2017 Western Youth Football Camp

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2017 Western Youth Football Camp For players in grades 3 – 6 next year (2017 – 2018 school year) Tuesday, June 20, Wednesday, June 21, and Thursday, June 22 9:00am – 11:30am at Western High School Practice Football Fields Cost is $50 for those who Register & pay BEFORE June 5 ($60 If you Register AFTER June 5) We will still accept registrations up until the first day of camp. Register online (preferred) at westernfootball.org or at sign ups with completed form and checks payable to WESTERN FOOTBALL or mail completed form and check payment to Western Football, PO Box 122, Parma MI 49269 No one should miss out on this camp because of a financial hardship – if this is a concern, please email [email protected] to communicate about this. Typical Daily Camp Schedule 9:00 Check In – each day at the Western FB Practice Field Warm-Up Stretch Form Run 9:20 Skills Stations 10:00 Position Technique and Drills 10:50 Air Force Football 11:20 Announcements 11:30 Dismissal Participants can wear cleats or even gym shoes are fine. Participants should wear gym clothes – t-shirt and shorts. Helmets are NOT worn at this camp! Camp will conclude on Thursday, June 22 at 11:30am

Campers that register by June 5, pay less … and are guaranteed a camp t-shirt and a camp football ! Keep this page for the information of camp dates and time schedule. Register online at www.westernfootball.org (preferred method) Or turn in the registration form and payment during football sign ups Or mail the completed registration form and payment to: Western Football, PO Box 122, Parma, MI 49269.

Please Register by June 5th

Western Youth Football Camp

REGISTRATION FORM Preferred method of registration is online at www.westernfootball.org, however, this form can be completed and delivered during youth football sign ups or mailed to PO Box 122, Parma, MI 49269. Student Name_________________________________________________________ Age: __________ Grade ____________ (’17 – ’18 School Year) Home Address: __________________________________ City______________________ Zip_____________ Parent Email Address: _____________________________________________________________________ Phone Number ____________________________________ Emergency Phone # _____________________________ Allergies: __________________________________________ T-Shirt Size (circle one) YM

YL

adult S

adult M

adult L

adult XL

Waiver and Release Form I hereby certify that my child is in good health and able to participate in athletic activities without restriction. I hereby release this camp and its employees and volunteers from any and all actions for any injuries while at camp and in the process of being transported to and from camp. I hereby authorize the use of my student’s photo(s) from football camp activities in promotional materials and on Western Football webpages.

Parent/Guardian Signature ____________________________________________

Date _____________________

Type of Health Insurance ___________________________ Policy Number ___________________________________

Pay $50 Before June 5

(or $60 after June 5)

Make check payable to

“WESTERN FOOTBALL”