Jeff Trickey Quarterback Camps
2009 QUARTERBACK CAMP APPLICATION FORM


REGISTRATION FEE
Registration Fee: $145.00 High School Camp

(Additional Sessions:

 $75.00)
$130.00 Youth Camp
Includes T-shirt and refreshments

Make checks payable to:
JEFF TRICKEY QUARTERBACK CAMPS
Camp session location:__________________________

Dates: ________________________________________

Name:________________________________________

Parent's Name: ________________________________

Street Address: ________________________________

City, State, Zip:________________________________

Phone:________________________________________

Email:________________________________________

High School:___________________________________

Grade in School Next Fall: _______________________

High School Head Coach:________________________

Height: _______________________________________

Weight:_______________________________________
My son has my permission to attend the JEFF TRICKEY QB CAMP.  I certify that within the past two years, he has had a physical examination and that now, he is physically able to participate in football camp activities without restriction.  In the event of an illness or injury, I give my consent for medical treatment and permission to attending physician to hospitalize, secure proper treatment, and order injections, anesthesia, or surgery.  I will be responsible for any medical or other charges in connection with my son's attendance in camp.
I acknowledge that at the JEFF TRICKEY QB CAMP my son will participate in a sport that may involve, among other things, physical contact of the body with other persons or objects, including the ground, and that at the JEFF TRICKEY QB CAMP, he may incur a risk of injury.  I specifically waive, give up and release the JEFF TRICKEY QB CAMP and staff from liability for any claim for damages which I or my son may have for injuries or illness that he may sustain at camp.
Camper Signature:_____________________________

Parent's Signature:_____________________________

NO PLAYER WILL BE ACCEPTED
WITHOUT PARENTAL APPROVAL

BECAUSE COACH TRICKEY'S CAMPS HAVE BEEN FILLED IN PAST YEARS... PLEASE MAIL EARLY!  PLEASE CHECK DESIRED CAMP LOCATION AND SESSIONS.
 

CAMPS

DATES/TIMES

SITES
o Mesquite High School
Gilbert, AZ.
High School Camp (Grades 9-12) 		TBD SOON Send all Mesquite applications to:
Mike Reardon
Mesquite High School
500 South Mcqueen Road
Gilbert, AZ. 85233
(480) 766-0467
dan9duty@aol.com
o Mesquite High School
Gilbert, AZ.
Youth Camp (Grades 4-8)
Youth Registration $130.00		 TBD SOON
o Palo Verde High School
Las Vegas, NV.
High School Camp (Grades 9-12) 		TBD SOON Send all Palo Verde applications to:
Darwin Rost
Palo Verde H.S.
333 Pavilion Center Dr
Las Vegas, NV. 89144
(702) 799-1450 ext. 1-4120
rostdd@interact.ccsd
o Palo Verde High School
Las Vegas, NV.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o La Quinta High School
La Quinta, CA.
High School Camp (Grades 9-12) 		TBD SOON Send all La Quinta applications to:
Dan Armstrong
La Quinta High School
79255 Westward Ho
La Quinta, CA. 92253
(760) 772-4150 ext. 2001
danny.armstrong@dsusd.us
o La Quinta High School
La Quinta, CA.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Marin Catholic High School
Session 1 Kentfield, CA.
High School Camp (Grades 9-12) 		TBD SOON Send all Marin Catholic applications to:
John Lee
c/o Sacred Heart Prep High School
1055 Ellis St.
San Francisco, CA 94109
(415) 775-6626 ext. 858
john.lee@shcp.edu
o Marin Catholic High School
Kentfield, CA.
Youth Camp I (Grades 4-8)
Youth Registration $130.00		 TBD SOON
o Anderson High School
Cincinnati, OH.
High School Camp (Grades 9-12) 		TBD SOON Send all Anderson HS applications to:
Paul Bodenbach
10964 Arcaro Lane
Union, KY 41091
(859) 442-5800 ext.164
competitorsedge@msn.com
o Anderson High School
Cincinnati, OH.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Arapahoe High School
Littleton, CO.
High School Camp (Grades 9-12) 		TBD SOON Send all Arapahoe HS applications to:
Robin Knight
9408 Pinyon Trail
Lone Tree, CO. 80124
(303) 618-0184
coloradoknights@comcast.net
o Arapahoe High School
Littleton, CO.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Eureka High School
St. Louis, MO.
High School Camp (Grades 9-12) 		TBD SOON Send all Eureka applications to:
Dave Borzillo
788 Emerald Oaks
Eureka, MO. 63025
(636) 549-3166
borzillo@charter.net
o Eureka High School
St. Louis, MO.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Central Catholic High School
Woodstock, IL.
High School Camp (Grades 9-12) 		TBD SOON Send all Central Catholic applications to:
Bill Altmann
57 S. Oriole Trail
Crystal Lake, IL. 60014
(815) 444-1969
allibill@comcast.net
o Central Catholic High School
Woodstock, IL.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Wausau West High School
Wausau, WI.
High School Camp (Grades 9-12) 		TBD SOON Send all Wausau West
applications to:
Tim Freiberg
PO Box 5021
Wausau, WI. 54402
(715) 573-1742
tcfreiberg@charterinternet.com
o Wausau West High School
Wausau, WI.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Waukesha West High School
Session 1  Waukesha, WI.
High School Camp (Grades 9-12) 		TBD SOON Send all Waukesha West applications to:
Jeff Trickey
W243 N2720 Creekside Dr
Pewaukee, WI. 53072
(262) 695-3099
jtrickey@wi.rr.com
o Waukesha West High School
Session 2  Waukesha, WI.
High School Camp (Grades 9-12) 		TBD SOON
o Waukesha West High School
Waukesha, WI.
Youth Camp I (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Waukesha West High School
Session 3  Waukesha, WI.
High School Camp (Grades 9-12) 		TBD SOON
o Waukesha West High School
Waukesha, WI.
Youth Camp II (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Waukesha West High School
Session 4  Waukesha, WI.
High School Camp (Grades 9-12) 		TBD SOON
o Waukesha West High School
Waukesha, WI.
Youth Camp III (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Minnetonka High School
Session 1  Minnetonka, MN.
High School Camp (Grades 9-12) 		TBD SOON Send all Minnetonka applications to:
Dave Nelson
Minnetonka High School
18301 Highway 7
Minnetonka, MN. 55345
(952) 401-5948
dave.nelson@minnetonka.k12.mn.us
o Minnetonka High School
Minnetonka, MN.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Minnetonka High School
Session 2  Minnetonka, MN.
High School Camp (Grades 9-12) 		TBD SOON
o Minnetonka High School
Session 3  Minnetonka, MN.
High School Camp (Grades 9-12) 		TBD SOON
o Immaculata High School
Session 1  Somerville, NJ.
High School Camp (Grades 9-12) 		TBD SOON Send all Immaculata applications to:
Pierce Frauenheim
Immaculata H.S.
240 Mountain Ave.
Somerville, NJ. 08876
(908) 722-0200 Ext. 115
athletics@immaculatahighschool.org
o Immaculata High School
Somerville, NJ.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Immaculata High School
Session 2  Somerville, NJ.
High School Camp (Grades 9-12) 		TBD SOON
o Christopher Newport University
Session 1  Newport News, VA.
High School Camp (Grades 9-12) 		TBD SOON Send all Christopher Newport applications to:
Bill Lyons
3520 S. Sandpiper Rd.
Virginia Beach, VA. 23456
(757) 721-5827
wplyons@cox.net
o Christopher Newport University
Newport News, VA.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Aushwaubenon High School
Green Bay, WI.
High School Camp (Grades 9-12) 		TBD SOON Send all Aushwaubenon HS applications to:
Chris Hofer
Kingsford High School
431 Hamilton Ave.
Kingsford, MI. 49802
(906) 396-0104
chofer@kingsford.org
o Aushwaubenon High School
Green Bay, WI.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Hempstead High School
Session 1  Dubuque, IA.
High School Camp (Grades 9-12) 		TBD SOON Send all Hempstead applications to:
Roger Baylor
19083 Durango Road
Sherrill, IA. 52073
(563) 552-1256
rogerbaylor@aol.com
o Hempstead High School
Dubuque, IA.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Hempstead High School
Session 2  Dubuque, IA.
High School Camp (Grades 9-12) 		TBD SOON
o Carroll High School
Session 1  Carroll, IA.
High School Camp (Grades 9-12) 		TBD SOON Send all Carroll applications to:
John Reglein
c/o Graphic Edge
743 Hwy 30 East
Carroll, IA. 51401
1-800-747-9744
jr@thegraphicedge.com
o Carroll High School
Carroll, IA.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Carroll High School
Session 2  Carroll, IA.
High School Camp (Grades 9-12) 		TBD SOON
o El Camino High School
Oceanside, CA.
High School Camp (Grades 9-12) 		TBD SOON Send all El Camino applications to:
Trace Deneke
El Camino H.S.
400 Rancho Del Oro Dr
Oceanside, CA. 92057
(760) 757-8550
Mon-Fri  8am-4pm
trace.deneke@oside.k12.ca.us
o El Camino High School
Oceanside, CA.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Thousand Oaks High School
Thousand Oaks, CA.
High School Camp (Grades 9-12) 		TBD SOON Send all Thousand Oaks applications to:
Jason Opsal
Thousand Oaks High School
2323 N. Moorpark Rd
Thousand Oaks, CA. 91360
(805) 433-5085
jasonopsal@hotmail.com
o Thousand Oaks High School
Thousand Oaks, CA.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Northwood University
Midland, MI.
High School Camp (Grades 9-12) 		TBD SOON Send all Northwood applications to:
Roger Bearss
4914 Birch Run Rd.
Millington, MI. 48746
(989) 871-2276
roger.bearss@mcdistrict.com
o Northwood University
Midland, MI.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON
o Wheaton Warrenville South High School
Wheaton, IL.
High School Camp (Grades 9-12) 		TBD SOON Send all Wheaton Warrenville South applications to:
Bill Altmann
57 S. Oriole Trail
Crystal Lake, IL. 60014
(815) 444-1969
allibill@comcast.net
o Wheaton Warrenville South High School
Wheaton, IL.
Youth Camp (Grades 4-8)
Youth Registration $130.00 		TBD SOON

MAIL APPLICATIONS TO THE DESIGNATED ON-SITE DIRECTOR.
Your confirmation will contain additional information
(i.e. times, directions, motels, etc.) regarding your camp.
For further information, call the on-site director or
Jeff Trickey, (262) 695-3099.