Canon McMillan Big Mac Football Youth Camp

Does your camper have or had Asthma, Kidney Disease, Diabetes, Heart Murmur, Seizures, Hay Fever? Please explain below

Big Mac Football Camps

Camper First name

Camper Last name

Parent Email

Address

Parent Contact Phone Number

Second Contact Phone Number

Does your camper have or had Asthma, Kidney Disease, Diabetes, Heart Murmur, Seizures, Hay Fever? Please explain below

Does your child have special instructions for medical treatment?

Doctor

Insurance

I, the undersigned, hereby declare and affirm that: I am the parent/legal guardian of the youth named above (hereinafter referred to as "Child"), who is under my care and responsibility. I hereby consent and give authority to the participation of my Child in the scheduled youth activities of the Camp, and all other activities which is supervised and customarily associated with its youth group. I hereby declare and affirm that my Child is physically fit to take part in the Camp's activities and my Child has no known illness or adverse medical condition that would render him/her unfit to participate therein, other than the information specified in the medical information above. I shall immediately advise the organizers in writing, should I discover any illness, adverse medical condition, or any other physical defect that would render my Child unfit to participate in the recreational and sporting activities of the Camp. I shall notify the organizers immediately in case I revoke my consent to the Camp for this event.

Authorization for Medical Treatment I understand that in case of medical emergencies involving my Child, I shall e notified right away. In case any of my provided contact information is unreachable, I authorize the organization to call the doctor indicated above. In case that the doctor is not available, I authorize the organizers to call any doctor to provide the necessary medical attention to my child. I understand that the camp shall not be responsible, and shall be reimbursed, for any medical expenses incurred by them over this authorization.

I authorize my photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, or radio coverage of the trainings/events, without compensation.

I hereby release, waive liability, discharge, hold harmless, agree to indemnify, and covenant not to sue, any company involed with this Big Mac Youh Football Camp, from any and all liability incurred in the conduct of, and my participation in, this camp. This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns. I acknowledge it is my right and responsibility as a participant to refuse participation under any training methods.

This Youth Football Camp does not have personal injury insurance that covers my participation. Therefore, I should have a current, active, personal injury insurance policy in force, which covers my participation. Under any condition, I am responsible for any and all medical expenses arising from my participation, both in training and while travelling to and from these trainings/events. I have the right and responsibility to inspect the equipment and facilities prior to trainings/events and, if I believe that anything may be unsafe, I will advise the staff of the condition and may refuse to participate. Participation assumes consent.

Your Signature

Select an option

High Intensity Position Camp $85

Offensive Line Academy $100

Both $145

Thank you for registering!

Does your camper have or had Asthma, Kidney Disease, Diabetes, Heart Murmur, Seizures, Hay Fever? Please explain below

Big Mac Football Camps

Camper First name

Camper Last name

Parent Email

Address

Parent Contact Phone Number

Second Contact Phone Number

Does your camper have or had Asthma, Kidney Disease, Diabetes, Heart Murmur, Seizures, Hay Fever? Please explain below

Does your child have special instructions for medical treatment?

Doctor

Insurance

Your Signature

Select an option

High Intensity Position Camp $85

Offensive Line Academy $100

Both $145

Thank you for registering!