NEW RICHMOND YOUTH 2014 FOOTBALL CAMP
Date: June 16th-18th (Mon. – Wed.) *Make-up day Thursday if needed
Time: 11:30 a.m. – 1:30 p.m. Location: New Richmond Football Stadium
Ages: K – 6th Grade (Completed)
Clothing: Shorts, T-shirt, Cleats or Tennis Shoes
Activities: Work on skills of passing, catching, blocking, tackling, punting and kicking.
Cost: $30.00 Make checks payable: New Richmond Sports Foundation
Send Payment to (cash or check): Walk-Up Registration
Josh Stratton (Head Football Coach) 16th 10:00 a.m.
1131 Bethel-New Richmond Rd. [email protected]
New Richmond, OH 45157 Josh Stratton 859-443-9686
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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 ________
· PPlease make any additional notes that you think the New Richmond Coaching staff may need to know about your child (medical issues):