Tackle Football Program

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Tackle Football Program Carbondale Jr. Terriers

Registration 2017 Form Youth in 5th – 8th Grades Register Online at: www.carbondalejrsports.net In-person Registration: Superblock (near Carbondale Middle School baseball fields)  Wednesday, June 21st & 28th from 6pm – 7pm

Eurma Hayes Center  Saturday, June 24th from 12n – 2pm

Registration Payment is $65 o o o

Payment options available upon request Multiple participant discount available upon request Credit/debit cards accepted – secure website through Dick’s Sporting Goods.

For more information, contact Program Directors: Cordy Love at 618-303-0061 Jeremy Kensler 618-407-7471

Deadline for registration is Friday, June 30 Participant’s Name:_____________________________________ Age: ____ Height:______ Weight (approximate):_______ Birthdate: ________ Grade Level (Entering Fall 2017):_______________ Parent(s)/Guardian:___________________________ Street Address:______________________________ City:_____________ State:_________________ Zip Code:_________ Phone Number (home):____________ (work):______________ Email:_____________________ Emergency Contact:____________________ Phone:_____________ Parent /Guardian Signature:_____________________________ Date:____________

----------------------------------------------------------------------------------------------------Important Dates:      

Football Skills Camp hosted by Carbondale Terriers: July 17 – 18 at 9:00a – 11:30a Football Conditioning Training: July 24, 26, 27 at 6:15p- 7:15p Equipment Distribution: July 29 at 10a – 12n Summer Practice starts: July 31 – August 11 at 5:15p – 7:00p Season Starts: August 12 (Game Schedule- TBA) Fall Practice Starts- August 14 – October 13 (Mon., Tues., Wed. Fri.) at 5:15p – 7:00p

CODE OF ETHICS Carbondale Jr Sports is a non-profit volunteer organization. The purpose of the Carbondale Jr Sports Football program is to give youth the opportunity to learn the basic techniques involved in contact football, increase their level of physical fitness and offer them the opportunity to compete with their peers football, Questions? E-mail: [email protected]