Medium ( ) Large ZIP CODE: EMAIL: AGE:

EMERGENCY PHONE: Date of Birth: ( ) XL ( / ) XXL /

WAIVER

The undersigned who are parent(s) / guardian(s) having care and custody of the participant listed above, a minor, for themselves and on behalf of the participant and the participant's representatives, assigns, heirs, executors and administrators, fully release the Gary Stevens Football Camp, it's instructors and other participants (collectively, "The Camp") and Saint Edward High School, it's employees, staff, officers, agents, trustees and students (collectively, "The School") from any and all claims, rights and actions that may arise out of the participant's involvement in the camp. This waiver and release is being given in consideration of the participant's taking part in the camp. By signing this document, the I/we intend to be legally bound by it. This waiver, release and discharge is intended to be effective as to any and all claims that the undersigned and the participant may have, or which may accrue against the Camp or the School, as liability for current and future injuries, damages or losses to the participant's person or property, whether known, unknown, foreseen or unforeseen. I / we understand and acknowledge the significance and consequences of the specific intention to release all claims, and agree to assume full responsibility for any injuries, damages or losses that the participant may incur. I / we acknowledge and agree that participation in the camp involves physical and sports related activity, and that such activities may result in injury to the participant, and in addition to the foregoing waiver and release, I / we hereby expressly waive and release the camp and the school from liability for any such injuries. I / we have read and understand this document and have executed this document freely and voluntarily. In the event that reasonable attempts to contact me have been unsuccessful, I hereby give my permission for the administration of any treatment deemed necessary by a licensed physician or dentist and, if necessary, the transfer of the participant to any hospital that is reasonably accessible.

Student Signature: Parent or Legal Guardian Signature:

Mail form, fee, and waiver to: St. Edward Football Camp 13500 Detroit Avenue, Lakewood 44107

SPACE IS LIMITED AND CAMP WILL FILL UP QUICKLY

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Gary Stevens Registration

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