football kids camp
Boys entering grades 2-8
FOOTBALL KIDS CAMP
2015 One University Plaza MS 0200 Cape Girardeau, MO 63701 GoSoutheast.com
KIDS CAMP
Southeast Missouri State University Cape Girardeau, MO
June 18-19
Day one: Check-in at 9 a.m. Check-out at 5 p.m. Day two: Check-in at 8:30 a.m. Check-out at 4 p.m. Learn football fundamentals and skills from Southeast Missouri State Redhawks coaches and student-athletes. Emphasis will be placed on teaching the proper techniques to maximize player safety.
What to bring:
Workout clothes Cleats Water bottle Swimwear Resident campers: Bring pillow, sheets, blanket and toiletries
Registration Cost: Resident: $125 per player Commuter: $90 per player
EVERY CAMPER RECEIVES A T-SHIRT!
Meals provided: Resident campers: Lunch and dinner on day one, breakfast and lunch on day two.
Commuter campers: Lunch on days one and two.
CAMP REGISTRATION Last Name
First Name
Middle Initial
As a parent or legal guardian of _______________________, I do hereby authorize, consent, and request Health Services personnel and/or the athletic Training potentially serious injuries for my child/legal ward. I understand that no further treatment will be given without contacting me, except for life-threatening situations. Signature
Date
Relationship
Address
Home Phone (___)
Day Phone (___)
City/State/Zip Camper Mobile Number
Contact Phone Number School Attending
Email Grade Entering
Date of Birth
Youth Shirt Size (S,M,L,XL) Specify if adult size is needed
(includes two meals)
I further authorize that my child/ward may receive Tylenol, Pepto Bismol or Maalox while attending this camp. Signature In case of emergency and parent cannot be reached at above numbers, contact: Name
Relationship
Day Phone (___)
Cell Phone (___)
Insurance Co. Policy No.
Please Check Desired Camper Status Commuter Camper, $90
Cell Phone (___)
Group No.
Known allergies or other conditions: Resident Camper, $125
(Includes overnight housing and four meals)
Camp/clinic is open to any and all entrants (limited only by number, age, grade level, and/or gender) Check-in and check-out each day will be at the Towers Complex 1000 Towers Circle, Cape Girardeau, MO
Amount $ MasterCard
Visa
Discover
Acct# (3 or 4 digit number)
Check Enclosed Exp. Date
Signature
Mail completed form and payment to: Southeast Missouri State University/Football Camp Director, One University Plaza MS 0200, Cape Girardeau, MO 63701
FOOTBALL KIDS CAMP
2015 One University Plaza MS 0200 Cape Girardeau, MO 63701 GoSoutheast.com
KIDS CAMP
Southeast Missouri State University Cape Girardeau, MO
June 18-19
Day one: Check-in at 9 a.m. Check-out at 5 p.m. Day two: Check-in at 8:30 a.m. Check-out at 4 p.m. Learn football fundamentals and skills from Southeast Missouri State Redhawks coaches and student-athletes. Emphasis will be placed on teaching the proper techniques to maximize player safety.
What to bring:
Workout clothes Cleats Water bottle Swimwear Resident campers: Bring pillow, sheets, blanket and toiletries
Registration Cost: Resident: $125 per player Commuter: $90 per player
EVERY CAMPER RECEIVES A T-SHIRT!
Meals provided: Resident campers: Lunch and dinner on day one, breakfast and lunch on day two.
Commuter campers: Lunch on days one and two.
CAMP REGISTRATION Last Name
First Name
Middle Initial
As a parent or legal guardian of _______________________, I do hereby authorize, consent, and request Health Services personnel and/or the athletic Training potentially serious injuries for my child/legal ward. I understand that no further treatment will be given without contacting me, except for life-threatening situations. Signature
Date
Relationship
Address
Home Phone (___)
Day Phone (___)
City/State/Zip Camper Mobile Number
Contact Phone Number School Attending
Email Grade Entering
Date of Birth
Youth Shirt Size (S,M,L,XL) Specify if adult size is needed
(includes two meals)
I further authorize that my child/ward may receive Tylenol, Pepto Bismol or Maalox while attending this camp. Signature In case of emergency and parent cannot be reached at above numbers, contact: Name
Relationship
Day Phone (___)
Cell Phone (___)
Insurance Co. Policy No.
Please Check Desired Camper Status Commuter Camper, $90
Cell Phone (___)
Group No.
Known allergies or other conditions: Resident Camper, $125
(Includes overnight housing and four meals)
Camp/clinic is open to any and all entrants (limited only by number, age, grade level, and/or gender) Check-in and check-out each day will be at the Towers Complex 1000 Towers Circle, Cape Girardeau, MO
Amount $ MasterCard
Visa
Discover
Acct# (3 or 4 digit number)
Check Enclosed Exp. Date
Signature
Mail completed form and payment to: Southeast Missouri State University/Football Camp Director, One University Plaza MS 0200, Cape Girardeau, MO 63701
