Garden Plain Football
Garden Plain Football Future Champs Youth Football Camp Date: Where: Who: Time: Camp Fee:
Registration Deadline: Questions:
th
st
June 19 – June 21 2017 Garden Plain Practice Fields nd 2 – 5th Graders (to be) 10:30 – 12:00 $25.00 payable to GP Football Club Checks and forms can be dropped off at the high school office, given to Coach Dusenbury, Coach Rockers, or Mrs. Rockers at GPE. It can also be mailed to: Eric Rockers PO Box 12 Garden Plain, KS 67050 th May 19 . Late registration is welcome but a tee-shirt will not be able to be provided. Email Coach Dusenbury at [email protected] or Coach Rockers at [email protected] General Information
Each participant should dress in shorts, t-shirt, and cleats. The camp is under the direction of Ken Dusenbury, head coach of the Garden Plain High School Football Team. Camp workers will include the high school coaching staff and the 2018 senior football players.
Camp Participant:
__________________________________
Parent/Guardian:
__________________________________
Home Phone:
__________________________________
Work Phone:
__________________________________
Emergency Contact:
__________________________________
Phone Number:
__________________________________
T-Shirt Size (Youth):
Small _____
Medium _____
XL ____
XXL _____
Large _____
Liability Release I hereby give my consent for the above athlete to participate in this camp. It is further understood that neither the coaching staff, school nor USD #267 assume any responsibility in case of accident. All reasonable safety precautions will be taken, and in the event that medical intervention is needed, every attempt will be made to contact the person on this form. Parent’s Signature: ___________________________
Date: _______________________
Registration Deadline: Questions:
th
st
June 19 – June 21 2017 Garden Plain Practice Fields nd 2 – 5th Graders (to be) 10:30 – 12:00 $25.00 payable to GP Football Club Checks and forms can be dropped off at the high school office, given to Coach Dusenbury, Coach Rockers, or Mrs. Rockers at GPE. It can also be mailed to: Eric Rockers PO Box 12 Garden Plain, KS 67050 th May 19 . Late registration is welcome but a tee-shirt will not be able to be provided. Email Coach Dusenbury at [email protected] or Coach Rockers at [email protected] General Information
Each participant should dress in shorts, t-shirt, and cleats. The camp is under the direction of Ken Dusenbury, head coach of the Garden Plain High School Football Team. Camp workers will include the high school coaching staff and the 2018 senior football players.
Camp Participant:
__________________________________
Parent/Guardian:
__________________________________
Home Phone:
__________________________________
Work Phone:
__________________________________
Emergency Contact:
__________________________________
Phone Number:
__________________________________
T-Shirt Size (Youth):
Small _____
Medium _____
XL ____
XXL _____
Large _____
Liability Release I hereby give my consent for the above athlete to participate in this camp. It is further understood that neither the coaching staff, school nor USD #267 assume any responsibility in case of accident. All reasonable safety precautions will be taken, and in the event that medical intervention is needed, every attempt will be made to contact the person on this form. Parent’s Signature: ___________________________
Date: _______________________
