Registration - Football Prospect Camp

Camp Session

Camp Session May 30, 2026 (12:00pm - 3:00pm)
Name: Name: First Last
Date of Birth: Date of Birth: / MM / DD YYYY
Current Year in High School

Current Year in High School Senior Junior Sophomore Freshman
High School
High School State (ex. PA)
Head Coach Head Coach First Last
Position (Select Offensive & Defensive)

Position (Select Offensive & Defensive) QB RB WR OL DL LB DB K P LS
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: