HELPFUL FACTS & INFORMATION
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Campers must have signed registration form (including a copy of a recent physical), a copy of your insurance card, and full camp payment on record. Includes: Housing (Durham Hilton), Meals, Insurance, Shirts, Shorts, Sport Bag, Football, Notebook and Instructional Material What is the David Cutcliffe QB College?
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2 HELPFUL FACTS & INFORMATION GENERAL FOOTBALL CAMP Sunday, June 2 & Saturday, June 15, 2013 Day Camp Only Rising 9th-12th Graders (Fall of 2013) Registration: 9 AM - 10 AM each day Pick up: 4:30 PM each day $50 BIG MAN CAMP Sunday, June 9 - Monday, June 10, 2013 Offensive Line/Defensive Line Overnight Camp Rising 9th-12th Graders (Fall 2013) Registration: 1 PM 3 PM June 9th Pick up at 5 PM on June 10th * On Field and Classroom Instruction $200 KICKING CAMP Wednesday, June 12 - Thursday, June 13, 2013 Overnight Camp Rising 7th-12th Graders (Fall 2013) Registration: 1 PM 3PM June 12th * On Field and Classroom Instruction Kickers -$300 Long Snappers -$200 YOUTH FOOTBALL CAMP Sunday, June 9 - Wednesday, June 12, 2013 Day Camp Only Ages: 6-14 Registration: 11 AM - 1 PM June 9th Drop Off at 8 AM June 10-12th Pick up at 4:30 PM each day $250 DAVID CUTCLIFFE QB COLLEGE Thursday, June 13 - Friday, June 14, 2013 *Space is limited to the first 70 applicants* Overnight Camp Rising 9th-12th Graders (Fall of 2013) Registration: 11 AM - 1 PM June 13th Pick up: 5 PM June 14th $400 Includes: Housing (Durham Hilton), Meals, Insurance, Shirts, Shorts, Sport Bag, Football, Notebook and Instructional Material What is the David Cutcliffe QB College? Learn the fundamentals of what it takes to become the best QB you can be. Intense on the field and in the classroom instruction. On the field instruction to include the following: drills, footwork, drops, decision-making, touch throws, deep throws, pump techniques and much more. Classroom instruction to include: drill fundamentals, throwing techniques, reading coverages, route concepts, leadership techniques, reading defensive fronts, making all the throws and accuracy techniques. The greatest thing about Coach Cutcliffe is his ability to teach the game of football. He works so well with quarterbacks in particular, and teaches them how to lead from that position. Eli Manning, QB NY Giants Super Bowl MVP, #1 Draft pick 2004 A national reputation that is second to none when it comes to developing quarterbacks and great offense. Tony Barnhart CBS Sports David Cutcliffe is an offensive mastermind. He does an excellent job with quarterbacks. Peyton Manning paid him the highest compliment when he tells all quarterbacks just do what he says, PERIOD. Mike Patrick ESPN Registration for the General Football Camp, Big Man Camp, Kicking Camp and Youth Camp will be at the Pascal Field House (Indoor Facility). Registration for the Quarterback College will take place at the Durham Hilton. Campers must have signed registration form (including a copy of a recent physical), a copy of your insurance card, and full camp payment on record. Campers need workout gear (wear practice shorts, T-shirts, socks, and cleats), tennis shoes and sunscreen. No refunds for any reason will be given once a camper has registered. Full payment by check or money order must accompany the registration form. For more information or to register online visit
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4 EXPERIENCE COUNTS DUKE STAFF HAS COACHED OR RECRUITED 16 SUPERBOWL CHAMPIONS 33 1ST ROUND PICKS 17 PRO BOWLERS 179 NFL PLAYERS 13 ALL PRO S THE DUKE STAFF HAS 20 YEARS OF NFL PLAYING OR COACHING EXPERIENCE
5 APPLICATION Check which camp you are attending: HEALTH INFORMATION Past Injuries / Illnesses General Football Camp Sunday, June 2, 2013 $50 General Football Camp Saturday, June 15, 2013 $50 David Cutcliffe QB College June 13-14, 2013 $400 Youth Football Camp June 9-12, 2013 $250 Big Man Camp (OL/DL) June 9-10, 2013 $200 Kicking Camp (Kickers) June 12-13, 2013 $300 Kicking Camp (Long Snappers) June 12-13, 2013 $200 Last Name First Name MI Home Address City State Zip Home Phone Age Address Parent / Guardian Name Phone# Height Weight Position Offense Defense Name of School Grade Next Fall (HS grads not permitted) QB, KICKING, AND BIG MAN CAMPS ONLY Shirt Size Shorts Size Registration Check List: Full Camp Payment Copy of insurance card (both sides) Copy of recent physical (within 1 year). A school physical will work. Parent / Guardian signature on form Current Medical Conditions Family Physician Insurance Company Policy# The undersigned, being a parent or legal guardian of the child requesting camp admittance, does hereby affirm the applicant is in good health, and suffers no illness, disability or condition that requires the taking of medication on a regular basis unless that condition is disclosed and approved. Furthermore the undersigned has no knowledge of any reason the applicant cannot participate in vigorous activity. The undersigned hereby expressly agrees to be responsible for any medical bills incurred in the treatment of any illness or accident. In the event of such accident or injury, I hereby consent to allowing any of the camp supervisors to procure any medical treatment deemed advisable on behalf of my child or ward without prior consent. No medical insurance is provided by the Duke Football Camp or Duke University. I understand that, as a condition of admittance as a camper, the undersigned on behalf of all parents and guardians, and on behalf of the applicant, hereby release the Duke Football Camp, Duke University and all other employees or agents of the camp from any and all liability from injury or illness, mental or physical, suffered by the camper during or related to camp, unless caused by willful act of gross negligence by the person or entity against whom the claim is made. Campers Name Parent /Guardian Signature Date PAYMENT Enclose Check or Money Order payment in full payable to Duke Football Camp. Return application, all medical documents, copy of insurance card, and full payment to: Duke Football Camp Box Yoh Football Center Durham, NC QUESTIONS Contact (919) or dukefootball@duaa.duke.edu Online registration available at
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Medical Insurance Waiver. Name: Primary Care Physician: Office Phone Number: Is camper currently being treated by a physician for injury or illness?
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