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Raider Football Camp Registration 2026
June 15th-June 17th 8-11:00 AM
Camper Details
Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
Please select a day
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Day
Please select a month
January
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Month
Please select a year
2021
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2015
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2001
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1999
Year
Grade camper is entering
*
1st
2nd
3rd
4th
5th
6th
7th
8th
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Information
Name
First Name
Last Name
Cellphone Number
-
Area Code
Phone Number
Contact E-mail
*
Emergency Contact Details
Name of Emergency Contact
*
Must be available all hours during the camp
Relationship to camper
*
Work Phone
Cell Phone
*
Medical Details
Specify any conditions that may effect camper and require special care:
Medical conditions (Allergies, food allergies, heart issues, lung issues, etc)
Medication - Specify any medication that may be taking during camp:
Parent/Guardian Release and Idemnity Agreement
I hear-by release Spring Hill High School, its directors and the camp employees from all claims on account of injuries which may be sustained by my child while attending camp. I agree to indemnify Spring Hill High School, its directors and camp employees for each claim that may hear after be presented by my child as a result of such injuries.I also certify that my child is medically fit to participate in this program and grant permission for medical attention if needed during camp.
Medical Release and Authorizations
As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Spring Hill High School and its affiliates including Directors, Coaches, and Team members to provide the needed emergency treatment prior to the child’s admission to the medical facility.Release authorized on the dates and/or duration of the registered event. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Confirmation
BY ACKNOWLEDGING AND SUBMITTING 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.
Before you submit:
You have the option to pay now via PayPal or you can pay on day 1 of camp via cash or check. We can also accept payment via Venmo (@Raiderbackers-Football). If paying via PayPal please ensure that you click the submit button at the bottom of this page after paying to process your registration. If paying in any form other than PayPal, simply hit submit. You should receive a confirmation email upon successful registration. If you have any issues you can email risingraidercamp@gmail.com for help. THANK YOU!
Pay Now (Optional) Cash and Check will be accepted on day 1 of camp
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