Flag Football Camp Registration
Please fill out the following form for the flag football camp run through Living Legacy at The Rec. Camp will take place Saturday, April 4th from 2:00 - 6:00 PM. Any other questions can be relayed to Maleke Seaward at Mrseaward17@gmail.com.
Youth's Name
*
First Name
Last Name
Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
Parent/Guardian Contact
*
First Name
Last Name
Email
*
example@example.com
Phone Number (Cell preferred)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
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Waiver and Release of Liability
By agreeing to the terms & conditions below, you agree to the Player & Parent Agreement Statement as follows. "I, the participant, or my child named above agree to participate in the Page County Recreation Leagues or Activities. I hereby release any and all rights and claims for damages I may have against anyone associated with the Page County Recreation Leagues or Activities, or any other group or organization in whose building or grounds this activity is being held, and instructors or persons of these groups for injuries received in participating in any sponsored activity. I also agree to abide by any and all rules and regulations set forth by the Page County Recreation Leagues and Activities."
Do you grant permission for the Page County Recreation Department or Living Legacy to use photos that may include your child for promotional purposes? (For Example: Social media posts, program booklet, newspapers, etc)
*
Yes
No
Signature
*
Submit
Should be Empty: