2026 Football Camp Registration Form

JUNE 12-14, 2026

RED BLUFF HIGH SCHOOL

EACH SESSION WILL BE LIMITED ON A FIRST COME BASIS!

NO LATE OR WALKUP REGISTRATIONS!

Session 1 - 6th-8th Grades - 7am to 9:00am (Max 60 athletes)

Session 2 - 2nd - 3rd Grades - 9:30am to 11:00am (Max 40 athletes)

Session 3 - 4th-5th Grades - 11:30am to 1:00 pm (Max 60 athletes)

REGISTRATIONS CLOSE ON JUNE 10 AT 12PM!

Camp Info....

What to wear, bring and expect:

Athletic shorts & shoes (cleats prefered)

Waterjug with your NAME displayed

Sunscreen

**THIS IS A NON-CONTACT CAMP**

NO HELMETS OR PADS ARE REQUIRED!

Student/Camper's Name 1*

First NameLast Name

School Name*

Grade for 2026-27 School Year*

Camp Session*

Student/Camper's Name 2

First NameLast Name

School Name

Grade for 2025-26 School Year

Camp Session

Student/Camper's Name 3

First NameLast Name

School Name

Grade for 2024-25 School Year

Camp Session

Student/Camper's Name 4

First NameLast Name

School Name

Grade for 2024-25 School Year

Camp Session

Athlete/Camper's Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian's Phone Number*

Format: (000) 000-0000.

Parent/Guardian Email *

example@example.com

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone Number*

Format: (000) 000-0000.

Relationship to Athlete/Camper*

Please provide any medical or dietary restrictions you have*

Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to (LIST BELOW). I give consent for the facility to secure any and all necessary emergency medical care for my child.

Release of Liability Although the safety of all sport activities is the primary concern, indoor sport activities at Youth Sport Center's facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against Bucky's Basketball Academy, Red Bluff Youth Expansion and any/or all persons associated with the organization either directly or indirectly during events sanctioned or associated with Bucky's Basketball Academy. By signing below, I aknowledge my full understanding of the Release of Liability.

Signature*

How did you hear about Camp?

My Products*

Camp Session 1 - 7:00 - 9:00AM

6th-8th GRADES (School Year 26-27)

$100.00 Quantity

Camp Session 2 - 9:30 - 11:00AM

2nd - 3rd Grades (School Year 26-27)

$100.00 Quantity

Camp Session 3 - 11:30- 1:00PM

4th - 5th Grades (School Year 26-27)

$100.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Emergency Contact Information

Payment Methods