V&R 2021 Football Camp Signup

Participant Name *

First

Last

Gender *

Boy
Girl

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone *

Parent Phone *

Parent Email *

Participant Birth Date *

Age (As of June 5th, 2021) *

Height *

Weight *

Youth Football Camp T-Shirt Size *

Medical Conditions/Injuries/Allergies *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

I hereby give my child permission to participate in the Visualize & Rize Youth Football Camp. I realize football is a challenging sport and inherently has a possibility of injury. I understand that medical insurance is advisable, and the payment for any medical emergency, hospital, or physician treatment rendered for my child is my responsibility. I will not hold King George County Schools, or camp coaching staff liable in case of accident or injury.

I agree to the Parental Consent And Waiver Of Participation.

Signature of Parent/Legal Guardian *

Date Of Application Submission *

Participants need to wear shorts, athletic socks, cleats, (or appropriate footwear), and supporter (optional). Shirts will be provided for the participants if registered by 5/10/2021