2023 Severn Admirals Summer Football Camp (July10-13)

2023 Severn Admirals Summer Football Camp

July 10 - July 13, 2023 | Barbour Family Stadium | Severn School
Camper Name*

First NameLast Name
Camper DOB*

YearMonthDay
Date of Birth
Phone Number
( Phone Number)
Email
(Email)
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School:*
(Full Name of School)
Grade*
(Current Grade Level)
Camp T-shirt size*

Parent Name*

First NameLast Name
Phone Number*
(Parent Phone Number)
Email*
(Parent Email)
- The undersigned, being a parent or legal guardian of this camper understands and accepts that injury is possible while participating in the sport of football. I knowingly assume all risks associated with my child’s participation, even if arising from negligence of the participants or others, and assume full responsibility for my child’s participation.
- I authorize the sport camp staff to secure the proper medical care as necessary to insure my child’s well-being.
- I certify that within the past 12 months my camper has had a physical exam by a physician or (NP) and that he/she is physically able to participate in the sports camp activities.
- I hereby acknowledge that I am responsible for medical charges incurred during sports camp participation.
- I further understand that the sports camp carries an excess medical insurance policy for sports injuries to the camper that may result from camper activities. Camp insurance has limits and exclusions and any secondary charges not covered under this plan will be my responsibility. This policy may only be utilized after my primary insurance company has processed the claims and issued an explanation of benefits.
- I also give permission for the camp directors and/or associates to take pictures of my camper to use for further promotions of Severn Football camps and clinics.
- Payment for camp may be made payable to Prevail Sports LLC from link provided below. Payment will be accepted up until 7 July 2023, unless otherwise discussed with the camp organizer.
By completing this registration form and signing below, you certify that you agree to these Terms and Conditions.
Parent Signature*

Clear
My Products*
prevnext( X )
2023 Severn Admirals Football Camp RegistrationThis Payment Registers 1 Camper for the Severn Admirals Football Camp From 10 July 2022 to 13 July 2023 (8am-1pm)
$200.00 Quantity

Total

$0.00

Pay with PayPal

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty: