How to Register Camp fee 2012 Katy Blazin Red

How to Register
Camp fee
2012 Katy Blazin Red
Cross Country Camp
Register online at katyblazinred.com
By mail - complete the application and return to
Coach Jim Pat Darcey
22603 Holly Lake Drive
Entry fee of $75 includes t-shirt, Gatorade, and
daily camp instruction from former collegiate athletes.
Katy, TX 77450
Be sure to include your current email address, to which confirmation of your registration will be sent and along with directions leading up to the camp.
Methods of payment:
PayPal, Credit Card (Visa, Mastercard or Discover), or Check
(by mail only - make checks out to “Katy Blazin Red Track
Club”)
WAIVER OF LIABILTY
Katy Blazin Red Track Club Medical Release Form is REQUIRED for every camper, and must be signed by the camper’s parent or guardian BEFORE s/he may participate in any
camp activities. The waiver may be submitted at the start of
camp. If the signed waiver has not already been received
with registration and payment, a copy will be sent via email.
Health Care and Insurance
Each camper must provide his/her own medical
Cross Country Camp Dates:
insurance.
June 4 – July 31
Monday through Thursday at 6 a.m.
Disclaimer: Katy Blazin’ Red Track Club is NOT affiliated with Katy High School Athletics or Katy ISD.
A weekly long run will be scheduled for either Friday or
Saturday of each week.
Coaching Staff
Facilities and Location
Coach Jim Pat Darcey
FOR MAPS AND DIRECTIONS VISIT
KATYBLAZINRED.COM
MONDAY: Katy Park (meet by the restrooms in the
north east corner of the park)
TUESDAY: Cinco Ranch High School (meet in front of
the natatorium)
WEDNESDAY: Peckham Park (meet in front of the
swimming pool)
THURSDAY: Katy High School (meet in front of the
natatorium)\
FRIDAY OR SATRUDAY: George Bush Park (DO NOT
PARK IN THE WALGREEN’S PARKING LOT!
Park in the adjacent parking lot at Katy Carpet Etc.
Jim Pat Darcey is a hailed College Station,
Texas native. Darcey was an integral part of
legendary coach, James Giese’s cross
country program at A&M Consolidated HS. Darcey was a
member of two state champion teams, leading his team with
a fourth place individual finish his sophomore year. Darcey
went on to run cross country and track at Texas A&M University. He was a member of the 1999 National Qualifying team
and ran at the NCAA Division I Championship.
2012 Katy Blazin Red Cross
Country Camp
Registration Form
Camper Name: ___________________________________
Address: __________________________________________
__________________________________________________
Birthdate:_________________________
Coach Michelle Guzman
Michelle Guzman was a decorated high
school athlete at Giddings High School,
coached by Jim Pat Darcey. A multi time Region III- 3A
champion in both cross country and track, Guzman went on
to achieve the state’s highest honor in 2005 as the Texas 3A
Cross Country champion. Her effort ranks fifth on the course
for fastest times. Guzman was a member of the Texas Tech
cross country team that recorded a program-best third-place
finish at the NCAA Division I Cross Country Championships.
Coach Lea Carruthers
Leandra Carruthers is a Baytown, Texas native. Carruthers
was team captain of her cross country
squad beginning her sophomore year.
Carruthers helped push teammates to
three Region III- 5A appearances. Carruthers was a Region III qualifier in the 3200m her senior
year. A walk-on at the University of Arkansas, Carruthers
earned a coveted spot on the Lady Razorback team.
.
Disclaimer: Katy Blazin’ Red Track Club is NOT affiliated with Katy High School Athletics or Katy ISD.
Grade in School (Fall ‘12): School:_____________
Mother/Guardian:_________________Phone:___________
Father/Guardian:__________________Phone:___________
How did you hear about this camp?
_________________________________________________
Emergency Contact:__________________Phone:__________
Medical Release
Realizing the risk of injury, I hereby release Katy Blazin’ Red
Track Club from all financial responsibility due to any injury that
may occur. Should an injury occur, I authorize the staff of Katy
Blazin’ Red Track Club to act for me according to their best
judgment in any emergency requiring attention.
Camper’s Name:____________________________________
Print Parent Name:__________________________________
Parent Signature:____________________________________