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Youth Football Camp
7/16/2017

2017

WICKSBURG YOUTH FOOTBALL CAMP

 

A non-contact youth football camp for all athletes entering ages 7-12

Hosted by Wicksburg High School Football Staff and Players

 

July 17th-19th 8:00 a.m. – 11:00 a.m.

 

Camp Location: Wicksburg High School Practice Football Field (behind field house)

 

Daily Equipment Needed: Shorts, T-Shirt, Socks, Running Shoes or Football Cleats

Each camper will receive a camp T-Shirt

 

Cost $75 per camper

additional sibling $50

Please make checks payable to Wicksburg High School

 

 

PARTICIPANT NAME:______________________________________________________

 

GRADE (Entering 2016/2017): 2 3 4 5 6 7

 

PARENT or GUARDIAN NAME: _______________________________________________

 

PARENT or GUARDIAN PHONE NUMBER:______________________________________

 

EMERGENCY CONTACT NAME OTHER THAN PARENT (IF UNABLE TO REACH PARENT) :

_________________________________________________________________________

 

EMERGENCY PHONE #______________________________________________________

 

EMERGENCY CONTACT RELATIONSHIP:________________________________________________

 

ANY MEDICAL CONCERNS:__________________________________________________

 

ALLERGIES (food, medication, or environmental):__________________________________

 

 

The undersigned, being the custodial parent/legal guardian for the above named participant, hereby releases and waives any and all claims, losses, damages, injuries to person or property, expense, cause of action or cost named participant has, had or may have in the future have against Wicksburg High School, its employees, agents, and all event sponsors arising from or relating to participant's participation in, and/or the conduct of, the event. The undersigned also hereby authorizes the director/staff of the event to act according to their best judgment in seeking and obtaining medical care and treatment for the above named participant.

 

Parent or Guardian Signature:_______________________________________Date:______________________