Register for Camp 2017

Use the form below to register your child(ren) for Camp, 2017.

If you are registering more than one child, after you have submitted one just refresh the page to fill out the next.

Choose One

Football Camp 2017Chalk Talk 2017 (Girls ONLY)

Youth Details

Youth First Name:

Youth Last Name:

Date of Birth:

Gender:
BoyGirl

Full Street Address:

Home/Primary Phone Number:

Grade, Fall 2017:

School Name, Fall 2017:

Medical History: Allergies, Medications, Special Conditions, etc.

Shoe Size:

Shirt Size:

Academic goals for next year:

Dream Profession:


Football Only:

Position:

Height:

Weight:


Parent/Guardian 1 (required)

Full Name:


Email Address:


Cell/Primary Phone:


Work Phone:


Relationship to Player:

Parent/Guardian 2 (optional)

Full Name:


Email Address:


Cell/Primary Phone:


Work Phone:


Relationship to Player:

Yes
"I verify that I am the guardian of the camp attendee.
I am 18 years or older and assume responsibility of the camp attendee."