SUMMER PRIDE 2015 $130 (includes T-shirt)
SUMMER PRIDE 2015 7th - 12th Grades $130 (includes T-shirt) June 15 – July 30 Off the week of July 6 – 10
Monday – Thursday Football Field/Weight Room 7:00 – 9:00 am
Wildcat summer pride is a 6-week program to develop athletes in the Piedmont Football program. Athletes will receive safe and professional instruction in weight room, agility, and speed techniques and skills. High School and Middle School athletes will work out at the same time but separately.
Youth Skills Camp Grades K-6
HS Football Field June 29 July 6 July 13 July 20 6:30 pm – 8:00 pm
This goal of this camp is to introduce the basics of Piedmont Football. The emphasis will be on fundamental football skills, such as blocking, tackling, and catching. No additional T-S equipment is required. h
$60
Inc irt lud ed
WILDCAT FOOTBALL CAMPS REGISTRATION FORM Athlete’s Name: _______________________________ Grade (2015-2016 School Year) : _________ Street Address: ________________________________ City, Zip: ____________________________ Parent Name(s): _____________________________________________________________________ Cell Phone # Player: __________________________ Parent: ______________________________ To receive Text Message Alerts – High School Players text @piedmontfb to 81010 Nunc cursus magna quis High School Parents text @wildcatfb to 81010 _______ High School Summer Pride (9-12) $130
T-Shirt Size (Circle One)
_______ Middle School Summer Pride (7-8) $130
Youth: YS
YM
YL
Adult: S
M
L
_______ Youth Skills Camp (K-6) $60 Make checks payable to Wildcat Football Camps, LLC
XL
XXL 3XL
We gladly accept all major credit cards through PayPal. Go to www.wildcatfootballcamps.com There is a 3.0% transaction fee applied to PayPal transactions.
PARENTAL CONSENT
I certify that my child has been examined by a physician and has been found to be in good health and able to compete in all camp activities without restriction. In addition, I acknowledge that I have medical insurance to cover the cost of any injury or illness that may occur during my child’s participation in this camp. Furthermore, I authorize the staff of Piedmont Public Schools to act for me according to their best judgment in an emergency requiring medical attention. I hereby release Wildcat Football Camps, LLC and the Piedmont Public Schools from all claims resulting from any injury my child may sustain while attending this camp. ____________________________________________ Parent/Guardian (Print Name)
___________________________________________ Parent/Guardian Signature
OFFICE USE ONLY
Send Paymentfaucibus, to: Justo id eleifend urna
Drew Gossen dolor consectetuer dui, vel 1055 Edmond Rd NW Piedmont, 73078 pretium risusOK purus sed pede. Make Checks Payable to: Integer diam elit, facilisis eget. Wildcat Football Camps, LLC If paying online viaeget PayPal: Donec varius, felis lobortis Forms must still be submitted by mail, vehicula, magna sapien elementum or may be scanned and emailed to: tellus, ut iaculis dui orci sed arcu. [email protected]
Date
Date: ______________________ Amount Paid: _______________ Cash
Check # ________
Receipt #: ___________________
Monday – Thursday Football Field/Weight Room 7:00 – 9:00 am
Wildcat summer pride is a 6-week program to develop athletes in the Piedmont Football program. Athletes will receive safe and professional instruction in weight room, agility, and speed techniques and skills. High School and Middle School athletes will work out at the same time but separately.
Youth Skills Camp Grades K-6
HS Football Field June 29 July 6 July 13 July 20 6:30 pm – 8:00 pm
This goal of this camp is to introduce the basics of Piedmont Football. The emphasis will be on fundamental football skills, such as blocking, tackling, and catching. No additional T-S equipment is required. h
$60
Inc irt lud ed
WILDCAT FOOTBALL CAMPS REGISTRATION FORM Athlete’s Name: _______________________________ Grade (2015-2016 School Year) : _________ Street Address: ________________________________ City, Zip: ____________________________ Parent Name(s): _____________________________________________________________________ Cell Phone # Player: __________________________ Parent: ______________________________ To receive Text Message Alerts – High School Players text @piedmontfb to 81010 Nunc cursus magna quis High School Parents text @wildcatfb to 81010 _______ High School Summer Pride (9-12) $130
T-Shirt Size (Circle One)
_______ Middle School Summer Pride (7-8) $130
Youth: YS
YM
YL
Adult: S
M
L
_______ Youth Skills Camp (K-6) $60 Make checks payable to Wildcat Football Camps, LLC
XL
XXL 3XL
We gladly accept all major credit cards through PayPal. Go to www.wildcatfootballcamps.com There is a 3.0% transaction fee applied to PayPal transactions.
PARENTAL CONSENT
I certify that my child has been examined by a physician and has been found to be in good health and able to compete in all camp activities without restriction. In addition, I acknowledge that I have medical insurance to cover the cost of any injury or illness that may occur during my child’s participation in this camp. Furthermore, I authorize the staff of Piedmont Public Schools to act for me according to their best judgment in an emergency requiring medical attention. I hereby release Wildcat Football Camps, LLC and the Piedmont Public Schools from all claims resulting from any injury my child may sustain while attending this camp. ____________________________________________ Parent/Guardian (Print Name)
___________________________________________ Parent/Guardian Signature
OFFICE USE ONLY
Send Paymentfaucibus, to: Justo id eleifend urna
Drew Gossen dolor consectetuer dui, vel 1055 Edmond Rd NW Piedmont, 73078 pretium risusOK purus sed pede. Make Checks Payable to: Integer diam elit, facilisis eget. Wildcat Football Camps, LLC If paying online viaeget PayPal: Donec varius, felis lobortis Forms must still be submitted by mail, vehicula, magna sapien elementum or may be scanned and emailed to: tellus, ut iaculis dui orci sed arcu. [email protected]
Date
Date: ______________________ Amount Paid: _______________ Cash
Check # ________
Receipt #: ___________________
