MADLINEMAN YOUTH FOOTBALL CAMP REGISTRATION FORM
YOUTH FOOTBALL CAMP FOR YOUTH AGES 5-14 YEARS OLD
MADLINEMAN FOUNDATION...MAKING A DIFFERENCE
CHILD'S FIRST NAME *
Your answer
CHILD'S LAST NAME *
Your answer
CHILD'S AGE *
Your answer
CHILD'S SCHOOL DISTRICT *
(ie. Alvin ISD, Pearland ISD, Fort Bend ISD, Houston ISD)
Your answer
DOES YOUR CHILD PARTICIPATE IN YOUTH FOOTBALL *
CHILD'S T-SHIRT SIZE *
CHILD'S PRIMARY POSITION *
CHILD'S SECONDARY POSITION *
PARENT/GUARDIAN NAME #1 *
Your answer
PARENT/GUARDIAN #1 EMAIL *
Your answer
PARENT/GUARDIAN NAME #2
Your answer
PARENT/GUARDIAN #2 EMAIL
Your answer
MADLINEMAN PARTICIPANT CONSENT & LIABILITY WAIVER
THE CONSENT & LIABILITY WAIVER MUST BE COMPLETED FOR CAMP PARTICIPATION. THIS MUST BE DONE ELECTRONICALLY AND SIGNED THE DAY OF CAMP PARTICIPATION.
I give my child permission to participate in the MADLINEMAN Youth Football Camp. *
Required
I agree to let the volunteer/employee of MADLINEMAN, INC. act in their best judgment in case of sickness, injury, and/or death. *
Required
I will not hold liable MADLINEMAN, INC., any of its volunteers, affiliates and/or agents if sickness, injury, and/or death occurs. *
Required
My child is mentally & physically capable of participating in this camp. *
Required
My child is covered by medical insurance. *
Required
My child's participation in this camp is voluntary. *
Required
I voluntarily permit my child to participate in this camp. *
Required
I permit the use of my child's image for photos and/or videos for marketing purposes. *
Required
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