waiver - loras college women's basketball camps...july 29 - aug 1, 2019 please read this form...
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LORAS WOMEN’S BASKETBALL
SKILLS CAMPJULY 29-AUG 1, 2019
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INDEMNIFICATION AGREEMENTWAIVER AND RELEASE OF ALL CLAIMSPERMISSION TO SECURE TREATMENT
Loras College Women’s Basketball Skills CampJuly 29 - Aug 1, 2019
Please read this form carefully and be aware that by participating in the Loras College Women’s Basketball College Prep Camp on July 29- Aug 1, 2019 (hereinafter Event) you will be waiving and releasing all claims for injuries, agreeing to indemnify, hold harmless and defend Loras College from all claims arising out of such injuries even if caused by Loras College and authorizing Loras College to obtain emergency healthcare at your expense.
I, on behalf of myself and, on behalf of any child/ward of mine participating in the Event as well as any parent/guardians of such child/ward (hereinafter individually and collectively referred to as “Participant”), acknowledge understanding of the requisite skills and qualifications necessary to properly and safely participate in the Event and hereby agree to assume the full risk of any injuries, including death, damages or loss regardless of severity, which Participant may sustain as a result of, arising out of, connected with, or in any way associated with the Event.
Participant agrees to waive and relinquish all claims Participant may have as a result of the Event against Loras College and its employees and agents and does hereby fully release and discharge Loras College and its employees and agents from any and all claims for injuries, including death, damage or loss which Participant may have or which may accrue to Participant as a result of, or arising out of, connected with, or in any way associated with the Event, even if caused by the negligence of Loras College, its employees or agents.
Participant further agrees to INDEMNIFY AND HOLD HARMLESS AND DEFEND Loras College and its employees and agents from any and all claims for injuries, including death, damages and losses sustained by Participant as a result of, arising out of, connected with, or in any way associated with the Event, even if caused by the negligence of Loras College, its employees or agents..
Participant further understands that Loras College does not carry insurance for injuries sustained by Participant. Therefore, Participant must look to their own health insurance policy for any injuries sustained in connection with or arising out of this Event. Participant’s failure to purchase health insurance coverage does not make Loras College responsible for payment of medical or other expenses.
In the event of an emergency, Participant authorizes Loras College to secure any treatment deemed necessary from any licensed hospital, physician, and/or medical personnel and agrees to be responsible for payment of any and all services rendered. If any provision herein is held invalid or unenforceable for any reason, Participant understands and agrees that the remaining provisions will continue in full force and effect.
Participant has read and fully understands this entire document and declares that all information supplied by Participant is accurate and current.
Participant Name(s) :________________________________________________________ (Parent) (Child)Address: ___________________________________________________________________
Participant Signature(s): ____________________________________________________(Must be signed by Parent or Guardian if any Participant is a minor)
Relationship to Participant (if Participant is a minor):___________________________________________________________________________
WAIVER
@DUHAWKWBBLORAS COLLEGE WOMEN’S BASKETBALL
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GRADESGrades 3-8 (Based on fall 2019-20 school year)
SCHEDULE8:30 a.m. - 1:30 p.m. with lunch served in the Cafe
LOCATIONAll activities held in the Athletic & Wellness Center(1600 Cox Street, Dubuque, IA 52001-4327)
FORMATThe main focuses of this camp are on communication, team building, energy, and the basic fundamentals of basketball. Each camper will have the opportunity to improve on her individual skills, both offensively and defensively, work with ball handling, passing, shooting, rebounding, and 5-on-5 game play. For more information, check out, www.lorasgirlsbasketballcamp.com
COST$130/participantIncludes: meals, t-shirt, and prizesWe are unable to refund cancellations after July 16, 2019.Wrap around child care provided after camp for $5/hour until 5:00 p.m.
DEADLINERegistration (by mail or online), payment, and signed waiver due by July 16, 2019.
NEED MORE INFO?Please call:Justin HeinzenCamp DirectorHead Women’s Basketball [email protected]
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STAFF
CAMP INFO
DUHAWKS.COM
JUSTIN HEINZENHEAD COACH / CAMP DIRECTOR
Heinzen begins his 13th season as head
women’s basketball coach at Loras College.
During his tenure at the helm of the Duhawks, Heinzen has
compiled an overall coaching record of 180-116 which includes
11-straight appearances in the Iowa Intercollegiate Athletic
Conference Tournament.
During the 2018-19 season, Heinzen led the Duhawks to their
third trip to the NCAA Tournament in six seasons.
Heinzen graduated from Wisconsin Lutheran in 2004 with a
bachelor’s degree in American History and a minor in political
science. Today, the Manitowoc, Wis. native resides in Dubuque
with his wife, Kristina, daughter, Paityn, and son, Brayden.
@DUHAWKWBB LORAS COLLEGE WOMEN’S BASKETBALL
Kent begins her third season as the primary
assistant at her alma mater. During her time
at Loras, Kent was an All-Conference selection and appeared
in 106 games, averaging 7.4 points per game and was a 39.5
percent shooter from the floor. Following her playing career,
Kent was a volunteer assistant for Justin Heinzen during the
2013–14 season in which Loras won the IIAC Regular Season
Championship and Tournament Championship and advanced
to the NCAA Tournament. Kent currently resides in Dubuque.
BRIT KENTASSISTANT COACH