Fillable August 20 2016 Summer Showcase

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August 20 2016 Summer Showcase

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1200 Speedway Blvd. - Daytona Beach, FL 32114 - (386) 506-3000 - www.daytonastate.edu
Information Technology Solutions
Showcase Agenda
9:30-10am - Player Registration.
1. Recruiting Talk/Tour of our Facilities
2. Stretch/Warm Up
3. 60 yard dash
4. Infield/Outfield
5. Batting Practice
6. Catchers Pop times
7. Pitchers Throw Bullpen
8. Wrap-up
Showcase Requirements
Players must bring a completed
Daytona State liability waiver, and
a copy of a sports physical
performed within the last year
– stating the participant is cleared
to play sports.
Registration
Email or fax(386-506-4485)
Coach Reilly a completed prospect
form to Pre-Enroll
Bring completed liability waiver day
of camp.
Pay day of camp ($75 cash only per player)
Walk-ups will be accepted
If you have any questions regarding the prospect
showcase please contact:
Chris Reilly – Camp Coordinator
reillyc@daytonastate.edu
Phone - 386- 506-3355
Fax – 386-506-4485
NATIONAL
ACADEMIC TEAM OF
THE YEAR
2007, 2008, 2009,
2010, 2012, 2013,
2014, 2015, 2016
NJCAA Region 8
TOURNAMENT
APPEARANCES
2003, 2005, 2006,
2015
MID-FLORIDA
CHAMPS
2003, 2005, 2006,
2007
The “August 20
th
2016 Summer Showcase” is a great opportunity for
high school players in grades 10-12.
Participants will showcase their talents in front of the Falcon coaching
staff, receive a tour of the facilities and learn about life as a member of
the Falcon Baseball Program.
Daytona State College Baseball
Summer Showcase - Sat. August 20, 2016
1200 Speedway Blvd. - Daytona Beach, FL 32114 - (386) 506-3000 - www.daytonastate.edu
AUGUST 20, 2016 - SUMMER SHOWCASE
DAYTONA STATE COLLEGE FALCON BASEBALL
National Academic Team of
the Year
Mid Florida Champs
2007, 2008, 2009, 2010,
2012, 2013, 2014, 2015, 2016
2003, 2005, 2006, 2007
Personal Information:
Name: Date Of Graduation:
Address:
City: State: Zip Code:
Email: Home Phone: Cell:
Date of Birth: Daytona State College (CARSID #) :
Family Information:
Father’s Name: Mother’s Name:
Father’s Occupation: Mother’s Occupation:
Father’s Cell: Mother’s Cell:
Father’s Home: Mother’s Home:
Siblings (Age):
Home Address:
City: State: Zip Code:
Academic Information:
High School:
City: State:
G.P.A:
Interested Major:
College Attended: G.P.A
SAT: Critical Reading: Math: Writing: Total: Date of Test:
ACT (Composite Score): Date of Test:
Baseball Information:
Position: / Summer/Fall Team:
Bats: Throws: 60Yard Run: Pitcher FB Velo:
Height: Weight:
High School Coach: Phone Number:
Scout Team: Coach: Phone Number:
Other Sports:
Select
Select
Select
Select
Select
1200 Speedway Blvd. - Daytona Beach, FL 32114 - (386) 506-3000 - www.daytonastate.edu
DAYTONA STATE COLLEGE
Department of Athletics
Waiver of Liability for Unsigned Participants
(Try-out participants, recruits, visiting practice players)
I ___________________________________, acknowledge that my participation in all types of activities with the
Daytona State College _______________________________ Team is completely voluntary.
I acknowledge that I am completely aware of the inherent risks (physical, non-physical) associated with
participating in these activities and hereby waive, release, and discharge DSC and its employees, departments, and agents,
including the DSC Athletic Training program, its physicians and Athletic Training staff (ATCs, SATs, and intern), the
inviting DSC intercollegiate team (coaches, support staff, and players), and the DSC Athletic Department, from any and all
liability and responsibility for any injury that may occur as a result of my participation. I accept full responsibility, and will
NOT hold DSC responsible for any worsening of pre-existing injuries, injuries sustained during, or injuries resulting from
my athletic participation.
I acknowledge that I am in adequate physical condition, capable of competing with college level athletes.
Additionally, I acknowledge that I have no known physical conditions (injuries, illnesses), which could be worsened
through my participation, unless otherwise described below:
I fully understand that DSC Athletics and/or the Athletic Training staff may prevent me from participating due to
medical reasons. I also understand that any pre-existing medical conditions may have to be cleared by the DSC Athletic
Training staff prior to my participation, regardless of activity. Additionally, all costs associated with medical consultations,
diagnostic tests, procedures, and/or medications necessary to gain approval from DSC to participate without limitations, are
the sole responsibility of myself, and/or my parent(s)/guardian(s).
I further acknowledge that I am signing this waiver voluntarily and with complete understanding of its terms and
conditions.
Student athlete signature
Date
SSN
Parent/guardian signature (if under 18 years old)
Date
Parent/guardian (print name)
Witness
Date
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August 20 2016 Summer Showcase

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Completed 1 November 2019

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