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REGISTRATION & WAIVER FORM

CHECKBOX
NAME *
NAME
HOME ADDRESS *
HOME ADDRESS
PHONE
PHONE
EMERGENCY CONTACT PHONE
EMERGENCY CONTACT PHONE
By checking this box you are stating that you have read the waiver and agree to the terms.
I agree to hold harmless Kenny Clark’s Football Camp, it’s coaches, staff, NFL Players, owners, operators, directors, Carter High School and the school district from any/all liability should any injuries or illnesses befall me while I am in attendance at Kenny Clark’s Football Camp. I authorize the coaches and staff of the Kenny Clark Football Camp to secure medical treatment for me should I not be able to request such treatment for myself. I have no knowledge of any existing physical impairment that would affect my participation in this program. I also acknowledge to the Kenny Clark Football Camp that I have up to date medical insurance and have been cleared by a doctor to participate in football for the 2018 season. In addition, I authorize the Kenny Clark Football Camp to use any photography of me taken during the program for use in publicizing and advertising future Camps.