July 23 July 26, 2012

Harry Lang Stadium Lakewood, Washington

1 - 4 pm

Skills and Fundamentals Non-Contact Camp Grades 4 9

Camp Staff will include: Lakes Head Football Coach Dave Miller Lakes Football Coaching Staff + Current Players Former Lakes Football Players - College + NFL

All American Football Camp Registration

July 23-26th, 2012 Harry Lang Stadium Lakewood, Washington Camp Cost: $60.00 Must Register by July 1st, 2012 Registration includes T-Shirt

Name__________________________Age Grade Phone School Address________________________City___________St_______Zip

T-Shirt Size (S,M,L,XL,XXL)__________ Mail Application and Payment to: All American Football Camp Lakes High School 10320 Farwest Dr. SW Lakewood, WA 98498 Make Payment out to: Lakes High School

Release/Hold Harmless Agreement The undersigned desires to participate in the All American Football Camp, which is being sponsored by the Clover Park School District. I ACKNOWLEDGE the CPSD will make every attempt to insure my safety while participating in this volunteer camp/activity, but there are certain inherent risks involved that may be unavoidable resulting in bodily injury or property damage to myself or others. I further acknowledge the CPSD does not provide any accidental medical insurance coverage for the activity and that I assume all risks of injury or damage to my person or property. I agree to hold and save harmless the Clover Park School District, its School Board and Employees, All American football camp staff, and assigns for any claims, suites or damages, (including but not limited to defense and indemnification) which might result from my participation in the above described event. Participants Name Please Print: Signed: Print Parent/Guardian Name: Signature of Parent/Guardian: ________________________________Date: Date: