FOOTBALL CAMP

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FOOTBALL FUTURE CHAMP CAMP
Camp conducted by the high school coaching staff
                                                         
Date: July 17th-19th (Mon. – Wed.)    *Make-up day Thursday if needed
Time: 6p.m.– 8p.m.  Location: New Richmond Football Stadium                                                                                        
Ages: K – 7th Grade (Completed)
Clothing: Shorts, T-shirt, Cleats or Tennis Shoes
 Activities: Work on skills of passing, catching, blocking, tackling,
                   punting and kicking.
*All Campers will receive a camp t-shirt after camp.
 Cost: $25.00    Make checks payable: New Richmond Sports Foundation
 
Send Payment to (cash or check):                            Walk-Up Registration
Patrick Burke (Head Football Coach)                  
Monday July 17th@ 5pm
1131 Bethel-New Richmond Rd.                                  burke_p@nrschools.org
New Richmond, OH 45157                                   Patrick Burke 859-462-2263

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(PLEASE RETURN THIS PORTION OF THE FORM WITH YOUR PAYMENT)
 
Name: __________________________________      Grade Completing: ________
 
Address: ________________________ City: _______________   Zip: _________
 
Parent Name(s):  ____________________________________________________
 
Home Phone: ___________________     Parent Cell Phone: __________________
 
Emergency Phone:  ________________ Emergency Phone:  _________________
 
T Shirt Size: (circle one) Youth:      Small        Medium         Large
Adult:      Small        Medium         Large         X-Large          2X-Large
 
 I give my permission for my child to participate in the NR Youth Football Camp. I understand that this fee does not include accident Insurance. The New Richmond Sports Foundation, Board of Education, and its schools assume no liability. I give the camp permission to take pictures of my child and use them in promotional materials.
 
Parent Signature_______________________________________ Date _______________