EAGLE FOOTBALL CAMP 2012

WHO: All athletes from any community interested in learning skills and schemes of offense, defense, and kicking game WHERE: Parkway Christian High School SUPERVISION: Todd Francis, Parkway Christian Head Football Coach & members of the Parkway Christian Football Staff GRADES: Any students entering grades 9-12 BRING: -Shoes (Gym and Cleats) -Tee-Shirt, Shorts, and Socks -Notebook and pen/pencil, Helmet (if not fitted already available at camp) WHEN: Monday, July 23rd 4:00 pm 7:00 pm Tuesday, July 24th 4:00 pm - 7:00 pm Wednesday, July 25th 2:30 pm - 5:00 pm (Early dismissal due to church activities) Thursday, July 26th 4:00 pm - 7:00 pm

COST: $50 (Which includes a t-shirt)If mailing a check please put on envelope Att: FOOTBALL and please make check payable to: Parkway Christian School. Parkway Christian School 14500 Metropolitan Parkway Sterling Heights, MI 48312 (Registration and payment due FRIDAY, JUNE 22nd At the door registration also accepted but tee-shirt size not guaranteed after June 22nd.) QUESTIONS: Todd Francis (248) 330-3803 pcfbcoach@hotmail.com

***Each player must have the Parkway Christian Release and Waiver form filled out and signed by a parent or a guardian in order to participate in the football camp. --------------------------------------------------------------------------------------------------------------------------------PARENT/GUARDIAN (PLEASE PRINT):______________________________________ PLAYERS NAME (PLEASE PRINT):______________________________________ ADDRESS:____________________________________________ ______________________, MI (ZIP)______________________________ PLAYER ENTERING WHAT GRADE: 9 10 11 12 PHONE NUMBER______________________ PARENT SIGNATURE:___________________________________________ PLAYER TEE SHIRT SIZE: S M L XL 2XL 3XL

JUNIOR EAGLE FOOTBALL CAMP 2012

WHO: All athletes from any community interested in learning skills and schemes of offense, defense, and kicking game WHERE: Parkway Christian High School SUPERVISION: Todd Francis, Parkway Christian Head Football Coach & members of the Parkway Christian Football Staff GRADES: Any students entering grades 3-8 BRING: -Shoes (Gym and Cleats) -Tee-Shirt, Shorts, and Socks WHEN: Monday, July 23rd Tuesday, July 24th Wednesday, July 25th Thursday, July 26th 12:30 pm 3:30 pm 12:30 pm 3:30 pm 12:30 pm 3:00 pm (Early dismissal due to church activities) 12:30 pm 3:30 pm

COST: $50 (Which includes a t-shirt, individual player evaluation form, pizza, and a drink following camp on Thursday). If mailing a check please put on envelope Att: FOOTBALL and please make check payable to: Parkway Christian School. Parkway Christian School 14500 Metropolitan Parkway Sterling Heights, MI 48312 (Registration and payment due FRIDAY, JUNE 22nd At the door registration also accepted but tee-shirt size not guaranteed after June 22nd.) QUESTIONS: Todd Francis (248) 330-3803 pcfbcoach@hotmail.com

***Each player must have the Parkway Christian Release and Waiver form filled out and signed by a parent or a guardian in order to participate in the football camp. --------------------------------------------------------------------------------------------------------------------------------PARENT/GUARDIAN (PLEASE PRINT):______________________________________ PLAYERS NAME (PLEASE PRINT):______________________________________ ADDRESS:____________________________________________ ______________________, MI (ZIP)______________________________ PLAYER ENTERING WHAT GRADE: 3 4 5 6 7 8 PHONE NUMBER______________________ PARENT SIGNATURE:___________________________________________

PLAYER TEE SHIRT SIZE (MENS SIZES): S

M L XL 2XL

FULL WAIVER, RELEASE, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT Activity or event:_______________________________________________ Child/childrens names(s):
(Please print all names legibly)

1) ___________________________________ 2) ___________________________________ 3) ___________________________________

By allowing the listed child (Participant) to participate in this event I acknowledge and understand: There are certain inherent risks and dangers the child may encounter while traveling to, participating in, or returning from this event, that could result in injury (whether physical, mental, social, economic or emotional), death or some type of property loss. There may not be any or sufficient insurance provided by Bethesda Christian Church and/or Parkway Christian School (Bethesda) for any type of injury, property loss or other damages that may occur and I have signed this document without regard to whether Bethesda has insurance or maintains sufficient insurance for any type of claim, damage or loss. I agree to assume any and all risks and hazards of injury or loss arising out of or in the course of the listed event without regard to whether the risk or danger was reasonable and/or foreseeable by Bethesda. On behalf of any assignees, and myself, I release and hold Bethesda harmless from any and all liability and expense, including litigation costs and attorney fees arising out of any and all claims that I may have or later assert. In addition, I hereby waive all claims I may have against Bethesda, or any of its trustees, officers, employees, representatives, agents and volunteers (Bethesda affiliates). I shall hold harmless and indemnify Bethesda and Bethesda affiliates from any and all claims, liabilities and expenses arising out of claims brought by third parties in connection with any acts or omissions of the Participant. The laws of the State of Michigan shall govern this Agreement. I understand and acknowledge I have the option of not applying to allow the child to participate in the listed event, and of not becoming involved in the listed event if the terms and conditions listed above are not acceptable. I HAVE READ THE TERMS OF THIS AGREEMENT, UNDERSTOOD THIS DOCUMENT AND, BY SIGNING MY NAME, FREELY, FULLY AND VOLUNTARILY AGREE TO THE SAME AS BINDING UPON ME, MY HEIRS, NEXT OF KIN AND/OR PERSONAL REPRESENTATIVES. Dated this ____________ day of ___________________________, 20____ ____________________________________________ Parent/Legal Guardian ____________________________________________

Parent/Legal Guardian