E Q U I P M E N T

Cross Country

Cross CountryCOED Resident and Commuter

Ages 13-18 years old

Registration: Spartan Stadium (South off Shaw Lane) Park and proceed to Gate C

Check-in: Noon - 1:00 p.m. (Monday)

Check-out: 11:15 a.m. (Thursday)

Camp fees: Resident Camp (includes all meals) $375.00Commuter Camp (includes lunch and dinner) $290.00

*$25 Discount if you enroll BEFORE May 1

This Summer We Train Like Spartans!

www.sportcamps.msu.edu

3 workout sessions a day

Run on the trails on the beautiful MSU campus

Learn how to train like a champion

C A M P F E AT U R E S Warm-up pants and extra tops

(regardless of temperature)

Workout gear to run in

Water bottle

1-2 pair of running shoes

Swimsuit

Director of Cross Country and Track & Field Walt Drenth, Assistant Coaches Lisa Senakiewich and Aaron Simoneau, and renowned Spartan athletes encourage you to join us for the Michigan State Cross Country Camp! Spend 4 days learning and training with one of the most competitive teams in the nation.

July 6-9

2015 DATES

2014 Women’s Cross Country National Champions

Women’s Big Ten Cross Country Champions 2010, 11, 13, 14

Cross Country

Resident and Commuter CampsFor Boys and Girls Ages 13-18

C A M P I N F O R M AT I O N

Resident campers MUST be 12 years old to spend the night.

Refund PolicyCampers 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-OutTime and location of check-in/check-out will be printed on your receipt and sent to you at time of payment.

Medical PolicyEach 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.

MealsBreakfast 7:00 a.m. – 8:30. a.m.Lunch 11:30 a.m. – 1:30 p.m.Dinner 4:00 p.m. – 6:30 p.m.

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.

R E G I S T R AT I O N I N F O R M AT I O N

Walk-In Registration PolicyWalk-in registration (signing up on the day camp begins) will be accepted on a space available, first come, first served basis. An additional $25.00 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 Camp PolicyPersons enrolled in MSU Sport Camps 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.

CONTACT INFORMATION

Sports specific questions contact:

517-353-6357

General, Registration andRoommate questions:

517-432-0730www.sportcamps.msu.edu

Cross Country

July 6-9

2015 DATES

2014 Women’s Cross Country National Champions

Women’s Big Ten Cross Country Champions 2010, 11, 13, 14

Medical Treatment Authorization Form

___________________________________________________ DOB___/____/____Participant’s Name

What Sport: _________________________________________________________

Date of Camp: ______________________________________________________

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 Evening Telephone Insurance Information:

Name of Medical Insurance Company Insurance Company Telephone

Name of Insurance Policy Holder Policy Holder DOB

Medical Insurance Policy Number 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

Send Application and Medical Treatment Form with payment in full to:

MICHIGAN STATE UNIVERSITYSports Camp Office

223 Kalamazoo, Jenison Field HouseEast Lansing, MI 48824-1025

Fax: 517-355-6891

The Cross Country Camp ApplicationREGISTER 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:

______________________________________________________________________

Number of years running: _________

Typical summer weekly running mileage: _________

Best performances: 400____ 800____ Mile____ 3200____ 5K____

Team: _______________________________________________

Shirt Size: □ Small □ Medium □ Large □ X-Large □ XX-Large

Camp Date Resident Commuter

July 6-9 □ $375.00 □ $290.00

U.S. FUNDS ONLY.Please make checks payable toMICHIGAN STATE UNIVERSITY

Check one:□ Check □ Mastercard □ VISA □ Discover □ American Express

Card Number

3 digit security code Exp. Date

Signature

Amount of Check/Charge enclosed

Cross Country

July 6-9

School

Please enroll me in the following Cross Country camp:

DID YOU KNOW?

• Mostconcussionsoccurwithoutlossofconsciousness.

• Athleteswhohave,atanypointintheirlives,hadaconcussionhaveanincreasedriskforanotherconcussion.

• Youngchildrenandteensaremorelikelytogetaconcussionandtakelongertorecoverthanadults.

PARENT & ATHLETE CONCUSSIONINFORMATION SHEET

WHAT IS A CONCUSSION?

Aconcussionisatypeoftraumaticbraininjurythatchangesthewaythebrainnormallyworks.Aconcussioniscausedbyabump,blow,orjolttotheheadorbodythatcausestheheadandbraintomovequicklybackandforth.Evena“ding,”“gettingyourbellrung,”orwhatseemstobeamildbumporblowtotheheadcanbeserious.

WHAT ARE THE SIGNS AND SYMPTOMS OF CONCUSSION?

Signsandsymptomsofconcussioncanshowuprightaftertheinjuryormaynotappearorbenoticeduntildaysorweeksaftertheinjury.

Ifanathletereportsoneormoresymptomsofconcussionafterabump,blow,orjolttotheheadorbody,s/heshouldbekeptoutofplaythedayoftheinjury.Theathleteshouldonlyreturntoplaywithpermissionfromahealthcareprofessionalexperiencedinevaluatingforconcussion.

SYMPTOMS REPORTED BY ATHLETE:

• Headacheor“pressure”inhead• Nauseaorvomiting• Balanceproblemsordizziness• Doubleorblurryvision• Sensitivitytolight• Sensitivitytonoise• Feelingsluggish,hazy,foggy,orgroggy• Concentrationormemoryproblems• Confusion• Justnot“feelingright”oris“feelingdown”

SIGNS OBSERVED BY COACHING STAFF:

• Appearsdazedorstunned• Isconfusedaboutassignmentorposition• Forgetsaninstruction• Isunsureofgame,score,oropponent• Movesclumsily• Answersquestionsslowly• Losesconsciousness(evenbriefly)• Showsmood,behavior,orpersonalitychanges• Can’trecalleventspriortohitorfall• Can’trecalleventsafterhitorfall

“IT’S BETTER TO MISS ONE GAMETHAN THE WHOLE SEASON”

Rick Snyder, GovernorJames K. Haveman, Director

CONCUSSION DANGER SIGNS

Inrarecases,adangerousbloodclotmayformonthebraininapersonwithaconcussionandcrowdthebrainagainsttheskull.Anathleteshouldreceiveimmediatemedicalattentionifafterabump,blow,orjolttotheheadorbodys/heexhibitsanyofthefollowingdangersigns:

• Onepupillargerthantheother• Isdrowsyorcannotbeawakened• Aheadachethatgetsworse• Weakness,numbness,ordecreasedcoordination• Repeatedvomitingornausea• Slurredspeech• Convulsionsorseizures• Cannotrecognizepeopleorplaces• Becomesincreasinglyconfused,restless,oragitated• Hasunusualbehavior• Losesconsciousness(evenabrieflossofconsciousness

shouldbetakenseriously)

WHAT SHOULD YOU DO IF YOU THINK YOUR ATHLETE HAS A CONCUSSION?

1. Ifyoususpectthatanathletehasaconcussion,removetheathletefromplayandseekmedicalattention.Donottrytojudgetheseverityoftheinjuryyourself.Keeptheathleteoutofplaythedayoftheinjuryanduntilahealthcareprofessional,experiencedinevaluatingforconcussion,sayss/heissymptom-freeandit’sOKtoreturntoplay.

2. Restiskeytohelpinganathleterecoverfromaconcussion.Exercisingoractivitiesthatinvolvealotofconcentration,suchasstudying,workingonthecomputer,andplayingvideogames,maycauseconcussionsymptomstoreappearorgetworse.Afteraconcussion,returningtosportsandschoolisagradualprocessthatshouldbecarefullymanagedandmonitoredbyahealthcareprofessional.

3. Remember:Concussionsaffectpeopledifferently.Whilemostathleteswithaconcussionrecoverquicklyandfully,somewillhavesymptomsthatlastfordays,orevenweeks.Amoreseriousconcussioncanlastformonthsorlonger.

JOINTHECONVERSATION www.facebook.com/CDCHeadsUp

ContentSource:CDC’sHeadsUpProgram.CreatedthroughagranttotheCDCFoundationfromtheNationalOperatingCommitteeonStandardsforAthleticEquipment(NOCSAE).

>> WWW.CDC.GOV/CONCUSSIONTO LEARN MORE GO TO

WHY SHOULD AN ATHLETE REPORT THEIR SYMPTOMS?

Ifanathletehasaconcussion,his/herbrainneedstimetoheal.Whileanathlete’sbrainisstillhealing,s/heismuchmorelikelytohaveanotherconcussion.Repeatconcussionscanincreasethetimeittakestorecover.Inrarecases,repeatconcussionsinyoungathletescanresultinbrainswellingorpermanentdamagetotheirbrain.Theycanevenbefatal.

STUDENT-ATHLETENAMEPRINTED

STUDENT-ATHLETENAMESIGNED

DATE

PARENTORGUARDIANNAMEPRINTED

PARENTORGUARDIANNAMESIGNED

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