TWENTY-FOURTH ANNUAL STARMOUNT KICKING CLINIC
SATURDAY, APRIL 16, 2016
STARMOUNT HIGH SCHOOL
2516 LONGTOWN ROAD, BOONVILLE, NC 27011-9627
8:45 A.M. - 4:00 P.M.
Instruction in placekicking, punting, and snapping will be provided by Carol A. White (former coach at
Georgia Tech and director of the Auburn Kicking Academy) and a group of North Carolina and Georgia
players active at colleges in the Southeast. This one-day clinic is designed as a supplement to spring
football practice and as a means to encourage the development of shared practicing throughout the summer
months. Graduating seniors should plan to attend.
Carol A. White 706-549-2695
What can you gain from a one-day clinic?
www.kick-aid.com
1.Identification of 1 to 3 muscle or joint needs which, if addressed aggressively during the
spring and summer, would improve your potential in kicking, punting, snapping, and other
activities.
2.Review of drills which will enhance your kicking/punting/snapping/holding form and
techniques,if you practice the drills.
3.Refinement of your mental approach to the kicking game.
If nothing else, you will spend a day with positive, success-minded local athletes who want to share with you
their experiences as kickers, punters, or snappers. They will discuss academics, college recruiting, and
effective training practices. Moreover, they will encourage you to establish attainable goals for 2016-17.
Remember to bring a football and any needed tees. Clinic will be held regardless of weather.
COST:$50 for placekickers and punters
$40 for snappers
(Lunch will be delivered at no additional cost to you.)
TO ENROLL:Complete the enclosed form and return by FRIDAY, APRIL 8, 2016, to:
SCOTT JOHNSON, CLINIC DIRECTOR
STARMOUNT HIGH SCHOOL
2516 LONGTOWN ROAD
BOONVILLE, NC 27011-9627
Make checks payable to:STARMOUNT ATHLETIC DEPARTMENT
Walk-up registrations on April 16 should pay cash.
CONTACT PERSON: SCOTT JOHNSON 336-468-8686 (Fieldhouse) 336-679-4418 (Home)
GENERAL SCHEDULE FOR ONE-DAY CLINIC:
8:45 - 9:00Check in
9:00 - 10:00Body movement and stretching instruction
10:00 - NOONDrill work in small groups
NOONLunch
12:45 - 1:30Discussion session and demonstrations
1:30 - 2:30Review and additional drills
2:30 - 3:30Practical game situations
3:30 - 3:50Kick-off practice
3:50 - 4:00Final meeting
- RETURN COMPLETED REGISTRATION FORM(S) BY FRIDAY, APRIL 8, 2016, TO:
(Please complete a separate form for each person registering. Feel free to duplicate this form. One check
may accompany any number of registrations.)
SCOTT JOHNSON, CLINIC DIRECTOR
STARMOUNT HIGH SCHOOL
2516 LONGTOWN ROAD
BOONVILLE, NC 27011-9627
MAKE CHECKS FOR $50 (OR $40 FOR SNAPPERS) PAYABLE TO: STARMOUNT ATHLETIC DEPARTMENT
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NAME_______________________________________________________________NICKNAME _______________________
Last First Middle
ADDRESS__________________________________________________________________________________________
Street City StateZip Code
SCHOOL________________________________________SCHOOL LOCATION __________________________
FOOTBALL COACH ___________________________________COUNTY _____________________________________
GRADE IN 2016-2017 _____________AGE ______________ HEIGHT _________________WEIGHT ____________
BIRTHDATE___________________E-MAIL ADDRESS __________________________________________________
PARENTS’ NAMES ____________________________________ PARENT CELL PHONE (_______)________________
HOME PHONE (________) _____________________________BUSINESS PHONE (________) __________________
CAMPER’S CELL PHONE (______)______________________
********************************************************************************************************
PLEASE INDICATE ONE (1) PREFERENCE FOR STUDY ON SATURDAY, APRIL 16, 2016:
____________SOCCER-STYLE PLACEKICKING
____________CONVENTIONAL (STRAIGHT-ON) PLACEKICKING
____________PUNTING
____________SNAPPING
RIGHT-FOOTED or LEFT-FOOTED? _____________________YEARS OF FOOTBALL EXPERIENCE _____________
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I, the undersigned, do hereby assume responsibility for any accident or injury that may result from participa-
tion of the above named athlete in the Starmount Kicking Clinic. I hereby remise, release, and forever
discharge the Starmount Kicking Clinic, their agents, sponsors, personnel, and Starmount High School and
the Yadkin County School System from suits of law, of whatever kind or nature, regarding the above named
participant.
INSURANCE COMPANY ____________________________________POLICY NUMBER ______________________
PARENT’S SIGNATURE ____________________________________DATE__________________________________