Tiger All-Star Youth Football Camp

Hosted by Coach Rodgers and the Gilbert Football Staff Date: May 28th, 29th, 30th, And 31st Time: 6:00 7:30 pm Location: Gilbert High School 1101 East Elliot Rd. Gilbert, Arizona 85234 Ages: 7 through 12
The staff at Gilbert is dedicated to providing quality instruction on the latest technique in the game of football. We are committed to the development of our youth, not only in the game of football, but also in the game of life. Items needed for camp: football shoes, shorts, water bottle.

Coach Rodgers and Staff

CERTIFIED EMT will be present at all times! Guest appearances include: Distinguished Coaches and Gilbert Alumni Current and Former NFL Players Walk up registration will be available the first day of camp To guarantee t-shirts you must register by March 30th 2012
(Return this section of flyer) Please Print Last Name ______________________ First Name _________________ Address __________________ City _______________ Zip __________ 20____ E-mail __________________M/F D.O.B. ___/ ____/ 19____ Grade ___ Phone ________________ Cell ________________ Parent/Guardian Name ______________
Shirt Size: S, M, L, XL (youth sizes) Circle one Camp Fee: $75.00 (includes shirt) Registration will be accepted at the gate but PLEASE RSVP by March 30th 2012, so we can guarantee T-shirts! Make Money Order Payable to: Tiger Football Skills Camp or Cash Please NO Personal Checks Signature of Parent/Guardian:
As condition precedent to participating in the Tiger All Star Youth Football Camp, I, as the parent and/or guardian of______________________________ agree to maintain health insurance for my son/daughter while he/she participates in the camp. If I do not maintain health insurance for my son/daughter, I agree to purchase the student accident insurance policy offered by the camp through the school district. Parent/Guardian date__________________ __

Registration Form

FOR MORE INFORMATION

Call Coach Rodgers @ 480-497-0177 x169 Gilbert Athletic Office Gilbert Tiger Football 1101 E. Elliot Rd. Gilbert, AZ. 85234

SEND FORM AND FEES TO:

CONSENT FOR MEDICAL TREATMENT. As the

parent/legal guardian of the above named participant, I hereby give consent for all medical care prescribed by a licensed doctor of medicine. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.

____________________________
Signature denotes parent has read the medical consent and liability disclaimer.

It is understood that the Gilbert Public School District, Gilbert High School and the Touchdown Club, Coach Rodgers and/or Tiger All Star Youth Football Camps are released from any and all claims, demands, and causes of action whatsoever in any way growing out of or resulting from participation in, or in transit to or from, this camp.