Spring Football Camp
Camp Information
The cost of the camp is $50.00, which includes meals, a Brotherhood T-shirt, and all camp activities. Payment can be made using the QR code listed on the flyer. Students should arrive at 1:00 PM on Friday, June 19, and camp will conclude at 2:00 PM on Sunday, June 21.
Student's Name
*
First Name
Last Name
T-shirt Size:
Parent/Guardian Information
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Other
Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Coverage & Emergency Treatment
I confirm my child has current medical/accident insurance coverage and will be maintained for the duration of their participation in the camp. In the event my child is injured and the parent/guardian cannot be reached, I hereby consent to emergency medical treatment including hospitalization.
Waiver & Release
I understand that my child’s participation in this activity can expose my child to dangers both from known and unknown risks. I hereby waive and release from any and all liability, including, but not limited to, liability arising from the negligence or fault of Archbishop Murphy High School, its trustees, officers, employees, volunteers, coaches, entities or other persons released, for my child’s death, disability, personal injury, property damage, or actions of any kind which may occur.
Use of Photographs
I understand while participating in this activity, my child may be photographed or videoed and give consent to AMHS to use for promotional purposes. Please select yes/no below for this.
For the use of photographs above:
*
Yes
No
Please include the last four digits of the card used to make the payment so we can accurately track and verify payments.
Confirmation
By acknowledging and signing 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.
E-Signature
*
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