CAMP REGISTRATION FORM

BIG BRO JOE’S YOUTH SUMMER FOOTBALL CAMP

PARTICIPANT REGISTRATION
Participant Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Age Group Selection*

Ages 9–12Ages 13+
Shirt Size*
Football Experience Level*
CAMP SCHEDULE
Camp Schedule – Ages 9–12
Check-In: 7:45 AM
Camp Time: 8:30 AM – 10:30 AM
Camp Schedule – Ages 13+
Check-In: 9:45 AM
Camp Time: 10:30 AM – 12:30 PM
PARENT / GUARDIAN INFORMATION
Parent/Guardian Full Name*

First NameLast Name
Relationship to Participant*
Primary Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMERGENCY CONTACT
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Phone*
Please enter a valid phone number.
MEDICAL & SAFETY INFORMATION
Any medical conditions we should be aware of?*

YesNo
Medical Conditions Details
Allergies (Optional)
Current Medications (Optional)
Medication required during camp?

YesNo

Camp Package Selection*

Football Camp RegistrationRegistration for Big Bro Joe’s Youth Summer Football Camp on June 13, 2026. Includes camp participation, skills training, mentorship sessions, team activities, and a camp T-shirt.

$125.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

MEDIA RELEASE
LIABILITY WAIVER & ASSUMPTION OF RISK
Liability Waiver & Assumption of Risk

I, the undersigned parent or legal guardian, acknowledge that participation in athletic activities, including football training, involves inherent risks of injury. I voluntarily allow my child to participate in Big Bro Joe’s Youth Summer Football Camp and assume all risks associated with participation.

I hereby release, waive, and discharge the Big Bro Joe Foundation, Thornton Events & Design, LLC, Pacific Northwest Christian College, event sponsors, volunteers, instructors, coaches, and affiliated partners from any and all claims, liabilities, damages, or causes of action arising from participation in this event, including injury, illness, or loss, except in cases of gross negligence.

I certify that my child is physically able to participate and that all known medical conditions have been disclosed. I grant permission for emergency medical treatment if necessary and agree to be financially responsible for any medical care provided.
EVENT POLICIES
For questions or additional information:

📧 info@bigbrojoe.org
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BIG BRO JOE’S YOUTH SUMMER FOOTBALL CAMP

CAMP SCHEDULE

PARENT / GUARDIAN INFORMATION

EMERGENCY CONTACT

MEDICAL & SAFETY INFORMATION

MEDIA RELEASE

LIABILITY WAIVER & ASSUMPTION OF RISK

EVENT POLICIES