The Cougar football camp is for student-athletes entering grades 2 – 9 in the fall of 2016. This camp is for anyone looking to have fun and improve on the techniques and fundamentals of becoming a better football player. The Cougar coaching staff and players will instruct campers in the areas of offense, defense and special teams. Included in the instruction at our fourday camp will be running, catching, blocking, tackling, defeating blocks and pursuing the football. Campers will need to bring football spikes or tennis shoes, a packed lunch and a water jug.
Chuck Grebenc
Participant Name________________________________________________________________ Street Address___________________________________________________________________ City__________________________________ Zip____________ T-shirt size_________________ Parents Name___________________________________________________________________ Home Ph________________ Cell Ph _____________________ Cell Ph ____________________
John Gibbons Mike Rezzolla Mark Martinis Tom Gibbons Rick Lytle Erik Schroeder Andrew Forrai Eric Lakia Larry Nosse Dan Patriarca Bobby Zappitelli
School Attending in Fall__________________________________ Grade Fall 2016 ___________ Parents Email(s)_________________________________________________________________ Emergency Contact Name____________________________ Phone________________________ Food Allergies/Health Concerns:____________________________________________________ I hereby authorize the individual camp director or supervisor to act for me according to their best judgment in any emergency requiring medical attention. I release Lake Catholic, the camp instructors & director of all liability for any illness or injury occurred while at camp. Each athlete should have his or her own insurance. Lake Catholic High School isn’t responsible for any medical or dental payments. Payments must be paid in full prior to the start of any camp. This application authorized Lake Catholic High School, its agents, and employees to use the photographic image or likeness of the enrolled child for the use and benefit of Lake Catholic High School in its publications, marketing, and promotional materials.
Signature of Parent/Guardian____________________________________Date___________________
REGISTRATION INFORMATION: Mail completed form and check for $125 payable to “Lake Catholic High School” to: LCHS Cougar Sports Camp Tony Giannell 6733 Reynolds Rd. Mentor, OH 44060 Or register online at: lakecatholic.org/Summer Camps