Interboro Mini Bucs Football Camp

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SECTION 1: Parent / Guardian Information

Parent/Guardian Name

Phone Number *

Email Address *

Home Address *

City / State / Zip Code *

SECTION 2: Player Information

Player Name
Short Answer

Player Age
*

Player Grade *

School Attending *

SECTION 3: Emergency Contact

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Player

SECTION 4: Medical Information

Does your child have any medical conditions, allergies, or injuries we should be aware of?

SECTION 5: Waiver & Consent

Liability Agreement
Checkbox

Statement:

I certify that my child is physically able to participate in the Interboro Mini Bucs Football Camp. I understand that participation in athletic activities involves inherent risks of injury. I release the camp coaches, staff, and Interboro School District from liability for injuries that may occur during participation. I also grant permission for emergency medical treatment if necessary.

I Agree

Required

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