Waiver, Release of Liability and Consent to Medical Attention

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Waiver, Release of Liability and Consent to
Medical Attention
In exchange for my being allowed to
participate in the Cutting Edge Fitness
(CEF) program (the “Activity”), I and if
I am not yet 18 years of age, my
parent or legal guardian (individually
and collectively referred to below in the
first person singular) agree to be
bound by each of the following:
Identification of Risks – I understand
that participation in the Activity my
involve risk of injury, disability.
Assumption of Risk – I am physically
and psychologically ready to participate
in the Activity and assume all risks
connected with my participation in the
Activity. I accept personal responsibility
for any liability, injury, loss or damage
in any way connected with my
participating in the activity.
Waiver and Release – I release and
discharge CEF and each of their
employees, from all claims for any
liability, injury, loss or damage in any
way connected with my participation in
the Activity, whether or not caused in
whole or part by the negligence of any
of the organizations or individuals
mentioned above. I intend for this
waiver and release to also apply to
my relatives that might pursue any
legal action or claims for such
liability, injury, loss or damage.
I further intend that this waiver and
release shall be effective indefinitely,
including participation in other
programs or opportunities of CEF.
Consent to Medical Treatment – I
agree that CEF (including its
employees) may, but has no duty to
provide medical treatment
Provide me, through medical
personnel of their choice, customary
medical or training assistance,
transportation, and emergency medical
services.
I have read this Waiver, Release
and Consent form and understand
that I have given up substantial
rights by signing it. I am signing
this Waiver, Release and Consent
form voluntarily.
Signature__________________________
_______________________
Date:_______________________
If the person(s) participating in the
Activity, is not yet 18 years old:
As a parent or legal guardian of the
child (children) named on the
Membership Application, I verify that
I fully agree to, understand, and
accept all provisions of this Waiver,
Release and Consent form.
Signature_______________________________
___________________
Date:_______________________
Philosophy: To enhance athletic performance &
conditioning levels in speed/agility. This IS NOT a
conditioning camp however, every movement will
be done at 100% intensity. The highest quality of
coaching & instruction will be given to you;
correcting & improving your running form. We want
to give you the understanding of how the body
works biomechanically & the confidence to
correct your own running form. 40 yard dash, Pro
shuttle & L-Cone Drill will be the main emphasis in
improving your times.
Who Benefits:
Collegiate athletes looking to improve in the
testing: 40 yard dash, pro shuttle, or L-Cone Drill.
Athlete’s looking to improve speed & agility for
their respective sports/season. It does not matter
what sport you play or what shape you are in; this
camp will enhance your overall athleticism & give
you the confidence to compete at the highest
level of competition.
What to Bring:
*Proper footwear (Cross-Trainer works best)
*Water Bottle 30-40 oz. (be sure to drink plenty
throughout the day-100oz)
*Clothing- loose, breathable, light colored
*Eat 2 hours prior to camp. Bring something to eat
as well (NO CANDY OR SODA!) A snack with Protein
& Carbohydrates is preferable.
Camp Head Coach:
June 16th – July 31st, 2014
For male and female athletes
Middle/High School/College Level
Jason Laube M.Ed.,USAW.
Owner & Director of Sports Performance
j_02_laube@hotmail.com
www.cuttingedge-fit.com
Special Guest Appearances by:
John Arnold
*Retired*
Detroit Lions
WR, 7 yrs. NFL
Jason Laube has a Master’s of Education in
Exercise Physiology & Nutrition from the
University of Minnesota & brings 11 years of
coaching experience. Jason has worked with
some of the best athletes in the NFL (Kansas
City Chiefs); NFL Europe (Amsterdam Admirals:
World Bowl XIII Champions); University of
Minnesota Golden Gophers - Assistant Director
of Strength & Conditioning/Football; 2 WNBA
Basketball Players; Olympic Athletes/NFL
Athletes (Velocity Sports Performance –
Missouri City, Texas), & 12 Varsity sports at
UW-River Falls. Jason has also coached twoyears at the University of UW-River Falls Assistant Outside Linebacker/Strong Safety
Coach. Jason is owner & Sports Performance
Director at Cutting Edge Fitness.
Areas of Focus:
Football:
Football Testing Drills
1.) 3-Cone Drill
2.) 40 yd Dash
Increase Speed/Power & Leg Strength,
Strengthen Core/Hip Flexors, Enhance Agility &
Foot Speed, Improve Muscular Endurance,
Increase Plyometrics & flexibility, Improve Route
Running, Educate on Proper Warm-up/Cooldown
Baseball:
Work on First Steps Stealing Bases, Increase
Lateral Agility & flexibility, Eliminate Wasted
Motions, Increase Explosive Power in
Hips/Trunk, Strengthen Core, Increase Leg
Strength/Explosive Power, Proper throwing
Technique & base running, Educate on Proper
Warm-up/Cool-down
Soccer:
Incorporating Soccer Specific Drills
1.) Pro Agility
2.) 3-Cone Drill
3.) T-Cone Test
4.) 60 yd Shuttle
Increase Leg Strength/Explosive Power, Enhance
Lateral Speed, Strengthen Core/Hip Flexors/Hip
Mobility, Improve Muscular Endurance, Increase
Flexibility, Reduce the likelihood of an injury, Educate
on Proper Warm-up/Cool-down
Basketball:
Incorporating Basketball Specific Drills
1.) 3-Cone Drill
2.) Pro Agility
3.) 60 yd Shuttle
Increase Vertical Jump, Increase Leg
Strength/Explosive Power, Enhance Foot Speed,
Strengthen Core, Improve Muscular Endurance, Reduce
the likelihood of an injury, Enhance Lateral Speed,
Improve Shot Form, Increase Flexibility, Educate on
Proper Warm-up/Cool-down
Volleyball:
Incorporating Volleyball Specific Drills, Increase Vertical
Jump/Explosive Power, Leg & Core Strength, Enhance
Foot Speed, Improve Muscular Endurance, Reduce
injury, Enhance Lateral Speed, Improve Blocking ability
& Flexibility, Educate on Proper Warm-up/Cool-down
Track:
Improve Running Form Mechanics, Work on Block
Starts, Increase Speed/Explosive Power, Strengthen
Core/Hip Flexors/Hip Mobility, Increase Muscular
Endurance & Flexibility, Educate on Proper Warmup/Cool-down
Hockey:
Incorporating Dry-Land Hockey Specific Drills
1.) Pro Agility
2.) 3-Cone Drill
3.) T-Cone Test
4.) Line Drills
Increase Leg Strength/Explosive Power, Enhance
Lateral Speed, Strengthen Core/Hip Flexors/Hip
Mobility, Improve Muscular Endurance & Flexibility,
Reduce likelihood of an injury, Educate on Proper
Warm-up/Cool-down
Registration fee:
Registration Form
Summer Sports Performance
Camp
June 16th - July 31st
Clear Lake Lions Football Field & Track
Rain Site: CEF facility. You will be
notified.
Monday – Thursday
5:30 – 7 p.m. (BE EARLY!!!)
Name
__________________________________
Address______________________________
______________________________________
______
Phone /Cell
_____________________________
Email________________________________
____
Date of Birth
_____________________________
Shirt Size: (Adult sizes)
____________________
7 weeks - $540
6 weeks- $432
5 weeks - $400
4 weeks - $320
2 weeks - $160
1 week - $100
*Drop in fee $25/class*
*Weeks do not need to be
consecutive.
Please return payment & completed
waiver (reverse side) to:
CUTTING EDGE FITNESS 5 Team
Quest Way, Clear Lake, IA. 50428
641-357-5515
Checks payable to Jason Laube
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