2026 Cobb PAL Football Camp
Participating Child's Name
*
First Name
Last Name
Birth Date:
*
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Year
Age
*
Gender
*
Male
Female
Please select one answer
*
Asian or Pacific Islander
Black or African American
Hispanic or Latino
White or Caucasian
A race/ethnicity not listed here
What is the name of your child's school?
*
Parent/Guardian
*
First Name
Last Name
Cell Phone Number
*
-
Area Code
Phone Number
Alternative Phone Number if Applicable
-
Area Code
Phone Number
E-mail
*
Address:
*
Street Address
Street Address Line 2
City
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Participant Agreement
Parental Consent, Photo/Media Release
*
I, the parent and or/legal guardian of the above named son/daughter hereby grant permission for his/her participation in the activities of Cobb PAL and their related activities. On Behalf of my son/daughter and myself, I acknowledge that he/she will be using facilities at his/her own risk and I, on my own behalf, hereby release, discharge and indemnify Cobb PAL from all liability for injury to person of damage to entrant. You are authorized on my behalf and at my account to take measures and arrange such medical and/or hospital treatment, as you may deem advisable for the well being of my son/daughter.
I understand that Cobb PAL will take & use action/still photos and video of my child participating in regular scheduled PAL practices/events. Images will be used for official club purposes such as: website, internet, social network sites, brochures, flyers, newsletters, marketing materials, media & press releases. Furthermore I understand, I consent to the organizations right to publish such images and video for announcements, marketing & advertising.
I have read, understood, and accepted the participant agreement.
Submit
Should be Empty: