Wildcat Football Camp Registration - SPRING
Please fill out the following form to register for our Spring Camp and the 2017 football season.
Name (Last, and First)
Your answer
Current Grade
How many years of football experience do you have? (Atom, PeeWee, Bantam, Midget, High School)
What position group would you like to participate with for Camp? (Select as many as you wish.)
Required
Date of Birth
MM
/
DD
/
YYYY
Alberta Health Care Number
Your answer
Mailing Address
Your answer
Player Email Address (NOT PARENTS)
Your answer
Parents Email Address
Your answer
Player Cell Phone
Your answer
Parent Phone Numbers (Home and Cell)
Your answer
Height
Respond with Feet & Inches (6'1)
Your answer
Weight
Respond in Pounds (190lbs)
Your answer
Emergency Contact Name #1
Your answer
Emergency Contact #1-Relationship to Player
Mother, Father, Guardian, etc
Your answer
Emergency Contact #1 Contact Number
Your answer
Emergency Contact #1 Contact Email
Your answer
Emergency Contact Name #2
Your answer
Emergency Contact #2-Relationship to Player
Mother, Father, Guardian, etc.
Your answer
Emergency Contact #2 Contact Number
Your answer
Emergency Contact #2 Contact Email
Your answer
Medical Information
Check all that apply
Required
If you indicated YES to any of the above, please provide further information (Details/severity and medication required), what are known triggers and if student can self-administer
Your answer
Elements of Risk Notice
There is an element of risk in every athletic activity. The safety and well being of our student-athletes is a prime concern and attempts are made to manage the foreseeable risks inherent in physical activity by taking appropriate precautions. However, due to the very nature of football, the risk of injury may increase. Injuries may range from minor sprains and strains to injuries more serious in nature. *It is HIGHLY recommended that all athletes have a yearly medical done before camp starts. All Athletes must ride on the school provided transportation. I hereby authorize the team to secure such medical advice and services as may be deemed necessary for the health and safety of my son/daughter/ward. I agree to accept financial responsibility in excess of the benefits allowed by Alberta Health Care and other insurance plans.
Required
Parent Volunteer Information
Check all that apply - ANY SUCCESSFUL PROGRAM DEPENDS ON VOLUNTEERS - PLEASE INDICATE IF YOU ARE WILLING TO ASSIT THE WILDCATS IN ANY OF THESE AREAS
Required
Players will be required to have their medical/registration form completed and their registration fees submitted prior to Spring camp beginning. Fees can be made at equipment pick time or to Coach Baharally ahead of equipment pick up time at the high school. Registration Fee ($250.00) Equipment Deposit ($250.00) refundable at the end of the year once all equipment is returned *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Clearview Public Schools. Report Abuse - Terms of Service - Additional Terms