wildcat student athletic trainer camp - University of Kentucky Athletics

REGISTRATION INFORMATION
RETURN THIS PORTION OF THE FORM
WITH DEPOSIT AND/OR FULL PAYMENT
BY June 13, 2005
Thanks to the University of Kentucky
Chandler Medical Center
for their continued support of the
Student Athletic Trainer Camp
Please PRINT or TYPE
Camper’s Name______________________________
SSN________________________ Gender: M F
Age_____________ Grade (Aug. 2004) _________
E-mail Address ______________________________
Home Address ______________________________
City __________________St_______ Zip_________
Parent(s)/Guardian(s)_________________________
Home Phone Number ( ) ____________________
High School _________________________________
T-Shirt Size: S M L XL XXL XXXL
Need CPR / AED certification: YES NO
Have CPR / AED certification: YES NO Exp_______
Name of Preferred Roommate (2 per room)
___________________________________________________
(Both roommates MUST request to room with each other..
If you do not request a roommate, one will be assigned.)
Camper Status: COMMUTER OVERNIGHT GROUP
Amount Enclosed________________________________
Make checks payable to:
Student Athletic Trainer Camp
Mail Payment and form to:
University of Kentucky
Student Athletic Trainer Camp
Rm. 4 Memorial Coliseum
Avenue of Champions
Lexington, Kentucky 40506-0019
E.J. Nutter Athletic Training Room
The University of Kentucky Athletic Training Camp
Staff invites you to join us for an exciting, yet
educational experience in learning about athletic
training. This camp is designed for high school
students interested in gaining skills as student athletic
trainers. The program will address the current
concepts in Sports Medicine with presentations
provided by various certified athletic trainers. Each
day will consist of lectures, demonstrations, and
laboratory sessions with emphasis on prevention,
recognition, treatment and rehabilitation of athletic
injuries. We look forward to seeing you at camp.
University of Kentucky
Athletic Training Staff
Please call Misty Conrad at (859) 257-6521
For questions regarding the
UK Student Athletic Trainer Camp
www.ukathletics.com/trainingcamp
WILDCAT
STUDENT
ATHLETIC
TRAINER CAMP

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HOW TO BECOME A
CERTIFIED ATHLETIC TRAINER
To qualify for the National Athletic Trainers’ Association
Board of Certification exam, you must have an undergraduate
degree or an entry-level graduate degree from an NATA
approved program at an accredited college or university in the
USA, and current First Aid, CPR/AED Certification. For
more information regarding athletic training education and
certification go to the NATA’s website at www.nata.org.
CAMP DATES AND FEE INFORMATION
Dates: June 23, 2005 (check-in 4:00pm-6:00pm)
June 25, 2005 (check-out 4:00pm-5:00pm)
Cost: Overnight........$325.00
Commuter.......$250.00
Group Discount*..............$250.00
*(4 or more from same high school)
$50.00 non-refundable deposit due June 13 th
Facilities: E.J. Nutter Training Facility
Housing: Kirwan-Blanding Complex
(across from Nutter Center)
Food: Campus dining & local restaurants
Camp Store: The camp store will stock University of
Kentucky merchandise, assorted snacks and drinks.
What to bring: Casual clothing, toiletries, extra blanket,
tennis shoes, alarm clock, pillow, towel, umbrella, linens,
and extra money.
Camp Staff: UK Athletic Training Staff , Team
Physicians and Educational Faculty.
Fee: Includes all presentations, camp notebook, meals,
supplies, housing, camp T-shirt, cadaver lab, CPR/AED
certification and group photo.
Disabilities accommodated
with advance notification (2 to 4 weeks)
CAMP OBJECTIVES & HIGHLIGHTS
Objectives
• Introduce student to cadaver lab
• Enhance student’s knowledge of:
-Anatomy
-Taping/treatment of
common athletic injuries
-Basic injury evaluation
• Increase student awareness of emergency
procedures and heat illness
• Inform the high school student athletic trainer
about record keeping, athletic training room
necessities and game procedures
• Expose the students to careers in athletic training
and other sports medicine fields
• Improve the athletic training abilities of those
students who have little or no previous
athletic training experience
Highlights
• CPR / AED Certification
• Cadaver Lab – (shoulder)
• Anatomy, Injuries & Rehabilitation:
Ankle/Foot
Elbow / Wrist / Forearm / Hand
Knee
Shoulder
• Injury Evaluation
• Taping Methods – Injury and Prevention
• Stretching Techniques
• Emergency Procedures
• Sports Nutrition
• Athletic Training Profession
• Attend basketball camp counselor
pick-up game with current/past
UK basketball players
CONSENT TO MEDICAL
TREATMENT / INSURANCE
I hereby authorize the University of Kentucky
Athletic Training Staff to treat my daughter / son
_______________________________________
Name
for injuries or illnesses that occur during the UK
Athletic Training Camp.
I authorize necessary emergency medical treatment
and admission to any hospital designated by the
University of Kentucky Athletic Training Staff, or
their designate.
It is understood the parents or guardians will be
called upon to give additional authorization if
advance treatments (MRI, lab test, surgical
procedures, etc.) are necessary.
I acknowledge that my private health insurance will
be billed first and the camp “excess” policy will be
billed as the second insurance coverage. I will be
responsible for any balance due after insurance
payments.
_____________ _______________________
Date Parent(s) or Guardian(s) signature
Emergency Contact during camp dates:
Name:_________________________________________________
Relationship:____________________________________________
Telephone Number: Home ( )_____________________________
Work ( ) _____________________________
Other ( ) ____________________________