C/O 1615 34th st se Puyallup, wa 98372

JAGUARS 4 YARD FOOTBALL CAMP

PARENT CONSENT AND RELEASE FORM

(A) I/WE HEREBY GIVE CONSENT FOR MY SON/ DAUGHTER TO PARTICIPATE IN THE 2012 JAGUARS 4 YARD FOOTBALL CAMP. (B) I/WE KNOW OF AND ACKNOWLEDGE THAT MY SON/DAUGHTER KNOWS THE RISKS INVOLVED IN PARTICIPATION IN SUCH A CAMP, AND WE/I UNDERSTAND THAT SERIOUS INJURY IS POSSIBLE IN SUCH PARTICIPATION AND CHOOSE TO ACCEPT ANY AND ALL RESPONSIBILITY FOR HIS/HER SAFETY AND WELFARE WHILE PARTICIPATING. WITH FULL UNDERSTANDING OF THE RISKS INVOLVED, I/WE RELEASE AND HOLD HARMLESS JAGUARS 4 YARD FOOTBALL CAMP, COACHES, ADMINISTRATORS, AND FACILITIES AS WELL AS ANYONE INVOLVED IN THE ADMINISTRATION OF THIS CAMP. I AGREE TO RELEASE THE JAGUARS 4 YARD FOOTBALL CAMP FROM ALL RESPONSIBILITY AND LIABILITY FOR ANY INJURY OR CLAIM RESULTING FROM PARTICIPATION, AND AGREE TO TAKE NO LEGAL ACTION AGAINST DUE TO ANY OF THE ABOVE BECAUSE OR MISHAPS INVOLVING THE PARTICIPATION OF MY SON AND/OR DAUGHTER. (C) THE PUYALLUP SCHOOL DISTRICT IS NOT A SPONSOR OR AFFILIATED WITH JAGUARS 4 YARD FOOTBALL CAMP IN ANY WAY. (D) MY SIGNATURE GIVES PERMISSION TO JAGUARS 4 YARD FOOTBALL CAMP TO SEEK PROFESSIONAL MEDICAL ATTENTION IF NEEDED IN CASE OF AN INJURY. (E) I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE. DATE_________________________________________ INSURANCE CARRIER_________________________ POLICY NUMBER______________________________ CARRIERS PHONE#____________________________ PARENT SIGNATURE __________________________ PRINT NAME HERE____________________________

JAGUARS 4 Yard FOOTBALL CAMP

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FOOTBALL CAMP FOR K-9 Student/Athletes

JULY 9, 10, 11, 2012

BUILDING CHAMPIONS FIRST

Camp Schedule
Dates 7/09/12
Time 3:00-3:30PM Registration 4PM-7PM Camp Begins Location Glacier View Junior High Glacier View Junior High Glacier View Junior High

2011 JAGUARS 4 YARD FOOTBALL CAMP

DATE: JULY 09-12 (MON-WED) REGISTRATION: ALL CAMPERS WILL CHECK IN JULY 09, 2012 BETWEEN 3:00 AND 3:30PM. TIME: 4-7PM MON/TUES and 4:00-7:30PM WED. LOCATION: GLACIER VIEW JUNIOR HIGH: EMERALD
RIDGE HIGH SCHOOL IS RECEIVING A TURF FIELD UPGRADE SO THE LOCATION HAS CHANGED FROM EMERALD RIDGE TO GLACIER VIEW JUNIOR HIGH

7/10/12

4PM-7PM

COST: $65 (ADDITIONAL FAMILY MEMBERS $35) GRADE: K-9 BASED UPON 2012-13

THE ELIMINATOR in the Jungle. Welcome to the JUNGLE. At camp you will experience the Eliminator in the Jungle. You and your team are going to be on a three day journey that will test your endurance, strength of character, and heart. It is our hope that when you complete the Eliminator in the Jungle, you will see life through the eyes of the BIG C.A.T. (Commit All Together). A hint to the wise, if you want to survive the Eliminator in the Jungle, it will take more than beating the competition - you will have to compete against your Best-Self. We are excited to continue the tradition with new and old faces - see you there. Camp Experience Offensive stations, Defensive stations, Passing League, Team Building Competitions, Guest Speakers, Awards, Certicates, and Special Give Aways

7/11/12

4PM-7PM

Glacier View Junior High

WHAT TO BRING: Proper Athletic Attire, Grass Cleats, Water, and Extra Change of Clothes - You WILL get wet. CAMP IS COACHED BY THE JAGUAR FOOTBALL PLAYERS AND EMERALD RIDGE COACHING STAFF with special guests. THIS IS A NON-CONTACT CAMP NO JEWELRY WILL BE ALLOWED DURING CAMP. CAMPERS NAME PARENTS NAME ADDRESS CITY ZIP AGE _

7PM-7:30PM Team Awards Camp Ends

Glacier View Junior High

STATE TEL#
Hard work and togetherness. They go hand in hand. You need the hard work because it's such a tough atmosphere... to win week in and week out. You need togetherness because you don't always win, and you gotta hang tough together. Tony Dungy

CELL #

EMAIL

Send completed application and check to:

Jaguars 4 Yard Football Camp(JFC)

ATTENDING SCHOOL GRADE FALL OF 2011

c/o 1615 34th ST SE Puyallup, WA 98372

Coach Halfadays Cell Phone: 253-720-9930 Email: halfadtl@puyallup.k12.wa.us

February 11. 2012

MARK YOUR CALENDAR
BINGO NIGHT
www.teamjaguarsblog.com

BIRTHDATE_______/________/__________ T-SHIRT SIZE (please circle): Youth Sizes: YS YM YL Adult Sizes: S M L XL XXL