CBF Football Fun Camp 2008 Registration Form

Participant’s Name ______________________________________ Age ______ Date of Birth ___________

Grade (fall 08) _______ Male / Female School Name __________________________________________

Shirt Size: Youth Small (6-8) Youth Medium (10-12) Youth Large (14-16) AS AM (circle one)

Mother’s Name ______________________________________________ Phone (1) ____________________

Address ____________________________________________________ Phone (2) ____________________

City ______________________ Zip code_________ County __________ Phone (3) ____________________

Father’s Name _______________________________________________ Phone (1) ____________________

Address ____________________________________________________ Phone (2) ____________________

City ______________________ Zip code__________ County _________ Phone (3) ____________________

Emergency Contact ____________________________________ Phone __________________

Relationship _______________________________

Email Address for registration announcements: ________________________________________

How did you hear about CBF Football Fun Camp? ________________________________________

Camper’s favorite amateur or professional athlete:

Camper’s favorite sports team:

Policies and Disclaimer: All registrations must be paid in full at the time of registration to reserve a space at the camp.

Photography Consent: I give permission for my child to be photographed during camp. Photographs may be used for promotional purposes ____________ (please initial)

Please list any medical conditions that may impact your child’s ability to participate in the camp

______________________________________________________________________________

Will your child be bringing any medications to camp?

If YES, please list medication(s)

Does your child have allergies __________ If YES, what allergies

Please list if your child has special dietary needs?

If necessary, may your child be given over the counter pain relievers, (i.e. – Aspirin, Tylenol, Motrin, etc.)? YES NO

Participants must have medical insurance.

Insurance Company____________________________ Policy #__________________________________

Parent Signature ____________________________________________ Date _______________

Camp Dates: June 2-6 , 2008

Camp Fee: $100 (does not include lunch). Campers may bring their own lunches.

Camp Fee: $125 (includes lunch)

Camp Times: 9 am – 3 pm

Late pick up (9-4 additional $25: $150 with lunch)

Early Drop off (8 a.m. additional $25: $150 with lunch)

Early drop off and late pick up: $150 / $175 with lunch

Mail check or money orders out to:

CBF

P.O. Box 191

Bogart, GA 30622.