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The document is a registration and waiver form for a youth football camp. It authorizes camp coaches to act in the event of an emergency, waives liability for injuries or illnesses, and requires the parent to pay medical costs if needed. It provides details on the camp location, dates, times, costs, required gear, and daily activities. The parent must sign to acknowledge and agree to the terms.

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LonnyHarper
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
13K views

Packet Info

The document is a registration and waiver form for a youth football camp. It authorizes camp coaches to act in the event of an emergency, waives liability for injuries or illnesses, and requires the parent to pay medical costs if needed. It provides details on the camp location, dates, times, costs, required gear, and daily activities. The parent must sign to acknowledge and agree to the terms.

Uploaded by

LonnyHarper
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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I, the undersigned, as parent/guardian of ____________________________________ _ (camper) hereby authorize the camp coaches to act for me in the event of a serious

emergency and I hereby waive and release the camp and its directors from any and all liability for injuries and illnesses incurred while attending camp. In addition, I certify that my child is in good health and is able to participate in all program activities. Furthermore, in the event of an emergency requiring medical attention, I shall pay for the services rendered.

Name_______________________________ _ Age___________Grade in Fall 2011________ Date of Birth _______/_________/________ Parents Name _____________________________________ Address

2011 Kennedy Road 2nd Annual Football Youth Camp

Where:
280 Kennedy Road Griffin, Ga. 30223

T-Shirt Size (Circle One) S M XXXL L XL XXL

When: July 11-14, 2011 Time: 9:00 a.m. 12:00 p.m. Cost: $30 .00
(Money order, cashiers check or cash only) * Make money order payable to Kennedy Road Middle School

Parent Phone

Parent Signature Date

(H)__________________________________ (C)__________________________________ _ Email_______________________________ _

Payment Method: Money Order or Cashiers check Only! Make payable to: Kennedy Road Middle School Mail form and payment By July 1st to: Kennedy Road Middle School 280 Kennedy Rd. Griffin Ga. 30223

Emergency Contact_____________________________ __ Emergency Phone ______________________ Football Position: Offense:____________________________ __

Gear required: Cleats, Shorts, and Tshirt. No pads or Helmet needed. Daily activities include all fundamentals of football and skill competitions All skill levels are encouraged to attend

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