Junior Spartan Football Camp 2016

5 downloads 151 Views 599KB Size Report
Purpose: In our camp, players will receive instruction in all aspects of football, including: passing, rushing, receivin
Player Name: _________________________________________ Parent or Guardian: _________________________________________ Address:_________________________________ City:____________________ State:__________ Zip:__________ Phone Number:__________________________ E-mail: __________________________________________ Birth date/Age:_____________________ Grade( 2015/16) ______________ School:________________________________ Person to notify in case of emergency:

Purpose: In our camp, players will receive instruction in all aspects of football, including: passing, rushing, receiving, line play, blocking, as well as pass and run defense. Fundamentals and techniques of each position will be taught and practiced daily. This camp will be competitive, but is a non-contact camp. This camp is designed for athletes age 8-14. Upon check in, athletes will be separated into similar age groups for the duration of the camp. Dates: June 14, 15 & 16 from 6-8:00 p.m. at RBHS . Registration can be done before the camp by mailing your player form and payment on or before June 3rd. Onsite Registration on the 14th will take place at Spartan Stadium from 4-5:00 p.m.

Red Bluff Spartan Football

Junior Spartan Football Camp 2016

Staff: The camp will be coached by Red Bluff High School football players and coaching staff..

________________________________ Emergency Phone # _______________________________ Family Doctor: __________________________________________ Phone #___________________________________ Allergies/Medications: __________________________________________ Insurance Provider: _________________________________________ Policy # _________________________________________

Ages 8 to 14

Jr. Spartan Football Camp 2016 Cost: Payment includes 3 days of camp, and a camp Tshirt. Pre-registered campers are $45 (Before June 3rd). Campers registering on the day of the event are $50. Cash or check will be accepted. Please make checks payable to Red Bluff Football. If you are pre-registering by mail, please mail to: Corey Hein 21922 Pradera Drive Anderson, CA 96007 What athletes need to bring: This is a non-contact camp, so football pads are not needed. T-shirts and shorts are required for all practices. Cleats are recommended.  

Practice Clothes: running shoes or grass cleats, white T-shirt, gym shorts, athletic socks. • Please bring fluids, sports drinks and or bottled water

Requirements: -Registration Packet with payment including -Shirt Size

Medical Release, Waiver and Health Screening Form Name of Participant______________________________________ I hereby give my permission for _____________________ to participate in the RBUHS football camp. I further give my permission for a physician to diagnose and administer emergency care if the need arises. Is your child taking any medication on a regular basis? Yes_______No______ If yes, what type of medication ___________________________________________________________________________ Does your child have any physical limitations that the coach should be aware of? Yes______No_______ If yes, please explain or attach information. ________________________________________________________________________ ACKNOWLEDGEMENT OF ASSUMPTION OF RISK I authorize my child, ____________________to participate in the Spartan Football camp. I understand and acknowledge that these activities, by their very nature, post the potential risk of serious injury/illness to individuals who participate in such activities. I understand and acknowledge that some injuries/illnesses which may result from participating in these activities include but are not limited to the following: Sprains/strains, fractured bones, unconsciousness, head and/or back injuries, paralysis, loss of eyesight, communicable disease, & loss of breath. I understand and acknowledge that participation in these activities is completely voluntary. I understand and acknowledge that in order to participate in these activities I assume liability and responsibility for any and all potential risk, which may be associated with participation in these activities. I understand, acknowledge, and agree that the Spartan Football Camp and Red Bluff High School, their employees, officers, agents, sponsors, or volunteers, shall not be held responsible for any injury/illness suffered by my child which may be associated with preparing for and/or participating in this activity. I acknowledge that I have carefully read this ACKNOWLEDGEMENT OF ASSUMPTION OF RISK form and that I understand and agree to its terms. Neither Red Bluff High School Football nor the staff of the Red Bluff High School Football assumes responsibility for accidents or medical expenses incurred as a result of participation in the Jr. Spartan Football Camp. All athletes/families must assume responsibility for any medical expenses incurred. I have adequate medical coverage and insurance and give my son/daughter permission to attend the Jr. Spartan Football Camp (sponsored by Red Bluff High Football) and I agree to indemnify Red Bluff High School Football and its employees for any claim which may hereafter be presented by my athlete as a result of any such injuries

Parent Signature_____________________________________ Date____________