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First Name:
Last Name:
School:
Address:
City: State: Zip:
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Date of Injury:
The Extent of the injury:
Please explain what activity was being performed when the injury occurred:
Please submit a paragraph on your story and the impact the injury has had
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ADVISORY COMMITTEE
Eric Affeldt
President & CEO,
ClubCorp, Inc.
David Bailiff
Head Football Coach,
Rice University
Bob Beaudine
Author – The Power of Who, CEO, Eastman & Beaudine
Brad Brookshire
Chairman,
Brookshire Grocery Company
Troy Calhoun
Head Football Coach,
U.S. Air Force Academy
Margo Daniels
Assistant Tournament Director
Pebble Beach Company
Fisher DeBerry
Past President, American Football Coaches Association
Former Head Football Coach,
U.S. Air Force Academy
Chris Del Conte
Athletic Director,
TCU
Rich Ellerson
Former Head Football Coach,
Army
Larry Fedora
Head Football Coach,
University of North Carolina
Jeff Fehlis,
Director of Global Sales,
American Airlines

Dennis Franchione
Head Football Coach,
Texas State University

Todd Graham
Head Football Coach,
Arizona State University
James “Shack” Harris
Former NFL Pro Bowl Quarterback
Kathleen Hessert
CEO,
Buzz Manager, Inc.
Kirby Hocutt
Athletics Director,
Texas Tech
Clark Hunt
Chairman & CEO,
Kansas City Chiefs
Paul Johnson
Head Football Coach,
Georgia Tech
June Jones
Head Football Coach,
SMU
Stephen Jones
Executive VP & COO,
Dallas Cowboys
George Killebrew
Executive Vice President,
Dallas Mavericks
Bill King
Nationally Known Sports Talk Radio Host, Sirius XM
Paul B. Loyd, Jr.
Chairman,
PBL Holdings
Donna Lucas
CEO & President,
Lucas Public Affairs
Warren Moon
NFL Hall of Fame Quarterback
Rick Neuheisel
Former Head Football Coach
Kenny Niumatalolo
Head Football Coach,
U.S. Naval Academy
Houston Nutt
Former Head Football Coach
Steve Orsini
Former Athletic Director,
SMU
James A. Pappas
President/COO,
P.J. Mechanical Corp.
T. Boone Pickens
Businessman
John Priore
CEO,
Priority Payment Systems
Dr. Jerry Punch
Physician & Broadcaster

Dan Radakovich
Athletic Director,
Clemson

Jackie Sherrill
Former Head Football Coach (Washington State, Pittsburgh, Texas A&M, Mississippi State)
Jeff Staubauch
Executive Vice-President,
Jones Lang LaSalle
Mark Steines
Anchor,
Entertainment Tonight
Grant Teaff
Former Head Football Coach (McMurry, Angelo State & Baylor)
Dick Tomey
Past President, American Football Coaches Association
Former Head Football Coach (Arizona, Hawai’i & San Jose)
Walter Umphrey
Attorney, Provost,
Umphrey Law Firm
Mike Wade
Vice President,
AdvoCare International
Doug Williams
Super Bowl MVP Quarterback
Bob Wilson
President, Wilson Air Center
Executive VP, Kemmons Wilson