CLAYSBURG DAY FOOTBALL CAMP 2026

Instructors- Dream Chasers Performance Development " www.wegotdreamzz.org"

Date: Saturday August 1,2026 Time 12pm - 2pm

Location: Ken Ellis Building Field 1425 Bates-Bowyer Ave. Jeffersonville, In 47130

Registration deadline 12 noon July 20, 2026

"All camp participates must wear suitable football attire"

Child #1 Name Age Grade Gender

Health Issues

Child #2 Name Age Grade Gender

Health Issues

Child #3 Name Age Grade Gender

Health Issues

Parents Name

Address

Phone # and email

Format: (000) 000-0000.

"All health issues and concerns must be disclosed to this committee, instructor and staff before the start of camp"

Emergency Contacts Name

Phone

Format: (000) 000-0000.

By signing below. I acknowledge that I have voluntarily decided to participate in the Claysburg Day Football Camp. The participant(s) acknowledge they are in good health to participate in this football camp and all the surrounding activates. I am aware that these activates can be hazardous and that my child(ren) could be injured. I am voluntarily allowing my child(ren) to participate in these activities with knowledge of the danger involved, and agree to assume any and all risks of bodily injury, death, or property damage, whether those risks are known or unknown. I hereby waive all rights to sue or hold responsible Claysburg Reunion Committee, and any other representatives, refs, coaches, workers, or volunteers in association with the Claysburg Day Football Camp. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and the Claysburg Reunion Committee, and I am signing it of my own free will. *Name Required.*

Your Name

Signature

For more information contact us @ claysburgcommittee@gmail.com and follow us on FB @claysburg days