Carolina Connect Football Camp Registration Form

Carolina Connect Sports

Football Camp Registration Form
PLAYER INFORMATION
Full Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone:

Area CodePhone Number
Birth Date:

MonthDayYear
Gender:
T-Shirt Size:
School attending in Fall 2025:
Grade entering in Fall 2025:
PARENT/GUARDIAN #1
Full Name:

First NameLast Name
E-mail:
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
Can you accept text messages?
PARENT/GUARDIAN #2
Full Name:

First NameLast Name
E-mail:
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
Can you accept text messages?
EMERGENCY CONTACT INFORMATION
Full Name:

First NameLast Name
Relationship to Player:
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
WAIVER INFORMATION
I hereby grant permission to allow my child to participate in football camp as sponsored by the Carolina Connect Sport.

Furthermore, I hereby release the Carolina Connect Sports, it’s officers, agents, and coaches from any legal or financial responsibility resulting from actions of, or injury to my child while engaged in any or all of these sponsored activities.

I also certify that my child has NO HEALTH OR PHYSICAL IMPAIRMENTS which will hamper his/her ability to perform as a player or cause his/her participation to be unsafe to themselves or other participants. If there are any health/physical problems that Carolina Connect Sports should be aware of please indicate below:
Health/Physical Limitations (if any):
Insurance Carrier:
Policy#:
I/We agree with the above
Offensive Position
Defensive Position
Should be Empty:

Carolina Connect Sports

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION