MT HOLLY OPTIMIST HAWKS FOOTBALL Camp 2016

MT HOLLY OPTIMIST HAWKS FOOTBALL Camp 2016 2016 FOOTBALL CAMP REGISTRATION

Camp Information

(Fill out separate form for each participant) Name: _________________________________________________________ Address: _______________________________________________________ City: _____________________________ State: ___________ Zip: _________ Home Phone: (

June 20 -24 (Mon - Fri) 6pm to 8pm 112 Noell Street Mt. Holly NC 28120 Boys and girls ~ ages 5 – 12 are eligible to PARTICIPATE.

) _____ - ____________

The player must be 5 years old as of August 1st Medical Condition(s): _____________________________________________

Cost - $40.00 per child (non- refundable) Emergency Contact: ___________________________ Phone: _____________

Cash~Check~MoneyOrder~CreditCard Accepted Checks Payable to: MHO

Email (for initial confirmation): ______________________________________

Camp shirt provided Parent/Guardian Name: ___________________________________________ Parent/Guardian Phone: ___________________________________________ School: ___________________________ Grade(2016): __________________ Date of Birth: ___ /___ /______ Age: ___________

Height: ____________

Weight: _____________

Shirt Size (circle one):

Youth

YXS

YS

YM

AS

AM

AL

YL

FOR MHO USE ONLY Total paid: $__________ [ ] cash [ ] check #_____ [ ] MO [ ] CC Recv’d By: ___________

For more information on Football camp Email us @ [email protected]