Jeff Trickey Quarterback Camps
2010 QUARTERBACK CAMP APPLICATION FORM


REGISTRATION FEE
Registration Fee: $150.00 High School Camp

(Additional Sessions:

 $75.00)
$135.00 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:________________________
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) 		Feb 27  9:00am-1:00pm
Feb 28  9:00am-1:00pm 		Send all Mesquite applications to:
Mike Reardon
3637 North Canyon Wash Circle
Mesa, AZ. 85207
(480) 766-0467
dan9duty@aol.com
o Mesquite High School
Gilbert, AZ.
Youth Camp (Grades 4-8)
Youth Registration $135.00		 Feb 27  9:00am-12:00pm
Feb 28  10:00am-1:00pm
o Palo Verde High School
Las Vegas, NV.
High School Camp (Grades 9-12) 		Mar 6  9:00am-1:00pm
Mar 7  9:00am-1:00pm 		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.net
o Palo Verde High School
Las Vegas, NV.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Mar 6  9:00am-12:00pm
Mar 7  10:00am-1:00pm
o La Quinta High School
La Quinta, CA.
High School Camp (Grades 9-12) 		Mar 13  9:00am-1:00pm
Mar 14  9:00am-1:00pm 		Send all La Quinta applications to:
Dan Armstrong
La Quinta High School
79255 Westward Ho
La Quinta, CA. 92253
(760) 799-0959
danny.armstrong@dsusd.us
o La Quinta High School
La Quinta, CA.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Mar 13  9:00am-12:00pm
Mar 14  10:00am-1:00pm
o Marin Catholic High School
Session 1 Kentfield, CA.
High School Camp (Grades 9-12) 		Mar 20  9:00am-1:00pm
Mar 21  9:00am-1:00pm 		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 $135.00		 Mar 20  9:00am-12:00pm
Mar 21  10:00am-1:00pm
o St. Stephen's School
Session 1 Austin, TX.
High School Camp (Grades 9-12) 		May 1  2:00pm-6:00pm
May 2  9:00am-1:00pm 		Send all St. Stephen applications to:
Ed Wolkind
St. Stephen's School
6500 St. Stephen's Drive
Austin, TX 78746
(512) 736-4327
ewolkind@sstx.org
o St. Stephen's School
Austin, TX.
Youth Camp I (Grades 4-8)
Youth Registration $135.00		 May 1  2:00pm-5:00pm
May 2  10:00am-1:00pm
o Anderson High School
Cincinnati, OH.
High School Camp (Grades 9-12) 		May 15  9:00am-1:00pm
May 16  8:00am-12:00pm 		Send all Anderson HS applications to:
Paul Bodenbach
Competitor's Edge, Inc
P O Box 773
Union, KY 41091
o Anderson High School
Cincinnati, OH.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		May 15  9:00am-12:00pm
May 16  9:00am-12:00pm
o Arapahoe High School
Littleton, CO.
High School Camp (Grades 9-12) 		May 29  9:00am-1:00pm
May 30  8:00am-12:00pm 		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 $135.00 		May 29  9:00am-12:00pm
May 30  9:00am-12:00pm
o Blue Valley High School
Stilwell, KS. (Kansas City area)
High School Camp (Grades 9-12) 		Jun 3  9:00am-1:00pm
Jun 4  8:00am-12:00pm 		Send all Blue Valley HS applications to:
Steve Rampy
15725 Birch
Overland Park, KS. 66224
(913) 522-9469
o Blue Valley High School
Stilwell, KS. (Kansas City area)
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jun 3  9:00am-12:00pm
Jun 4  9:00am-12:00pm
o Illinois College
Jacksonville, IL.
High School Camp (Grades 9-12) 		Jun 5  9:00am-1:00pm
Jun 6  8:00am-12:00pm 		Send all Illinois College applications to:
Mark Grounds
238 Webster Ave.
Jacksonville, IL. 62650
(217) 414-1545
mgrounds98@hotmail.com
o Illinois College
Jacksonville, IL.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jun 5  9:00am-12:00pm
Jun 6  9:00am-12:00pm
o Central Catholic High School
Woodstock, IL.
High School Camp (Grades 9-12) 		Jun 12  9:00am-1:00pm
Jun 13  9:00am-1:00pm 		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 $135.00 		Jun 12  9:00am-12:00pm
Jun 13  10:00am-1:00pm
o Carroll University
Session 1  Waukesha, WI.
High School Camp (Grades 9-12) 		Jun 14  9:00am-1:00pm
Jun 15  9:00am-1:00pm 		Send all Carroll University applications to:
Jeff Trickey
W243 N2720 Creekside Dr
Pewaukee, WI. 53072
(262) 695-3099
jtrickey@wi.rr.com
o Carroll University
Waukesha, WI.
Youth Camp I (Grades 4-8)
Youth Registration $135.00 		Jun 14  9:00am-12:00pm
Jun 15  10:00am-1:00pm
o Carroll University
Session 2  Waukesha, WI.
High School Camp (Grades 9-12) 		Jul 10  9:00am-1:00pm
Jul 11  8:00am-12:00pm
o Carroll University
Session 3  Waukesha, WI.
High School Camp (Grades 9-12) 		Jul 26  9:00am-1:00pm
Jul 27  9:00am-1:00pm
o Carroll University
Waukesha, WI.
Youth Camp II (Grades 4-8)
Youth Registration $135.00 		Jul 26  9:00am-12:00pm
Jul 27  10:00am-1:00pm
o Carroll University
Session 4  Waukesha, WI.
High School Camp (Grades 9-12) 		Jul 31  9:00am-1:00pm
Aug 1  9:00am-1:00pm
o Carroll University
Waukesha, WI.
Youth Camp III (Grades 4-8)
Youth Registration $135.00 		Jul 31  9:00am-12:00pm
Aug 1  10:00am-1:00pm
o Wausau West High School
Wausau, WI.
High School Camp (Grades 9-12) 		Jun 16  12:00pm-4:00pm
Jun 17  8:00am-12:00pm 		Send all Wausau West
applications to:
Tim Freiberg
6104 Kayak Dr
Weston, WI. 54476
(715) 573-1742
tcfreiberg@gmail.com
o Wausau West High School
Wausau, WI.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jun 16  12:00pm-3:00pm
Jun 17  9:00am-12:00pm
o Minnetonka High School
Session 1  Minnetonka, MN.
High School Camp (Grades 9-12) 		Jun 18  2:00pm-6:00pm
Jun 19  8:00am-12:00pm 		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 $135.00 		Jun 18  2:00pm-5:00pm
Jun 19  9:00am-12:00pm
o Minnetonka High School
Session 2  Minnetonka, MN.
High School Camp (Grades 9-12) 		Jun 19  2:00pm-6:00pm
Jun 20  9:00am-1:00pm
o Minnetonka High School
Session 3  Minnetonka, MN.
High School Camp (Grades 9-12) 		Jun 21  9:00am-1:00pm
Jun 22  8:00am-12:00pm
o Immaculata High School
Somerville, NJ.
High School Camp (Grades 9-12) 		Jun 24  2:00pm-6:00pm
Jun 25  8:00am-12:00pm 		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 $135.00 		Jun 24  2:00pm-5:00pm
Jun 25  9:00am-12:00pm
o Christopher Newport University
Newport News, VA.
High School Camp (Grades 9-12) 		Jun 26  9:00am-1:00pm
Jun 27  8:00am-12:00pm 		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 $135.00 		Jun 26  9:00am-12:00pm
Jun 27  9:00am-12:00pm
o Carroll High School
Session 1  Carroll, IA.
High School Camp (Grades 9-12) 		Jun 29  3:00pm-7:00pm
Jun 30  8:00am-12:00pm 		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 $135.00 		Jun 29  3:00pm-6:00pm
Jun 30  9:00am-12:00pm
o Carroll High School
Session 2  Carroll, IA.
High School Camp (Grades 9-12) 		Jun 30  2:00pm-6:00pm
Jul 1  8:00am-12:00pm
o University of Dubuque
Dubuque, IA.
High School Camp (Grades 9-12) 		Jul 2  9:00am-1:00pm
Jul 3  9:00am-1:00pm 		Send all University of Dubuque applications to:
Bill Altmann
57 S. Oriole Trail
Crystal Lake, IL. 60014
(815) 444-1969
allibill@comcast.net
o University of Dubuque
Dubuque, IA.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jul 2  9:00am-12:00pm
Jul 3  10:00am-1:00pm
o Ashwaubenon High School
Green Bay, WI.
High School Camp (Grades 9-12) 		Jul 7  12:00pm-4:00pm
Jul 8  9:00am-1:00pm 		Send all Ashwaubenon applications to:
Ken Golomski
1566 Rustic Way
Green Bay, WI. 54313
(920) 497-1504
kenneth.golomski@snc.edu
o Ashwaubenon High School
Green Bay, WI.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jul 7  12:00pm-3:00pm
Jul 8  10:00am-1:00pm
o La Jolla High School
La Jolla, CA. (San Diego)
High School Camp (Grades 9-12) 		Jul 13  9:00am-1:00pm
Jul 14  9:00am-1:00pm 		Send all La Jolla applications to:
Trace Deneke
1434 Henshaw Road
Oceanside, CA. 92056
(760) 533-5411
tpdeneke@cox.net
o La Jolla High School
La Jolla, CA. (San Diego)
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jul 13  9:00am-12:00pm
Jul 14  10:00am-1:00pm
o Fallbrook High School
Fallbrook, CA.
High School Camp (Grades 9-12) 		Jul 15  9:00am-1:00pm
Jul 16  8:00am-12:00pm 		Send all Fallbrook applications to:
Trace Deneke
1434 Henshaw Road
Oceanside, CA. 92056
(760) 533-5411
tpdeneke@cox.net
o Fallbrook High School
Fallbrook, CA.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jul 15  9:00am-12:00pm
Jul 16  9:00am-12:00pm
o Northwood University
Midland, MI.
High School Camp (Grades 9-12) 		Jul 20  2:00pm-6:00pm
Jul 21  8:00am-12:00pm 		Send all Northwood applications to:
Roger Bearss
Millington High School
8780 Dean Dr.
Millington, MI. 48746
(989) 871-5220
roger.bearss@mcsdistrict.com
o Northwood University
Midland, MI.
Youth Camp (Grades 4-8)
Youth Registration $135.00 		Jul 20  2:00pm-5:00pm
Jul 21  9:00am-12:00pm
o Wheaton Warrenville South High School
Wheaton, IL.
High School Camp (Grades 9-12) 		Jul 23  12:00pm-4:00pm
Jul 24  9:00am-1:00pm 		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 $135.00 		Jul 23  12:00pm-3:00pm
Jul 24  10:00am-1:00pm

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.