Registration - Football Camp

Camp Session

Camp Session Wednesday June 18, 2024 (5:00pm - 8:00pm) Saturday June 19, 2024 (5:00pm - 8:00pm)
Name: Name: First Last
Date of Birth: Date of Birth: / MM / DD YYYY
High School Graduation Year:

High School Graduation Year: Senior (2024) Junior (2025) Sophomore (2026) Freshman (2027)
Position (Select Offensive & Defensive)

Position (Select Offensive & Defensive) QB RB WR OL DL LB DB K P LS
Height:
Weight:
High School
High School State (ex. PA)
Head Coach Head Coach First Last
Student Cell Phone Number Student Cell Phone Number - ### - ### ####
Student Email:
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact #1 Emergency Contact #1 First Last
Relationship
Phone Number 1 Phone Number 1 - ### - ### ####
Emergency Contact #2 Emergency Contact #2 First Last
Relationship
Phone Number 2 Phone Number 2 - ### - ### ####
Insurance Company
Policy Holder Name
Policy Number
Please list any food allergies: