Missouri State University Springfield, MO

June 10-13, 2020

Students apply every taping/wrapping

techniques they learned on some of the

camp leaders!

Students say goodbye to their new friends

and hello to what could be a new piece of

their future!

2020 Bear’s Athletic

Training/ Sports

Medicine Camp

Registration Form

Participant’s name:__________________________

Address:___________________________________

City:________________ State:_____ Zip:_________

T-shirt Size: XS S M L XL XXL

Parent’s Name:_____________________________

Home phone( )_____________________________

Cell phone( ) ______________________________

Email:_____________________________________

Emergency contact name and number:

__________________________________________

Grade for school year 2020-2021:_____________

Name of School:____________________________

Camper type: Resident or Commuter

Camp Level: Level One or Level Two

Gender: Male or Female

Parent’s Release & Indemnity Agreement

We (or) I hereby request you accept the application for enrollment of ______________ in the

2020 Bear’s Athletic Training/Sports Medicine (AT/SM) Camp during the dates set forth in this

application, and in consideration of your acceptance of the application, we (or I) (whether one

or more) hereby release the Bear’s AT/SM Camp and the Board of Governors of MSU and all

their employees and agents from all claims on account of any injuries which may be sustained

by our (or my) minor child while attending the 2019 Bear’s AT/SM Camp and its employees and

agents for any claim which may hereafter be presented by our (or my) minor child as a result of

such injuries. I (or we) authorize and provide consent for licensed medical providers or MSU

Magers Health Center physicians and staff to administer any medical procedure or treatment

which may be deemed medically advisable by the attending physician including diagnostic

testing and examination should my child become injured or sick during the camp.

Parent’s/Legal Guardian Signature:_______________

For more information:

Visit our website:

http://sportsmed.missouristate.edu.

Or Call

417-836-8553 (phone)

To secure your spot, please return registration form (on back) by May 31st. Late registration will be accepted based space availability.

Registration Options

Residents: Individual will stay on-campus in a residential hall and all meals will be provided.

Cost $350 ($375 after May 31 if late registration is available).

Commuter: individual will come to campus daily for camp activities, lunch will be provided.

Cost $310($325 after May 31 if late registration is available).

Camp Level

Level One: Students attending camp for the first time

Level Two: Students returning to advance their skills

All Participants receive

• Camp t-shirt

• Lunch (breakfast and dinner for residents)

• A great education and a lot of fun!

Send Registration to

Send completed form (on back) to:

Missouri State University

901 S National Ave, PROF 160

Springfield, MO 65897

Or register on-line

https://sportsmed.missouirstate.edu

For more information call or email:

417-836-8553 or smat@missouristate.edu

Camp Highlights

• One-on-one instruction in taping and wrapping techniques

• Experience life on the MSU campus

• Most affordable AT camp around

• Behind the scenes tours of the athletic facilities on and off campus.

• Additional topics covered include: wound care, injury prevention, common injuries, concussions, heat

illnesses, environmental concerns, performance enhancement, and much more.

• Athletic Training Olympics - time to show off your skills in a head to head competition

The Bear’s Athletic Training/Sports

Medicine Camp is designed for high school

students who are interested in gaining

basic athletic training knowledge and skills.

Camp participants will have the opportunity

to work along side nationally certified and

Missouri licensed athletic trainers and meet

current MSU athletic training students and

athletes.

Registration Information