ONLINE REGISTRATION
2008 NL71 FOOTBALL CAMP & COMBINE
Name:
*
Age:
*
Position:
*
Address:
*
City:
*
State:
*
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zipcode:
*
ABOUT YOU
Coach's Name:
*
Grade:
*
Height:
*
Weight:
*
School:
*
CAMP SELECTION
What camp do you plan to attend?
*
NL71 Football Camp & Combine
NL71 7 on 7 Passing & Lineman Camp
Both
What are your plans for lodging?
*
Commuter
Overnight
PAYMENTS
All payments must be made on-site. Rates are as follows:
NL71 FOOTBALL CAMP & COMBINE ($120 - Commuters $250 Overnight)
Agree to pay on-site:
Yes
NL71 7 on 7 PASSING & LINEMAN CAMP ($20 - Per Camper $100 - Per Team)
Agree to pay on-site:
Yes
BOTH CAMPS ($135 - Commuters $265 - Overnight)
Agree to pay on-site:
Yes
T-SHIRT SIZE
Additional shirts $10
What size will you need?
*
Small
Medium
Large
X Large
XX large
XXX Large
XXXX Large
WAIVER STATEMENT
I hereby authorize the Director and the employees of NL71 Football Camp & Combine to act for me according to their best judgement in an emergency requiring medical attention, and I hereby waive and release the camp from any liability for injuries or illness incurred while at camp. I will be responsible for any medical or other charges in connection with attendance at camp.
Terms & Conditions:
*
Yes
Parent/Guardian Name:
*
Contact Number::
*
Name of Coverage:
*
Electronic Signature:
*
Verification:
*