Alamosa, CO *****
www.ascgrizzlies.com
Athletic Excellence at the Top of the Nation
Telephone: 719-***-****
Intercollegiate Athletics
Fax: 719-***-****
Men s Soccer Player Prospect Day at Adams State College
Hello everyone,
As head coach for the Adams State men's soccer program, I am writing to invite you to come visit our college. Adams State College
is located in Alamosa, Colorado. Alamosa has numerous outdoor activities to take part in, including skiing, hiking, mountain biking,
kayaking, rock climbing, rafting, hunting, fishing and much more. We are a NCAA Division II school that competes in the Rocky
Mountain Athletic Conference, the most competitive league in the country. We offer a small college atmosphere with a lot of
individual attention. Our college has approximately 3,500 students and offers first class educational and athletic facilities. Our newly
built and remodeled campus offers wireless internet and cable in all living quarters. Adams State College is a great place to earn your
degree while playing soccer.
I have numerous players expressing interest across the country to come and be part of the Grizzly family. Unfortunately, I can t see
Player Prospect Day
every player who has expressed interest. Therefore we will be holding on Saturday August
6th, for boy s that are in high school or graduated from high school. The camp itinerary is as scheduled. We strongly encourage
recruits interested in Adams State College to attend. This is your chance to see what Adams State has to offer and for us to get a good
look at you. If chosen to play for Adams State, realize that our school does offer athletic scholarships.
Saturday August 6th
Time Activity
9:00 AM Check in
10:00 AM Training
12:30 PM Lunch
2:00 PM Training
5:00PM Depart
Cost
Registration Fee . . . $25.00
Late Registration Fee (Past 7/23) ... . $35.00
The day will include Lunch and T-shirt.
Dear Soccer Players:
Please fill out this registration form for the Adams State College Soccer Player Prospect Day.
This day will be held August 6th 2011 on the campus of Adams State College. Training sites will be held on
both grass and turf surfaces. This day will be limited to the first 60 prospects (first come first serve).
Listed below are items that you will need to bring with you.
Indoor soccer shoes
Shorts
T-shirts
Socks
Towel
Cleats
Light jacket/sweat shirt
Soccer ball
Water bottle
Shin guards
Attached you will find a medical release/insurance form. Please fill out registration and waiver below and return
with your payment.
Check in time is 9:00AM Saturday, August 6th, in the lobby of Plachy Hall. Check out will 5:00 PM. If you
have any question regarding the Player Prospect Day, please feel free to email or call me.
abqnl7@r.postjobfree.com
719-***-**** Office
719-***-**** Cell
Men s Soccer Player Prospect Registration
Make all checks payable to Adams State Men s Soccer
Mail to:
Tim Busen, Men s Soccer
Plachey Hall 208 Edgemont Blvd.
Alamosa, CO 81102
Name:
Email:
Home Address:
Phone Number:
Emergency Contact:
Emergency Contact Phone Number:
Position:
School Name:
Club Name / Coach:
High School Graduation Year:
T -Shirt Size (Circle One): S M L XL
Registration Fee $25. Late Registration Fee $35.
WAIVER, RELEASE, ASSUMPTION OF RISK, AND INDEMNIFICATION AGREEMENT
Event: Men s Player Prospect Camp
Participant Name:
In consideration of the State of Colorado and Adams State College granting me permission to
participate in the above-referenced event, and with the understanding that such participation is
conditioned upon my execution of this waiver and release, for myself, my heirs and assigns, I hereby
acknowledge, recognize and assume the risks involved in the event and any risks inherent in any
other activities connected with the event in which I may voluntarily participate. I expressly assume
the risk of and accept full responsibility for any and all injuries (including death) and accidents which
may occur as a result of my participation in the and release from liability the State of Colorado,
Adams State College and the City of Alamosa, and all of the trustees, officers, directors, agents,
representatives, and employees of the foregoing entities.
I HEREBY WAIVE ANY CLAIM I MAY HAVE AS A RESULT OF MY PARTICIPATION IN
THEABOVE-REFERENCED EVENT. I HEREBY AGREE TO INDEMNIFY, DEFEND
AND HOLD HARMLESS THE STATE OF COLORADO, ADAMS STATE COLLEGE AND
THE CITY OF ALAMOSA AND ALL OF THE TRUSTEES, OFFICERS, DIRECTORS,
AGENTS, REPRESENTATIVES, AND EMPLOYEES OF THE FOREGOING ENTITIES
AGAINST ANY AND ALL CLAIMS, INCLUDING ATTORNEYS' FEES AND COSTS,
WHICH MAY BE BROUGHT AGAINST ANY OF THEM BY ANYONE CLAIMING TO
HAVE BEEN INJURED AS A RESULT OF MY PARTICIPATION IN THE EVENT.
This waiver shall be governed in accordance with the laws of the State of Colorado, and venue for
any action related to this waiver shall be in Alamosa, Colorado. This waiver is intended as the
complete integration of all understandings between the parties. No prior or contemporaneous
addition, deletion, or other amendment hereto shall have any force or affect whatsoever, unless
embodied herein in writing.
THIS IS A RELEASE OF LIABILITY. IF STUDENT IS UNDER EIGHTEEN (18) YEARS OF
AGE, SIGNATURE OF A PARENT OR LEGAL GUARDIAN IS REQUIRED. I HEREBY
CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THIS WAIVER, RELEASE,
ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT.
Signature of Participant Date
Signature of Parent Date (if participant is under 18 years of age)
If you are interested in getting started to become a possible student athlete at Adams State you should do the following
1. Fill out the Online recruit form on our Athletic web page.
2. Register for and complete the NCAA Eligibility Center forms.
3. Have a minimum of a 2.0 GPA in your core classes.
4. Have a minimum composite score of 68 on your ACT, or 820 on your S.A.T verbal/critical reading and math.
5. Apply for Adams State College (Free for soccer players).
6. Apply for all scholarship opportunities by 3/1/2012.
7. Complete FASFA form.
8. Register for housing.
9. Send official transcripts to our admissions office.
10. Send official transcripts and ACT or SAT test score to NCAA Eligibility Center.
You can talk to your school guidance counselor to help you with these steps, or feel free to call me directly with any questions. Good
luck with your fall season, and I look forward to meeting you. Please feel free to check out our website if you have any additional
questions.
http://www.adams.edu/
http://www.ascgrizzlies.com
Tim Busen
Head Men s Soccer Coach
Adams State College
208 Edgemont Blvd
Alamosa, Co 81102
719-***-**** Office
719-***-**** Cell
719-***-**** Fax
abqnl7@r.postjobfree.com