Football Camp Registration Form

Football Camp Team Registration

This registration is for athletes participating in the Mighty Pioneers Football Camp being offered to INCOMING 4th, 5th, & 6th graders. The dates for this camp are July 28th and 29th on the high school football field.
Athlete Information
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Parent/Guardian Information
Name

First NameLast Name
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Additional Parent/Guardian Contact
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Mighty Pioneer Waiver
Mighty Pioneer Code of Conduct
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

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Football Camp Registration (gr. 4,5,6)
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Football Camp Team Registration