DATE: Saturday, June 10th 2017
TIME: REGISTRATION: 9:30 a.m. TOURNAMENT PLAY: 10:00 a.m- 3:00 p.m.
LOCATION: Central City High School, Preferred Popcorn Field™
ENTRY FEE: $10.00 per participant
FORMAT: Round Robin & Tournament
CONFIRMATION DEADLINE: June 1st
OTHER INFO: T-shirts will be handed out to Tournament Champions.
Concessions and an athletic trainer will be available on site.
----CUT--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PLAYER NAME _____________________________________________________________________________
SCHOOL _____________________________________________________________________________________
PARENT’S NAME ___________________________________________________________________________
ADDRESS ____________________________________________________________________________________
PHONE NUMBER ____________________________________________________________________________
Parent/Guardian Release & Indemnity Agreement: We (or I) hereby release my son (or athlete) to participate in the Central City Stampede 7 on 7 camp. With acceptance of this application, we
hereby release Central City High School, its school district, and its coaching staff or employees from all claims on account of any injuries which may be sustained by our (my) child while participating
in the Central City Stampede 7 on 7 Camp. It is also agreed that we carry our own personal medical insurance on our son (or athlete) and that our son (or athlete) has no physical impairments which
would in any manner limit their participation in the Central City Stampede 7 on 7 Camp.
PARENTS SIGNATURE___________________________________________________________________________ DATE: ____________________
Make Checks Payable to: Central City Football 7 on 7. Contact Troy Huebert with questions: 402-694-1251 or [email protected]