Medina Football Skills Camp 2017
Medina Football Skills Camp 2017 Who: All boys ages 5-12 years in September. What: A non-contact camp where young athletes will develop the basic skills that relate directly to football. Areas of instruction include form running, agility drills, stance, receiving techniques, quarterback skills, blocking, tackling, kicking, punting, and much more. When: 6:00-7:30 Camp Dates: Monday July 17 –Thursday July 20 Facilities: Ken Dukes Stadium Equipment needed: Shirt, shorts or sweats, and suitable shoes. Cost: $50.00 per camper (includes camp-shirt) Staff: Campers will be instructed and supervised by the Medina Football staff and players. Registration: Mail completed application (see attached) and fee to: Medina Bees Football Camp C/O Athletic office 777 East Union Street Medina, OH 44256 ***Make checks payable to Medina Athletic Department- Memo Football***
Registration for the 2017 Medina Football Skills Camp
Name_____________________________
Phone_________________________
Address____________________________
D.O.B._________________________
Age_______
Grade in fall of ‘17_______________
Ht.________
Present school________________________________________ T-shirt size (please circle one) Adult: small, medium, large, x-large, xx-large Youth: small, medium, large, x-large Fee: $50.00 Make check payable to Medina Athletic Department-Memo Football Medina Bees Football Camp C/O–Athletic Office 777 East Union Street Medina, OH 44256 Medical Form I hereby authorize the directors of the Medina Football Camp to act for me according to their best judgment in an emergency requiring medical attention. I understand that neither the Medina City Schools, the camp directors, nor anyone connected with the camp will assume any responsibility for accidents, medical, dental, or other expenses incurred as a result of accidents sustained during or as a result of accidents sustained during or as a result of any in instruction by the camp staff. Parent/Guardian Signature _________________________________________ Insurance Company ___________________Policy Number___________________
Registration for the 2017 Medina Football Skills Camp
Name_____________________________
Phone_________________________
Address____________________________
D.O.B._________________________
Age_______
Grade in fall of ‘17_______________
Ht.________
Present school________________________________________ T-shirt size (please circle one) Adult: small, medium, large, x-large, xx-large Youth: small, medium, large, x-large Fee: $50.00 Make check payable to Medina Athletic Department-Memo Football Medina Bees Football Camp C/O–Athletic Office 777 East Union Street Medina, OH 44256 Medical Form I hereby authorize the directors of the Medina Football Camp to act for me according to their best judgment in an emergency requiring medical attention. I understand that neither the Medina City Schools, the camp directors, nor anyone connected with the camp will assume any responsibility for accidents, medical, dental, or other expenses incurred as a result of accidents sustained during or as a result of accidents sustained during or as a result of any in instruction by the camp staff. Parent/Guardian Signature _________________________________________ Insurance Company ___________________Policy Number___________________
