For Students Entering Grades 3 through 8
Football Camp Health Certificate
2018 Camp Features: Games Each Day: Play “Patriot Ball” a unique game of football created for camp competition.
Name
Birthdate
Name of Family Physician
I certify that the student is in good medical condition and is physically able to participate in football camp activities. Medical information (include date of last tetanus, medications, allergies, etc). Signed Signature of parent, guardian, or doctor
I authorize the directors of the camp to act for me according to their best judgement in any emergency requiring medical attention and hereby waive and release the camp from any and all liabilities for any injuries incurred at camp.
Signed Work Phone Insurance Each camper MUST be covered by his own family insurance. The name of our medical insurance company is:
Our policy number is:
2018 Football Camp
Special Drills: Technique and drills taught by varsity coaches and players to help campers become more complete players. The Patriot Process: Learn about the “Identity” of being a Patriot and what it takes to WIN! Camp Extras: *Camp T-shirt! *Daily refreshments *FREE pass to 2018 home games Campers will be coached by current Appleton East varsity football coaches as well as current varsity football players!
For Students Entering Grades 3 through 8 Appleton East High School June 25th and 26th Grades 3-6 - 9:00 AM—11:00 AM Grades 7 & 8 - 11:00 AM—1:00 PM
For additional brochures and information:
Appletoneastfootball.wixsite.com/home
Dear Parents & Future Patriots, The Appleton East Football Program will host it’s annual youth football camp on June 25th & 26th for students entering grades 3 through 8. We are looking forward to this year’s camp as an opportunity for coaches to meet the future of Appleton East Football! Take this opportunity to learn from Patriots coaches and players and have some fun! Sincerely, Mark Krommenacker Head Football Coach Appleton East High School
Registration Form
General Information:
Name
Tuition: Our $15 tuition fee is among the most reasonable in the Fox Valley, and includes a 2018 Patriots Football T-shirt!
Address City State
Zip
Home Phone
Registration: Registration will be on Monday, June 25th: Grades 3-6: 8:30 AM Grades 7 & 8: 10:30 AM
What to Bring: Participants should bring work out gear consisting of tennis shoes and/or cleated shoes, socks, t-shirt, and a burning desire to learn.
Parent Name(s)
Age
School
Grade Entering in 2018 T-Shirt Size (adult sizes) S
M
L
XL
Bring registration and $15 payment on the first day of camp. Please make checks payable to: Mark Krommenacker, Camp Director
2018 Camp Features: Games Each Day: Play “Patriot Ball” a unique game of football created for camp competition.
Name
Birthdate
Name of Family Physician
I certify that the student is in good medical condition and is physically able to participate in football camp activities. Medical information (include date of last tetanus, medications, allergies, etc). Signed Signature of parent, guardian, or doctor
I authorize the directors of the camp to act for me according to their best judgement in any emergency requiring medical attention and hereby waive and release the camp from any and all liabilities for any injuries incurred at camp.
Signed Work Phone Insurance Each camper MUST be covered by his own family insurance. The name of our medical insurance company is:
Our policy number is:
2018 Football Camp
Special Drills: Technique and drills taught by varsity coaches and players to help campers become more complete players. The Patriot Process: Learn about the “Identity” of being a Patriot and what it takes to WIN! Camp Extras: *Camp T-shirt! *Daily refreshments *FREE pass to 2018 home games Campers will be coached by current Appleton East varsity football coaches as well as current varsity football players!
For Students Entering Grades 3 through 8 Appleton East High School June 25th and 26th Grades 3-6 - 9:00 AM—11:00 AM Grades 7 & 8 - 11:00 AM—1:00 PM
For additional brochures and information:
Appletoneastfootball.wixsite.com/home
Dear Parents & Future Patriots, The Appleton East Football Program will host it’s annual youth football camp on June 25th & 26th for students entering grades 3 through 8. We are looking forward to this year’s camp as an opportunity for coaches to meet the future of Appleton East Football! Take this opportunity to learn from Patriots coaches and players and have some fun! Sincerely, Mark Krommenacker Head Football Coach Appleton East High School
Registration Form
General Information:
Name
Tuition: Our $15 tuition fee is among the most reasonable in the Fox Valley, and includes a 2018 Patriots Football T-shirt!
Address City State
Zip
Home Phone
Registration: Registration will be on Monday, June 25th: Grades 3-6: 8:30 AM Grades 7 & 8: 10:30 AM
What to Bring: Participants should bring work out gear consisting of tennis shoes and/or cleated shoes, socks, t-shirt, and a burning desire to learn.
Parent Name(s)
Age
School
Grade Entering in 2018 T-Shirt Size (adult sizes) S
M
L
XL
Bring registration and $15 payment on the first day of camp. Please make checks payable to: Mark Krommenacker, Camp Director
