Fitness by Franchises Football Skills Camp 2013

Non-Contact Camp for ANYONE looking to improve their ability at the defensive back or wide receiver positions, will also benefit any quarterbacks who need people to throw to and learn how to read a defense. June 24, 26, 28 & July 1, 3, 5 Agility 9:30-10:30am (Middle & High School) 10:30-11:30am (Pee Wee/Civitan to 5th Grade) 7 on 7 7:30-8:30pm (Middle & High School) @ College Park (will be in the gym if it rains)
ENCLOSED IS: (make checks payable to WCCPR) $100 2 weeks, 12 sessions for Middle and High School $60 1 week (June or July circle one), 6 sessions for Middle and High School $60 2 weeks, 6 sessions for Pee Wee/Civitan to 5th Graders OFFENSIVE POSITION: Quarterback Running Back Tight End Wide Receiver DEFENSIVE POSITION: Linebacker Safety Cornerback

Camper Information

Name, Age, School Street Address, City, State, Zip Phone Number or Email Emergency Contact Name, Relationship, Phone Number or Email

Waiver of Liability and Hold Harmless Agreement

The undersigned hereby waives any and all claims that they may have against the City of Winchester, Clark County, the Winchester-Clark County Parks and Recreation Health and Wellness Center, the agents, employees, directors, board members, commissioners, magistrates and officers of those three entities for any loss they may suffer arising out of the use of the premises including all areas inside and out. The undersigned agrees to indemnify, defend, and hold harmless the above parties from and against any and all liability for damages arising from injuries to their person or damage to their property occasioned by acts or omissions of the above parties including all expenses, legal or otherwise. The undersigned acknowledges reading and foregoing and fully understands the same.

Signature of Camper or Legal Guardian

Date

Signature of Staff

Date

Winchester/Clark Co. Parks and Recreation 15 Wheeler Ave. Winchester, Ky. 40391 (859)744-9554 or (859)745-0240