Omaha Beef Youth Football Clinic
Saturday May 11 | 9-11 A.M. | Ralston Arena
Registration form
Cost
$35
per
player
Deadli
n
e
:
May
5th
Student Name(s):____________________________
Age:_______________
Parent Name:_____________________________
Contact #:_______________
Email:___________________________________
THE OMAHA BEEF AND RALSTON ARENA ARE NOT RESPONSIBLE FOR ANY INJURY. OMAHA
BEEF IS AUTHORIZED TO OBTAIN ANY MEDICAL CARE OR TREATMENT DEEMED NECESSARY
_______________________________________________________________
Parent Signature Date Emergency Phone #
T-Shirt(s) Size (PLEASE IDENTIFY QUANTITY)
Child Small ____ Child Medium ____ Child Large ____ Adult Small ____ Adult Medium
# of Additional Tickets @ $10.00 each: _________
Total Amount Due:____________
($35 camp fee, plus additional tickets)
Tickets will be distributed on May 11th during the clinic check-in starting at 8:30 A.M.
Payment Options (PLEASE SELECT)
Please mail forms to the Ralston Arena
Check *Made payable to “Omaha Beef”
Attn: Omaha Beef 7300 Q St. Ralston,
Credit Card - Visa / MasterCard / Discover
NE. 68127 or email to
[email protected]
Name on Card:______________________________
Questions on tickets: contact Cari at
Card Number:_______________________________
(402)853-2961 or
Exp Date:________ CV#:_______ Billing Zip:_______
[email protected]
Question or Concerns?
Please contact Andrew Mather (402) 346-2333
or email [email protected]