2024 Brysonstrong Youth Football Camp

Brysonstrong Youth Football Camp Registration Form

*Please fill out a separate form for each child participating
Tuesday, June 11, 2024

*Camp will be held at the Maple Mountain High School football field in Spanish Fork*
*Youth registration & payment received by May 31 will receive a camp t shirt, wristband and cinch bag. Registration & payments received after May 31 will receive a wristband and cinch bag. *
2024-2025 School Year Grades 2-5 10:00 am - 12:00 pm

2024-2025 School Year Grades 6-8 1:00 pm - 3:00 pm

Camp will include 2 hours of stations, cinch bag, and wristband. Registration and payments received by May 31st will also receive a camp t shirt.

Stations will include fundamentals, as well as thoughts on:
- Perseverance
- Good Sportsmanship
- Kindness & Inclusion
  Cost $35 ($30 for each my additional sibling)
Preferred method of payment: Venmo @BrysonMcquivey (check & cash will be accepted day of camp - please mark preferred method of payment below). Camp T-shirts will be given to youth registered and payment received by May 31. If paying via Venmo, please note your child's name and which session they will be attending in the comments section. Venmo QR code is located on the second page of this form. Make checks payable to “Brysonstrong Foundation” For questions, please text 385-248-7740
2024-2025 School Year Grade
Method of Payment
*Payment & registration must be received by May 31 to guarantee a camp t shirt. If Venmo name is different from parent-guardian name, please add the participants name in the Venmo comments*
Shirt Size*
Student Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name
Parent/Guardian Email
example@example.com
Parent/Guardian Mobile Number
Emergency Contact Name & Phone Number
Medical History: Please list any medical problems we should be aware of
In case of injury or serious illness to my son/daughter, I hereby give permission for a physician, athletic trainer, coach or school employee to get medical services for my son/daughter. (signature required below)
Signature

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WAIVER AND RELEASE OF LIABILITY FORM

I, _________________________, have registered my son/daughter to participate at the Maple Mountain Football Field in the Brysonstrong Football Camp, conducted by Coach Kalin Hall, his staff, and players. I hereby waive all claims for injury or accident of liability of any kind against the Brysonstrong Foundation, Maple Mountain High School, Coach Hall, and any or all employees, sponsors, volunteers, coaches or members of the team participating in this camp/clinic. I am aware that I will need to be covered by my own family insurance. I am also aware that I am in good physical condition. If I do have any underlying medical problems or recent injuries, I will check in with the Coach or Athletic Trainer and notify them of my circumstances prior to any play. All participants must have a parent's signature.
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Brysonstrong Youth Football Camp Registration Form

Tuesday, June 11, 2024