Mini Camp
June 13-16 @ Spry
3:30-5:30
No Cost
Modified Team Camp*
When: July 25-28 (6:00-8:30PM)
Where: Schroeder High School
Cost: $80
*Modified Coaches will arrange for equipment pick up for camp
Schroeder Football
Summer Camp Registration Form
*Please check the camp(s) you are registering for
_______Schroeder Warriors Team Camp:$95 (JV/Varsity): August
1-4 (5:30-8:30)
_______ Schroeder Modified Team Camp: $80 (7th, 8th,
9th graders): July 25-28 (5:30-8:30)
*Make checks payable to Webster Warriors Football Booster- Return to
Coach Watkins
|
Name:
|
|
Grade in 2016:
|
|
|
Address:
|
|
Zip:
|
|
|
Phone:
|
|
Height:
|
|
|
School:
|
|
Weight:
|
|
|
Grade:
|
|
Age:
|
|
|
Offensive
Position:
|
|
Defensive
Position:
|
|
MEDICAL PERMISSION AND LIABILITY WAIVER
Parent or Guardian Consent:
I hereby give my consent for:
__________________________________ to participate in all activities of the SCHROEDER
FOOTBALL CAMP. I understand
that participating in football and other camp activities involves a risk of
injury or other harm. All risks are
being assumed knowingly and voluntarily.
I will not hold Kali Watkins and the Webster Central School District,
its employees and agents responsible for any injury or other harm those results
from participation in the football camp.
I hereby acknowledge that I have the appropriate medical/accident &
dental insurance coverage for my participating child/children. My son is in good health and he has no
physical condition that would prevent him from participating in the football
camp.
*I authorize the trainer to administer needed first-aid and
seek medical attention in case of an emergency.
Signature of Parent or Guardian: __________________________________________________
Health Insurance Company/Provider:
______________________________________________
Policy Number:________________________________________________________________
*Should there be an emergency and we cannot reach you, whom
should we contact?
NAME:____________________________________________
RELATIONSHIP:_____________________________________
PHONE:___________________________________________
