2023 Lakeville North Volleyball Team Camp

Welcome Guest Clinician

Jen Jacobs

for a fun, challenging and developmental week of volleyball camp this July!

Coach Jacobs will enter her 7th season as Head Coach for the Vikings of Augustana University (Sioux Falls, SD) in the fall of 2023. Jacobs played for four seasons at Minnesota State University (’00-’03) where she ended her career as a 3x All-North Central Conference, 2x AVCA All-Region, All-American Honors, and still owns the career record at MSU with 1,623 digs and 2nd all-time kills with 1,555. She was inducted into the MSU Hall of Fame in 2016. In 2004, Jacobs was Minnesota State University’s Assistant Coach. From 2005-2016, Jacobs coached for Northern Lights where she won a National Championship and coached numerous collegiate All-
Americans. From 2012-2017, Jacobs was Augsburg University’s Assistant Coach and Assistant Athletic Director. Jacobs has solidified herself as a premier speaker on diversity and inclusion, presenting at events such as the NCAA Inclusion Forum, the University of Minnesota Tucker Center Coaches Symposium and the American
Volleyball Coaches Association Convention. In just six short years as the Vikings Head Coach, Jacobs has a winning percentage over .500 with a record of 111-69.

Player Name *

First

Last

Grade (fall '23) *8th9th10th11th12th

Indicate shirt size *XSSMLXL

Address

Address Line 1

Address Line 2

City

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Zip Code

Phone

Email *

Parent(s)/Guardian Name(s) *

Parent/Guardian(s) Phone

Medical Info and Release

Emergency Contact *

Relationship *

Emergency Cell *

Health Concerns/Injuries/Medications

Allergies

Date of most recent physical *

Physician Phone

Medical Treatment Consent & Release Authorization

We, the undersigned for ourselves, our heirs, executors and administrators, waive, release and forever discharge Lakeville North High School volleyball and its staff, officers, employees and representatives of harm of rights and claim for damages, injuries or loss of property which may be sustained or occurred during participation in volleyball activities. I grant permission to the Lakeville North volleyball camp staff to render any preventative measures, basic first aid, acute injury treatment deemed reasonable and necessary during camp.

Signature of Parent/Guardian *

Date *

Submit

Make checks payable to: Lakeville North Volleyball Booster Club. Include participant name on all checks. Registration due by Monday, July 18th. Late registrations/walk-ins will occur a $15 fee.

Mail Full Payment to:

LNHS Volleyball Team Camp
c/o Jackie Richter
1779 Cliff Road, Eagan MN 55122