CHORE PRESENTS THE FRANK WARREN YOUTH FOOTBALL CAMP
Please complete this pre-registration form for your child to participate in the upcoming Football Camp. All information collected is for communication and safety purposes only. If you have any questions or concerns please, contact the Camp Director at info@nxtlevelbranding.com.
Camp Participant Last Name
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Camp Participant First Name
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Parent/Guardian Name (Last, First)
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Parent Phone Number
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Parent Email
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AGE
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5
6
7
8
9
10
11
12
Shirt Size
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Does your child have any medical conditions, allergies, or dietary restrictions?
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Emergency Contact Name (if different from parent/guardian):
Emergency Contact Number (if different from parent/guardian):
Health Insurance Provider & Policy Number (optional)
Do you give permission for your child to participate in all physical activities during the camp?
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Yes
No
Photo & Video Consent: By registering for this event, the parent/guardian acknowledges that without expectation of compensation or other remuneration, now or in the future, hereby give consent to CHORE, Frank Warren, & A.H. Parker High School, Next Level Branding, LLC and its affiliates and agents, to use your child's image and likeness and/or any interview statements from your child in its publications, advertising or other media activities (including the Internet).
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Yes
No
Medical Release Authorization: You understand that in the event of a medical emergency, camp staff will make every reasonable effort to contact me. If you cannot be reached, you authorize the camp staff to seek and obtain emergency medical treatment for your child as deemed necessary by qualified medical personnel. You agree to be responsible for any medical expenses incurred as a result of medical treatment. You also acknowledge that your child has no medical conditions that would prevent full participation in camp activities, except as noted in the registration form. Please Type Full Name Below
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Participation Waiver & Release of Liability
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Submit
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