Entering Grades *Must be 12 years old to spend the night C A M P I N F O R M AT I O N. July 13

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2015 DATES College Prep Skills MSU Kids Serving & Passing Defense Attacking Blocking Setting All Skills Overnight Overnight/Day Competitive Team Shootout Team Day Volleyball Girl s Resident and Commuter s Entering Grades 1-12 For more information about the coaches and our program visit www.msuspartans.com or twitter @MICHSTVB For any Volleyball related questions call our office at 517-353-1756. *Must be 12 years old to spend the night olleyball www.sportcamps.msu.edu @MICHSTVB C A M P I N F O R M AT I O N College Prep Cost: $160.00 (lunch provided) 9:00 a.m. - 4:00 p.m. Skills (entering grades 6-8) Cost: $130.00 (lunch provided) 9:00 a.m. - 4:00 p.m. MSU Kids (entering grades 1-5) Cost: $70.00 (lunch provided) 10:00 a.m. - 2:00 p.m. Check-in: 9:30 a.m. Serving & Passing Defense 1:00-4:00 p.m. Check-in: 12:30 p.m. Attacking Blocking 1:00 4:00 p.m. Check-in: 12:30 p.m. Setting All Skills Overnight Cost: $350.00 Resident $290.00 Commuter Check-in: Thursday, July 16 12:00-1:00 p.m. Spartan Football Stadium, Gate C Overnight/Day Competitive Team Cost: $325.00 Resident $265.00 Commuter Check-in: Monday, July 20 8:00-9:00 a.m. Spartan Football Stadium, Gate C Shootout Team Day Cost: $165.00 (No Housing or Meal options). Check-in: Monday, July 20 1:00 p.m.

Volleyball 2015 DATES College Prep Skills MSU Kids Serving & Passing Defense Attacking Blocking Setting All Skills Overnight Overnight/Day Competitive Team Shootout Team Day Girl s Resident and Commuter s C A M P I N F O R M AT I O N Refund Policy ers unable to attend camp are entitled to a refund. A $55 administrative fee (only $30 if you enrolled online) will be deducted from all refunds, regardless of the reason. Refund requests must be submitted in writing PRIOR to the first day of the camp session in which the camper was originally enrolled. No refunds for any reason (i.e. injury, illness) will be given once a camper is on campus. fax: 517-355-6891 email: msucamps@msu.edu Check-In/Check-Out Time and location of check-in/check-out will be printed on your receipt and sent to you at time of payment. Medical Policy Each participant should have his or her own medical insurance. A student trainer will always be available. Participants are automatically enrolled in MSU s accident insurance plan. Eligible covered expenses will be paid only if they are in excess of other valid and collectible insurance. No physicals are required. R E G I S T R AT I O N I N F O R M AT I O N Register online at www.sportcamps.msu.edu or complete the attached application. Full payment by either check, MasterCard, VISA, Discover or American Express must accompany the application. Make checks payable to Michigan State University. No applications will be accepted before February 1st. You will receive confirmation for receipt of enrollment by mail within 12 15 business days. CONTACT INFORMATION Sports specific questions contact: 517-353-1756 General, Registration and Roommate questions: Walk-In Registration Policy Walk-in registration (signing up on the day camp begins) will be accepted on a space available, first come, first served basis. An additional $10.00 fee will be charged for walk-in registrations. Please note that walk-ins are not guaranteed admission once a camp is full. Cash payment only. No checks or credit cards. MSU Sport Policy Persons enrolled in MSU Sport s will be required to attend all sessions and to comply with the rules and regulations of Michigan State University governing the conduct of all students on the campus. olleyball @MICHSTVB 517-432-0730 www.sportcamps.msu.edu

The Volleyball Application REGISTER AT WWW.SPORTCAMPS.MSU.EDU PLEASE PRINT INFORMATION BELOW OR ENROLL ONLINE Name Address City State Zip Parent or Guardian Daytime Telephone Evening Telephone E-mail Grade in September: Age: Sex: Date of Birth: Ht: Wt: Must be 12 years old to spend the night. Roommate preference: School: REQUIRED FOR TEAM CAMP Adult Shirt Size: S M L XL XXL Please enroll me in the following Volleyball camp: Date Resident Commuter JULY 11 College Prep ----- $160.00 Middle School Skills ----- $130.00 MSU Kids ----- $ 70.00 JULY 13 Serving & Passing ----- $ 65.00 Defense ----- $ 65.00 JULY 14 Attacking ----- $ 65.00 Blocking ----- $ 65.00 JULY 15 Setting ----- $ 65.00 JULY 16-18 All Skills Overnight $350.00 $290.00 JULY 21-23 Competitive Team $325.00 $265.00 JULY 21-23 Shootout Team ----- $165.00 U.S. FUNDS ONLY. Please make checks payable to MICHIGAN STATE UNIVERSITY Check one: Check Mastercard VISA Discover American Express Medical Treatment Authorization Form DOB / / Participant s Name What Sport: Volleyball Date of : Participants are automatically enrolled in MSU s accident insurance plan. Eligible covered expenses will be paid only if they are in excess of other valid and collectible insurance. 1. List any medical conditions that camp personnel should be aware of (use additional pages if necessary): 2. List any medications currently taking: 3. List any allergies: In case of emergency please contact: Name Daytime Telephone Insurance Information: Name of Medical Insurance Company Name of Insurance Policy Holder Medical Insurance Policy Number Evening Telephone Insurance Company Telephone Policy Holder DOB Medical Insurance Group# (if appl), as parent or legal guardian of the participant named above, authorizes MSU to seek medical and/ or surgical treatment which is reasonably necessary to care for the participant. I further authorize the medical facility that treats the participant to release all information needed to complete insurance claims. I acknowledge my responsibility to pay all costs associated with the participant s medical care and authorize all insurance payments, if any, to be made directly to the medical facility. Signature (Parent or Guardian) Date Card Number 3 digit security code Exp. Date Signature Amount of Check/Charge enclosed Send Application and Medical Treatment Form with payment in full to: MICHIGAN STATE UNIVERSITY Sports Office 223 Kalamazoo, Jenison Field House East Lansing, MI 48824-1025 Fax: 517-355-6891

PARENT & ATHLETE CONCUSSION INFORMATION SHEET WHAT IS A CONCUSSION? A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by a bump, blow, or jolt to the head or body that causes the head and brain to move quickly back and forth. Even a ding, getting your bell rung, or what seems to be a mild bump or blow to the head can be serious. WHAT ARE THE SIGNS AND SYMPTOMS OF CONCUSSION? Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If an athlete reports one or more symptoms of concussion after a bump, blow, or jolt to the head or body, s/he should be kept out of play the day of the injury. The athlete should only return to play with permission from a health care professional experienced in evaluating for concussion. DID YOU KNOW? Most concussions occur without loss of consciousness. Athletes who have, at any point in their lives, had a concussion have an increased risk for another concussion. Young children and teens are more likely to get a concussion and take longer to recover than adults. SYMPTOMS REPORTED BY ATHLETE: Headache or pressure in head Nausea or vomiting Balance problems or dizziness Double or blurry vision Sensitivity to light Sensitivity to noise Feeling sluggish, hazy, foggy, or groggy Concentration or memory problems Confusion Just not feeling right or is feeling down SIGNS OBSERVED BY COACHING STAFF: Appears dazed or stunned Is confused about assignment or position Forgets an instruction Is unsure of game, score, or opponent Moves clumsily Answers questions slowly Loses consciousness (even briefly) Shows mood, behavior, or personality changes Can t recall events prior to hit or fall Can t recall events after hit or fall Rick Snyder, Governor James K. Haveman, Director IT S BETTER TO MISS ONE GAME THAN THE WHOLE SEASON

CONCUSSION DANGER SIGNS In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. An athlete should receive immediate medical attention if after a bump, blow, or jolt to the head or body s/he exhibits any of the following danger signs: One pupil larger than the other Is drowsy or cannot be awakened A headache that gets worse Weakness, numbness, or decreased coordination Repeated vomiting or nausea Slurred speech Convulsions or seizures Cannot recognize people or places Becomes increasingly confused, restless, or agitated Has unusual behavior Loses consciousness (even a brief loss of consciousness should be taken seriously) WHAT SHOULD YOU DO IF YOU THINK YOUR ATHLETE HAS A CONCUSSION? 1. If you suspect that an athlete has a concussion, remove the athlete from play and seek medical attention. Do not try to judge the severity of the injury yourself. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says s/he is symptom-free and it s OK to return to play. 2. Rest is key to helping an athlete recover from a concussion. Exercising or activities that involve a lot of concentration, such as studying, working on the computer, and playing video games, may cause concussion symptoms to reappear or get worse. After a concussion, returning to sports and school is a gradual process that should be carefully managed and monitored by a health care professional. WHY SHOULD AN ATHLETE REPORT THEIR SYMPTOMS? If an athlete has a concussion, his/her brain needs time to heal. While an athlete s brain is still healing, s/he is much more likely to have another concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young athletes can result in brain swelling or permanent damage to their brain. They can even be fatal. STUDENT-ATHLETE NAME PRINTED STUDENT-ATHLETE NAME SIGNED DATE PARENT OR GUARDIAN NAME PRINTED PARENT OR GUARDIAN NAME SIGNED DATE 3. Remember: Concussions affect people differently. While most athletes with a concussion recover quickly and fully, some will have symptoms that last for days, or even weeks. A more serious concussion can last for months or longer. JOIN THE CONVERSATION www.facebook.com/cdcheadsup TO LEARN MORE GO TO >> WWW.CDC.GOV/CONCUSSION Content Source: CDC s Heads Up Program. Created through a grant to the CDC Foundation from the National Operating Committee on Standards for Athletic Equipment (NOCSAE).