2017 “Jim Bradley” Mayfield Football Camp Ages: 5-15 Date: June 19th– 22nd Time: 7:30am – 12 Noon (lunch served in MHS cafeteria) Location: MHS Gym & Practice Facilities $85.00 Camp Fee (not including individual 5x7 camp picture) Team discounts available – call (575) 527-9415 for details Fundamental football drills specific to offensive and defensive position Offensive and defensive lineman camp Little Trojans camp – 5-8yrs. strength – speed – agility training Every camper will receive a camp t-shirt with their paid registration. Early registers guaranteed selected shirt size. Deadline is 6/09/17. Get a jump start this summer on your football skills, and prepare for next football season. Name: Please make checks payable to: Address: Green & Gold 12th Man Club Please mail forms & payment to: Email: Mayfield High School Michael Bradley 1955 N. Valley Drive Las Cruces, NM 88007 Current School:_____________________________________________ Birth date: / / Grade: Phone:__________________________ Individual Picture($10 extra): YES Circle Shirt Size (Youth or Adult): YS YM YL AS AM AL Early Registers are GUARANTEED selected shirt size. Deadline is 6/09/2017 Late Registers – 1st come 1st serve for t-shirt sizes. NO REGISTER & PAY ONLINE! www.mayfieldfootball.org AXL 2017 TROJAN FOOTBALL CAMP RELEASE FORM My child has permission to attend the Trojan Football Camp. Enclosed is a $85.00 refundable reservation fee. Cash & credit cards accepted for Walk In Registrations. Please sign up now to ensure participation. I have no knowledge of any physical impairment that would affect my child's participation in the Trojan Football Camp. In the event of any emergency in which my son requires medical care, I authorize the staff of the Camp to act for me and to obtain for my child whatever medical treatment the staff, in its best judgment, deems necessary and appropriate. I specifically consent to such treatment. Certified training staff from MHS will be present at all times. I acknowledge at the Camp my child will participate in a sport that may involve, among other things, physical contact of the body with other persons or objects, including the ground. I specifically waive and give up and release the Trojan Camp sponsors and Staff from all liability for any claims for damages which may be sustained at the camp. Players Name: ___________________________________________________ Medical Ins. Co: _____________________________________ Parent/Guardian (Printed): _____________________________________ Policy Number: ____________________________________ Parent/Guardian Signature: _____________________________________ Policyholder’s Name: _______________________________ Date: _____________________________________________________________ Membership # or Group Name: ______________________
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