Insurance Information Please INITIAL the following statement regarding insurance coverage for your son: _____My son is adequately and currently covered by accident insurance that will cover injuries sustained while participating/attending camp. General’s Personal Training SHILOH FOOTBALL Individual Rate: $ 75.00 each And Head Coach Keith Wilkes Presents: July 12th thru July 15, 2010 Company providing insurance: Name of insured:______________________ Policy #:____________________________ SIGNATURE OF PARENT(S) OR GUARDIAN(S) The “Shiloh Way” AUTHORIZATION In case of an emergency or accident, my child, ______________________, which in the opinion of camp authorities present requires immediate medical or surgical attention, I hereby grant permission to physicians, consulting physicians, athletic trainers, emergency medical technicians, and other health care providers selected by school authorities to provide medical care and treatment (including hospitalization if deemed appropriate by camp authorities or an healthcare provider) unless I am present and request otherwise or until I later request otherwise. Work with professional Coaches for Individualized position training Proper techniques Drills and FB Fundamentals Offensive and Defensive skill development Get it done, in Classroom, on the Field, and as a Team And much, much, more OFFICIAL GENERAL’S FOOTBALL CAMP At SIGNATURE OF PARENT(S) OR GUARDIAN(S) Shiloh High School ____________________________Date___________ 4210 Shiloh Road Snellville, GA 30039 For more information call: 770-736-4398 or 770-736-4352 www.shilohfootball.com / Shiloh Community School BOYS Ages: 6 years old to 8th Grade ABOUT THE CAMP The 2nd annual General’s Football Training Camp is designed to prepare athletes of all ages for recreation. Our goal is to give each camper the finest football instruction available and an experience they will never forget! Our individual instruction for quarterbacks, running backs, wide receivers, offensive linemen, defensive linemen, linebackers, tight ends, and defensive backs will prepare the Camper to be a better student and football player! Campers are grouped according to age and skill level. Our camp offers a variety of proper techniques, drills and special instructions by position that each camper will leave with a greater knowledge of the game. All Campers will receive a camp T-shirt, hat, and certificate of participation. There will be daily evaluation from position Coaches and words of encouragement. 2009 CAMP TUITION & POLICY $ 75.00 PER CAMPER 2010 General’s Football Training Camp Registration Form $ 25.00 Admin Fee, included in Camper fee (Non refundable) 2010 CAMP DATES Campers are accepted on a first come, first serve basis. July 12-15, 2010 Complete form & mail or bring to the Field House: If a Camper must cancel, notification must be given prior to July 5, 2010. Refund will be given minus the $ 25.00 Admin Fee. PAYMENT INFORMATION Shiloh Touchdown Club Attn: Bea. Hardee 4210 Shiloh Road Snellville, GA 30039 (770) 736-4398 Walk in registration is available in the Field House. Select Payment Method Credit Card #__________________________ Time: 5:00pm to 7:00pm Mon., Tues., and Thurs. - Beg. June 29th Camper:____________________________________ Typical Daily Schedule 5:30pm – 8:30pm Expiration Date_________________________ Address: ___________________________________ VISA MASTERCARD City/St: ______________________Zip:___________ 5:30pm 5:45-6:00 6:00-6:15 6:15-6:45 6:45-7:00 7:00-7:15 7:15-7:30 7:30-8:15 8:15-8:30 Check In (Practice Field) Proper Warm up & Stretches Per. 1 – Brk. out into Individuals Per. 2 – Position Technique Break Per. 3 – Drills Per. 4 – Demo. FB Fundamentals Per. 5 – Break into Offense and Defense Groups/game formations Per. 6 – Instructions for next day **Campers should wear cool clothing and bring water to drink. Water stations will also be provided. Payment Amount: $_________________ Age: ________ Position: ______________________ Required Signature___________________________________ Parent/Guardian: _____________________________ Make check or money order payable to: Home/Cell Phone: ___________________________ Shiloh Touchdown Club Amount Enclosed: $______________ Balance Due: $______________ Email: _____________________________________ T-Shirt Size:____________________ For more information visit: www.shilohfootball.com
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