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The Elite Quarterback Academy at Saddlebrook Resort Featuring QB Coach Joe Dickinson Invitation Packet

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DeBartolo Sports University and Saddlebrook Resort have teamed up to create the Nation's premier quarterback training program

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Page 1: Elite QB Academy at Saddlebrook Resort

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Invitation Packet

Page 2: Elite QB Academy at Saddlebrook Resort

2010 National Prep Player of the Year and East Carolina University Commit, Cody Keith

Page 3: Elite QB Academy at Saddlebrook Resort

Greetings from DeBartolo Sports University…

Saddlebrook Resort and DeBartolo Sports University have teamed up to create the Nation’s premier quarterback training program.

From June 19, 2011 thru June 25, 2011, participating athletes will be treated to a first class, exclusive experience at the leading NFL training facility, Saddlebrook Resort. Quarterbacks in grades 5th-12th will be invited to take part in the program that offers athletes the opportunity to build upon their football foundation by training with the experts that have had success developing athletes at all levels. DeBartolo Sports University’s notable quarterback academy alumni include: Josh Freeman (QB – Tampa Bay Buccaneers), Rhett Bomar (QB – NY Giants), Matt Barkley (QB – USC), Dayne Crist (QB – Notre Dame), and Terrelle Pryor (QB – Ohio State).

Renowned Quarterback Coach, Joe Dickinson, and Saddlebrook Resort ’ s team of performance specialists led by NFL Combine Performance expert, Jason Riley, will take quarterbacks through a simulated NFL and college camp, complete with quarterback specific skills training, speed, strength, and agility training, NFL film study and chalkboard sessions. Additionally, extensive recaps, video and photo coverage through the DeBartolo Sports University website, provides Elite Quarterback Academy participants a platform to further distinguish themselves from the vast pool of high school football prospects. When not training, athletes have the opportunity to enjoy the luxury accommodations of the resort and participate in organized activities.

New to the program this year, participants will receive a complete video of themselves completing all of the necessary throws and drops. This should be a nice addition to your recruiting profile.

We invite you to take a closer look at the Elite Quarterback Academy at Saddlebrook Resort and hope that you will consider joining us for what will be a memorable, rewarding and intense week of football.

Sincerely,

Donald Engstrom

Director, DeBartolo Sports University

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 4: Elite QB Academy at Saddlebrook Resort

2012 Top 10 quarterback, Josh Cousins

Page 5: Elite QB Academy at Saddlebrook Resort

ELITE QUARTERBACK ACADEMY Program Overview

Summary: Through the years, athletes from across the globe have traveled to DeBartolo Sports University’s academy programs in search of the best training. In a tropical resort setting, high school and youth quarterbacks in grades 5th-12th will train and receive instruction on how to improve their technical, tactical, and mental abilities on the football field. Quarterbacks will receive approximately 30 hours of quarterback instruction (20 hours on the field and 10 hours in the classroom). When:: Where: Check-in: Sunday June 19, 2011 Saddlebrook Resort Check-Out: Saturday June 25, 2011 5700 Saddlebrook Way (There is no training on these days) Wesley Chapel, FL 33543 Cost: $2,295 treats you to a once in lifetime experience. This all-inclusive fee includes a six night stay at Saddlebrook Resort, three meals daily with fruit and juice breaks, ground transportation to and from Tampa International Airport, Fitness Center access, DeBartolo Sports University performance apparel, and five days of skills instruction. With over 30 hours of instruction, participants pay $76.50 per hour of training. Registration: All participants must pre-register for the event. Visit www.DeBartoloQBAcademy.com and complete the online registration. A $300 deposit is required at the time of registration, and final payment must be received by Friday June 7, 2011. Space is limited to the first thirty registered and paid athletes. Participants will also need to complete the enclosed registration documents. Cancellation and Refund Policy: Only written cancellations received before June 7, 2011 will receive a refund, less a $75 handling charge. Cancellation after June 7, 2011 is not refundable but can be held as a credit for any DeBartolo Sports University program. Contact: If you have questions about the Elite QB Academy at Saddlebrook Resort please contact us at: Phone: 813.739.4091 SMS Text:: 657.200.1378 Fax: 813.676.2603 Email: [email protected] Web: www.DeBartoloQBAcademy.com Facebook: www.facebook.com/DeBartoloSportsUniversity

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 6: Elite QB Academy at Saddlebrook Resort

2011 Top 25 Pro-Style Quarterback and University of Arizona Commit, Daxx Garman

Page 7: Elite QB Academy at Saddlebrook Resort

Coach Dickinson brings over 25 years of high school and collegiate coaching experience

exclusively to DeBartolo Sports University programs.

Recognized as one of the premier developers of quarterbacks in the nation, Coach Dickinson has

recently trained several of the nations top quarterbacks coming out of the high school ranks.

Quarterbacks including Matt Barkley (USC), Dayne Crist (Notre Dame), Terrelle Pryor (Ohio State), Jake

Heaps (BYU), Blake Bell(Oklahoma), and this years top quarterback recruits Cody Keith (National Prep

Player of the Year, East Carolina University Commit), Conner Preston (Southern Methodist University

Commit), and Daxx Garman (University of Arizona Commit) have all sought his training.

Under the guidance of Coach Dickinson, youth quarterbacks Augie DeBiase (Jacksonville,

Florida) and Grady Sullivan (Southlake Carroll, Texas) received National attention with their superior

play during the 2010 season and respective invitation's to play in the Junior Rank Diamond Bowl and

the Eastbay Youth All-American Bowl.

In 2008 and 2009 Coach Dickinson helped current Minnesota Vikings QB Rhett Bomar prepare for the NFL Combine and pre-season camp.

Throughout this period he also worked with New Orleans Saints QB Chase Daniel, Tampa Bay Buccaneer first round draft choice QB Josh

Freeman, and Tampa Bay Bucs QB Rudy Carpenter.

Coach Dickinson served as the Offensive Coordinator and Recruiting Coordinator at several Division 1 football programs including: Tulsa (‟86-

‟89), Marshall (‟90), Northern Illinois (‟91-‟95), Oklahoma (‟83-85,„96-‟98), Tulane (‟99-‟00), and Central Oklahoma (‟03-‟06). The complete

offensive mastermind, Coach Dickinson‟s offenses routinely ranked at the top of the NCAA. Throughout his extensive career Dickinson had the

opportunity to coach alongside some of the best minds in football. He was on staff at Oklahoma University with Hall of Fame Coach and Super

Bowl Champion Barry Switzer when they won the 1985 National Championship. While at Marshall, he Coached with the legendary Jim Donnan,

and during his time at Tulsa he coached with College Football Hall of Fame Coach John Cooper.

Early in his career at Oklahoma, Coach Dickinson worked with Pro Football Hall of Fame QB Troy Aikman. From there, he would go on to

recruit, coach, and/or mentor several 1st round draft picks including: JP Losman (QB, 2004/Round 1/Pick 32), Patrick Ramsey (QB,

2002/Round 1/Pick 32), Roy Williams (S, 2002/Round 1/Pick 8), and Stockar McDougle (OL, 2000/Round 1/Pick 20). From 1994-1997, four of

Coach Dickinson‟s running backs would go on to NFL careers: LeShon Johnson, James Allen, De‟mond Parker, and Jermaine Fezande.

Coach Dickinson mentored Heisman Candidate LeShon Johnson at Northern Illinois during his Nation Leading rushing performance in 1993.

While at Tulsa, he produced NFL Quarterbacks T.J. Rubley and Gus Frerotte, who rank 1st and 2nd on the schools list of All-Time Passers

respectively.

In 2000, Joe Dickinson founded Fab50 Recruiting, a highly regarded scouting service for high school athletes. Today, Fab50 recruiting remains a

highly respected online scouting service.

Coach Dickinson has also appeared in the Snoop Dogg television series "Fatherhood," where he is shown tutoring Snoop Dogg's son who is

focused on developing his quarterback skills. He is also part of the up-coming documentary "The Hopeful" starring recent East Carolina recruit

Cody Keith.

Throughout his Coaching Career Coach Dickinson has had the opportunity to work and learn with some of the greatest minds to coach and play

the game including: Joe Avezanno, Rex Ryan, Jim Hanifan, Pat McPherson, Joe Jurasek, Terry Shea, Joe Montana, Randy Cross, Jon Embree,

John Blake, Bubby Brister, Jeff Weeks, Chris Scelfo, Barry Switzer, Jim Donnan, Bill Bates, and John Cooper.

Coach Dickinson currently resides in Choctaw, Oklahoma with his wife Teresa.

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Quarterback Coach Joe Dickinson

Page 8: Elite QB Academy at Saddlebrook Resort
Page 9: Elite QB Academy at Saddlebrook Resort

Coach Loyd brings a pedigree to DSU few can match. As a head football coach, Loyd has sent over

seventy-five players onto the Division 1 level, including the 2010 NFL 1st round draft choice of the

Cincinnati Bengals Jermaine Gresham (University of Oklahoma).

Coach Loyd's college playing career at the quarterback position spanned the University of Kansas and

Tulsa. From there, he went on to play six years of professional football with the St. Louis Rams (NFL),

Edmonton Eskimos (CFL), Saskatchewan Roughriders (CFL), and Oklahoma Outlaws (USFL).

Transitioning to a coaching career has brought an incredible amount of success at both collegiate and

high school levels. As the Head Coach at Northeastern Oklahoma A&M, he amassed a 44-7 record, four

national semi-final appearances, and three championship game appearances that included one national

title. He was the Head Coach of Ardmore High School in Oklahoma and saw a streak of eight consecutive

playoff berths where they reached the state semi-finals three times, achieving a 67-27 record overall.

In 2008, Coach Loyd was hired to be the Head Coach of Ponte Vedra High School in Jacksonville and oversaw the programs inaguaral football

season. In the first two years of the program they've gone 9-12 and transitioned from an Independent in 2009 to the tough Division 3-3A for the

2010 season.

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

The newest addition to the DSU family is Joe McCulley. Coach McCulley is a long-time coach and

administrator in the Oklahoma public school system and will be providing personal quarterback

instruction exclusively to DeBartolo Sports University. Not only does Coach McCulley bring to the table

a vast knowledge of the quarterback position but also a deep understanding of the game of football and

all aspects of what it takes to become a great player. Joe has 35 years coaching experience coaching

young athletes, 29 years as a head coach , 5 years assistant and offensive coordinator both in Oklahoma

high schools and 1 year assistant and quarterback coach at Southeastern Oklahoma State University.

Coach McCulley has coached 6 All-State quarterbacks, produced 25 all-state players, won 15 district

titles, had 11 state quarterfinals, 4 state semi-final appearances, and 1 State Championship. He has been

elected by his peers as an All State Coach and 12 times District Coach of the Year.

Joe has worked with numerous college football camps, including the University of Oklahoma, Oklahoma

State University, and University of Tulsa. He had the opportunity to help establish the first team camp

in Oklahoma with long time University Tulsa head coach and current University of Mississippi Offensive Coordinator David Rader.

As a player McCulley played quarterback for Anaheim High School in Southern California where he was mentored by former NFL coach Dick

Coury. After graduation he played quarterback at the University of Tulsa, under the guidance of then offensive coordinator, former NFL coach

and player Jerry Rhome. During his tenure in 1973 he was 2nd leading passer in the nation behind Jesse Freitas of San Diego State. He was also

ranked 2nd in total offense behind longtime Dallas Cowboy and Arizona State quarterback Danny White. While playing at Tulsa he had the

opportunity and good fortune to throw to elite receivers Drew Pearson (All –pro Dallas Cowboy), Steve Largent (Seattle Seahawks Hall of Famer),

and Raymond Rhodes (Pro-bowler and former Green Bay Packer‟s Head Coach).

Coach McCulley and his wife Sherry have 5 children and are currently living in Hennessey, Oklahoma where he is the Superintendent of schools.

Quarterback Coach Mike Loyd

Quarterback Coach Joe McCulley

Page 10: Elite QB Academy at Saddlebrook Resort
Page 11: Elite QB Academy at Saddlebrook Resort

Riley leads an all-star performance staff that has worked with world class athletes across all

sports. Jason has served as the Director of Performance for the MLB spring training prep

program. He was the Strength and Conditioning Coordinator for the US U17 National Soccer

Team and the Director of Professional Athlete Development for the ATP / WTA clients

training at Bollettieri Tennis Academy. Jason also served as a performance consultant with

several universities, the US U20 National Soccer Team, and served as the Strength and

Conditioning Coordinator for the MLS Real Salt Lake Soccer team. His experience across

multiple sports has positioned his team to be the most sought after specialists in the industry.

The Saddlebrook Performance Team’s most notable clients include: Derek Jeter, Tommy

Haas, Maria Sharapova, and Freddy Adu. Saddlebrooks team of specialists have helped prepare several NFL 1st Round Draft

Picks including: Tyson Jackson (2009 / Round 1 / Pick 3 / Kansas City Cheifs), Sedrick Ellis (2008 / Round 1 / Pick 7 / New

Orleans Saints) and Dustin Keller ( 2008 / Round 1 / Pick 30 / New York Jets).

Coach Ngu has brought her knowledge and expertise of Mixed Martial Arts to the DSU’s core

training. Ngu, who is a Black Belt in Okinawa style Karate has implemented the rapidly

popular Mixed Martial Arts (MMA) training regimen, with specific specialization to

kickboxing and muay thai. Her instruction has been lent to DeBartolo Sports University since

June 2010 and has attributed to the development of over seventy-five clients.

Mixed Martial Arts (MMA) training has started to integrate its way to be a primary workout

routine for many football players across the country. From the entire Atlanta Falcons football

team to individual players such as Linebacker Clay Matthews (Green Bay Packers) to

Quarterback Matt Leinart (Houston Texans), MMA training has quickly gained a devoted

following. "It has gotten me mentally tougher,“ Leinart said. The quarterback also went on to

say you develop an attitude that you can do anything.

Accordingly, DSU has jumped on board with this progressive training and Ngu tailors the exercises to benefit position specific

motions.

Paulette Ngu resides in Oklahoma City, Oklahoma with her husband.

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Martial Arts Expert Paulette Ngu

Performance Specialist Jason Riley

Page 12: Elite QB Academy at Saddlebrook Resort

Junior Rank All-American, Augie DeBiase

Page 13: Elite QB Academy at Saddlebrook Resort

What they have said…

"Coach Dickinson is one of the best in the business when it comes to teaching the mental and physical skills needed to play the Quarterback position at the highest level. His work with me leading up to the draft and training camp got me ready for the big

jump from college to the NFL. I will continue to work with him my entire career.“

-Rhett Bomar (QB, New York Giants)

“The DeBartolo name means taking care of players and doing it right. This camp was no exception”

-Joe Pickert (Father of Quarterback Cole Pickert)

“This is where the best learn how to be the best, from the best. If this one week is any indication of how much my son will improve, I can not wait to watch him

develop as a young man and as a quarterback.”

-Rick Purcell (Father of youth Quarterback Roman Purcell)

“DeBartolo Sports and Coach Dickinson made the Saddlebrook Camp one of the best ones Daxx has ever been to! Coach Dickinson, Coach Loyd, and Coach

McCulley are about as good as it gets for QB’s.”

-Pat Garman (Father of Daxx Garman - 2011 Top Quarterback Recruit)

“Nelson learned more about the quarterback position at this Academy than any other camp he's attended. Professional critiques from veterans with extensive experience at the D-1 and NFL level are what you'll receive at this academy. With a coaching staff consisting of ex-NFL players, a Heisman finalist and professional combine trainers, DeBartolo Sports University demonstrates a genuine commitment to helping young

athletes improve their athletic skill sets and personal character traits.” -Greg Fishback (Father of Nelson Fishback - 2011 Top Quarterback Recruit)

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 14: Elite QB Academy at Saddlebrook Resort

Buccaneer QB Josh Freeman

Page 15: Elite QB Academy at Saddlebrook Resort

Sunday, June 19, 2011

4:00PM Athletes check into Saddlebrook Resort

6:30PM Dinner Buffet

7:30PM Welcome Meeting

9:30PM Bed Check

11:00PM Lights Out

Monday, June 20, 2011 – Friday, June 24, 2011

7:30AM Wake-Up Call

8:30AM Breakfast Buffet

9:30AM Morning Session

-Film Study and Chalk Talk

-Speed, Strength, Agility, and Flexibility Training with Saddlebrook Performance Specialists

12:30PM Lunch Buffet

2:30PM Afternoon Session

-On-Field technique training

6:00PM Dinner Buffet

7:15PM Evening Session

-Review of morning and afternoon practice

8:30PM Evening Activity

11:00PM Lights Out

Saturday, June 25, 2011

7:30AM Wake-Up Call

8:30AM Breakfast Buffet

12:00PM Resort Check-Out

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Schedule of Events

Page 16: Elite QB Academy at Saddlebrook Resort

2011 Top 25 Pro-Style Quarterback and Southern Methodist University Commit, Conner Preston

Page 17: Elite QB Academy at Saddlebrook Resort

When should we arrive and depart? Athletes are encouraged to arrive in the early afternoon on Sunday, and depart the following Saturday (checkout is at 12:00PM)

Will the Elite QB Academy at Saddlebrook Resort help get me recruited?

Yes. Through our extensive recaps and coverage of the event, your name will be known in the quarterback community. While you likely won't walk away from the program with a scholarship offer, it will at the very least give you some additional exposure and introduce you to programs that you previously may not have had access to. Who will my roommate be? All athletes are housed in guest suites that will accommodate up to six athletes. You may request a roommate if coming with a friend. Can my wide receiver come with me? Absolutely. Wide receivers will be treated to the same resort experience. This is a perfect opportunity to build chemistry with the person catching for you. What supervision is there for young athletes? Our youth campers are placed in a room with an Academy Advisor or in an adjacent room. Saddlebrook is a gated property with 24 hour security. Academy Advisors are on duty 24 hours. What if my parents are coming with? We strongly encourage your entire family to take part in the Academy experience. Please contact DeBartolo Sports University for special pricing on guests rooms and other amenities including golf, spa, and tennis programs. What do we eat? All of the camper meals are prepared by the resort chef and served buffet style. If there are any food allergies or special request for kosher or vegan meals, please contact DeBartolo Sports University in advance. Will I need any spending money? Social activities may involve trips outside of the resort that may have extra fees. We advise bringing an additional $100 in the form of a prepaid Visa, Mastercard, or American Express Cards. Room charging is not allowed. What if I get into trouble? We take the responsibility of ensuring the safety of everyone very seriously, and we are very strict with with enforcement of the rules and regulations. DeBartolo Sports University and/or Saddlebrook Resort reserves the right to remove a child from camp and send them home without a refund. What should I bring with me? 10 pairs of socks, hats, shorts, and t-shirts for everyday workouts, casual clothes for evening activities, bathing suit, personal toiletries, prescribed medicines, sunscreen, and a cell phone or calling card. You will need your football, cleats, running shoes, notebook, and a writing utensil. Saddlebrook Resort and DeBartolo Sports University are not responsible for lost or stolen items. Please do not bring any unnecessary or expensive items. What is included in the participation fee? Simply put: everything. This is an all-inclusive experience once you arrive to Tampa. It includes six nights stay at Saddlebrook Resort, three meals daily with fruit and juice breaks, ground transportation to and from Tampa International Airport, Fitness Center access, DSU performance apparel, and five days of skills instruction. With over 30 hours of instruction, participants pay $76.50 per hour of training.

Frequently Asked Questions

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 18: Elite QB Academy at Saddlebrook Resort
Page 19: Elite QB Academy at Saddlebrook Resort

About Saddlebrook Resort

Saddlebrook Resort is Tampa, Florida‟s most popular vacation destination. The 480 acre resort, has two Arnold Palmer Signature Golf courses, 45 tennis courts, three pools including a half-million gallon Superpool, five restaurants, a European-style Spa, and elite training facilities for all sports. The award winning resort is the ultimate destination to kick-off your off-season training program. The performance center at Saddlebrook Resort includes the following: WEIGHT ROOM • 2500 square foot weight room with state of the art equipment • Keiser olympic racks, functional trainers, bikes • Uesaka olympic barbells and competition bumper plates; Powerplate vibration

platforms • Woodway treadmills; iMett vo2 analyzer; Dartfish Video Analysis Software • Powerblock and IronGrip dumbbells; , Hammer strength FIELDS • Multiple training surfaces • 53 1/3 yd x 80 yd laser leveled Bermuda grass field; New 40 x 65 yd laser FieldTurf

field with pro hashes • 15yd x 30yd sandpit • 2 Batting Cages, 1 Pitching Mound, 1 Full Collegiate Baseball Field (off-site) • Access to Field Turf stadium (off-site), Access to 400 meter track (off-site) AMENITIES • 800 rooms located on campus within 100 yards of training facilities • Full service kitchen / chef • Multimedia conference rooms • Athletic Training Room • Transportation to and From Tampa Airport provided by Resort • 45 tennis courts (all 4 Grand Slam surfaces) • (2) 18 hole Championship Golf Courses and driving range

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 20: Elite QB Academy at Saddlebrook Resort

Eastbay Youth All-American, Grady Sullivan

Page 21: Elite QB Academy at Saddlebrook Resort

About DeBartolo Sports University

Edward DeBartolo Jr., five-time Super Bowl Championship owner of the San Francisco 49ers and two-time Stanley Cup Championship owner of the Pittsburgh Penguins, continues his vision of success through DeBartolo Sports University (DSU).

His 49ers teams were built with first class, Hall of Fame players such as Joe Montana, Jerry Rice, and Ronnie Lott, and visionary coaches such as Bill Walsh, George Seifert, and others. Regarded as the “players‟ owner”, Mr. DeBartolo‟s vision was to help athletes and coaches improve their skills, realize their talents, and maximize their potential through unparralleled development programs.

We aim to help athletes and coaches improve their skills, realize their talents and maximize their potential. DSU is a sports educational organization, dedicated to teaching, coaching, training and empowering student-athletes to achieve their potentials both on and off the field. DSU offers the highest quality events and training for athletes.

We believe that regardless of the sport an athlete chooses to focus on, a set of very similar training fundamentals are necessary to succeed in all sports. Whether it is football, lacrosse, baseball, or basketball, DSU will provide athletes and coaches with first class instructors and first class events. DSU specializes in sport specific and position specific training and all of our programs were created as first class training and development programs for amateur athletes.

The focus of DSU is to bring young talent to the forefront by offering developmental programs, designed to help amateur athletes and coaches reach their potential through coaching and mentoring from the pros. The training and development experts have not only played and coached at the highest professional level, but have trained some of the most successful professional athletes. With mentors like Joe Montana and Jerry Rice and coaches like Joe Dickinson, DSU offers athletes a once in lifetime opportunity.

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 22: Elite QB Academy at Saddlebrook Resort

Registration Form

Athlete First Name:________________ Athlete Last Name: _______________

Home Address: __________________ Home Address (cont):______________

City: _________________________ State: ___________ Zip:__________

Home Phone:____________________ Athlete Cell:_____________________

Athlete Email:___________________ Parent Email: ___________________

Birthdate: ______/_______/_______ HS Graduation Year:_______________

School Name: ___________________ Apparel Size: Shirt ____ Shorts ______

Mothers Name: __________________ Fathers Name: __________________

Primary Position: _________________ Parent Cell: _____________________

How did you learn about our program: __________________________________

Do you have a specific roommate request:________________________________

What athletic Honors and Awards have you received: ________________________

________________________________________________________________________________________________________________________

What other achievements and awards have you received (Academic, Community, etc):

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are you currently being recruited by College Programs, If so, who?:_______________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Is there anything special that you feel we should know about you?________________

____________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 23: Elite QB Academy at Saddlebrook Resort

PAYMENT FORM

BILLING INFORMATION

Name on Credit Card:

Credit Card Billing Address:

City / State / Zip:

Phone:

Email Address for Receipt:

CREDIT CARD INFORMATION

Visa Mastercard American Express Discover

Credit Card Number:

Credit Card Expiration: _____ / _____

I hereby authorize DeBartolo Sports and Events to process payment to my credit card in the amount of $__________.

Signature of Cardholder:______________________ Date: _____ / _____ / _____

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 24: Elite QB Academy at Saddlebrook Resort

Medical Payment Information

Athletes Name:__________________ Age: ______

Arrival Date: ___________________ Birthdate: _____ / _____ / _____

Insurance Provider: _____________________________

Policy Number:

_____________________________

Claims Address: _________________________________________________

Please provide copies of both sides of your insurance card

Phone Number: (____) ____________

Payment for medical services (circle one) Visa MC AMEX Discover

Card Numb: ________________________________Expiration Date: ________

Card Holder Name: _______________________________________________

Card Holder Signature: ____________________________________________

Transportation/Boarding Information All transportation is provided from/to Tampa International Airport.

Date of Arrival:___/___/____ Time:_______ Airline:___________ Flt #_____

Date of Departure:___/___/___ Time:______ Airline:___________ Flt #_____

Flight Confirmation Number – REQUIRED:_____________________________

City where flight originates/routing:___________________________________

Transportation details if not by air:____________________________________

Transportation from Tampa International Airport is provided non-stop by private shuttle service from 6:00am – 11:00pm. Additional charges apply if transportation is required outside the standard times. Only participants recognized by the airline as an “unaccompanied minor” can be met at the gate. A charge of $75 may be applied.

We recommend checking camp availability prior to booking airline flights!

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Page 25: Elite QB Academy at Saddlebrook Resort

Medical, Search & Recreational Release

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

I, the parent or guardian of ________________ by initialing the following items, acknowledge my consent and agreement that Saddlebrook Resort and/or DeBartolo Sports and Events LLC dba DeBartolo Sports University is authorized to administer or consent on my behalf to administration of emergency medical care to my child(ren), and I certify that my child(ren) are fit and able to engage in rigorous physical training; to enter and to search my child(ren)‟s room and belongings for the presence of any contraband or dangerous instrument; to allow participation in and to transport my child(ren) out of Saddlebrook for recreational activities including but not limited to , amusement parks, theaters, shopping centers, sporting attractions, etc.; My signature below indicates that on behalf of myself, my spouse, and my minor child(ren), I acknowledge and agree that;

a. my child(ren)‟s participation in rigorous, physical training, and transportation to and participation in said recreational activities can be dangerous and involve the risk of serious bodily injury;

b. I assume FULL RESPONSIBILITY FOR AND ALL SUCH RISK of my child(ren)‟s engaging in these activities, and DeBartolo Sports and Events LLC dba DeBartolo Sports University and its agents shall not be liable for any lawsuits, claims or damages arising from any of these actions or activities REGARDLESS OF FAULT OR NEGLIGENCE of DeBartolo Sports University, LLC;

c. I will defend, indemnify and hold harmless DeBartolo Sports and Events LLC dba DeBartolo Sports University, including attorney‟s fees, from any lawsuits, claims or damages arising in connection with my child(ren)‟s actions or activities on or off of the Saddlebrook premises, REGARDLESS OF ANY FAULT OF DeBartolo Sports and Events LLC dba DeBartolo Sports University, or arising in connection with enforcement of the provisions of this agreement.

Signature of Parent or Guardian:________________________Date:_________

Family Physician:_______________________ Phone #: (_____)___________

Please include special instructions on a separate sheet (medications, allergies, injuries)

Page 26: Elite QB Academy at Saddlebrook Resort

As a participant in the DeBartolo Sports University programs (“Event”), I acknowledge that participation in the Event exposes me to a possible risk of personal injury. I assume full responsibility for any and all such risk engaging in these activities, and DeBartolo Sports and Entertainment, LLC dba DeBartolo Sports University, “Company”, its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates shall not be liable for lawsuits, claims, or damages arising from any of these actions or activities regardless of fault or negligence of Company. I, hereby release the Company and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, from any and all liability from property damage, personal injuries or other claims arising from or in connection with my participation in the Event including claims that are known and unknown, foreseen and unforeseen, future or contingent.

I covenant that I will not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceeding against Company and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, arising out of or relating to the actions, causes of action, claims and demands hereby waived, released or discharged by me.

I will defend, indemnify, and hold harmless Company , including and attorney‟s fees, from any lawsuits, claims or damages arising in connection with my actions or activities on or off of the Event premises, regardless of any fault of Company, or arising in connection with enforcement of the provisions of this agreement.

For good and adequate consideration, which I acknowledge I have received, I hereby grant, release, and quitclaim to Company royalty free the right and authority to use, sell, reproduce, and distribute, quoted material, biographical information, my photograph, likeness, contact information, recorded voice or videotaped filmed appearances (the "Materials") for promotional and advertising purposes or partner programs as Company in its sole discretion will deem appropriate. I acknowledge that I have read and fully understand this Injury Waiver and General Release Form. This agreement will be binding on me, my spouse, my children, legal representatives, heirs, successors and assigns. Company is the sole owner of all rights in an to the materials and shall have the sole right to broadcast such materials in whole or in part in perpetuity for any purpose in any medium. DATE: _______________________________________ PARTICIPANT PRINTED NAME: ________________________________________ PARTICIPANT SIGNATURE: ________________________________________ STREET ADDRESS: ________________________________________ CITY, STATE, ZIP ________________________________________ ----------------------------------------------------------------------------------------------------------------------------------------- PARENTAL CONSENT (To be filled out if participant is under the age of 18)

The undersigned ("Parent"), parent of ____________________________ ("Subject"), hereby consent to affirm, and, on behalf of Subject, agree to be bound by the Injury Waiver and General Release Form attached hereto which has been signed by Subject. Parents also represent, warrant and agree that Parents (is)(are) entitled to the care and custody of Subject and (is)(are) Subject's legal guardian(s); that during the minority of Subject and for a reasonable time afterwards, Parents will use all reasonable efforts to prevent Subject from attempting to or actually disaffirming the Injury Waiver and General Release Form signed by Subject; that Parents hereby acknowledge that Parents have read the Injury Waiver and General Release Form and are satisfied that it is fair and equitable for the benefit of Subject; and that Parents will not revoke this consent and approval.

DATE: ________________________ SIGNATURE: __________________________

NAME AND RELATIONSHIP TO SUBJECT: (please print)

NAME: ________________________ RELATIONSHIP: __________________________

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson

Injury Waiver and General Release

Page 27: Elite QB Academy at Saddlebrook Resort

Contact Us

For more information or to register, please contact:

DeBartolo Sports University

15436 N Florida Avenue, Suite 200

Tampa, FL 33612

PH: 813.739.4091

FAX: 813.676.2603

Email: [email protected]

www.DeBartoloQBAcademy.com

www.facebook.com/DeBartoloSportsUniversity

Saddlebrook Resort is located at:

5700 Saddlebrook Way

Wesley Chapel, Florida 33543

The Elite Quarterback Academy at Saddlebrook Resort

Featuring QB Coach Joe Dickinson