MSU NORTHERN FOOTBALL CAMP
June 6-8th 2016, the Northern Lights football program is offering a 3 day football skills camp for boys and girls entering
grades K-8. Campers will develop individual football skills of passing, route running, catching, blocking, punting,
kicking, tackling, etc. and will participate in various football games in a team setting. Campers will be divided into
specific age appropriate groupings. The camp will run from 9:00 a.m.-11:00 a.m. at the MSU Northern Football Practice
Fields. This is a Non-Contact Camp; no equipment is needed. Campers provide their own cleats (Shoes), gloves etc.
Mail completed form and payment to: MSU Northern Assistant Football, Box 7751, Havre, MT 59501 by May 30th
Make checks payable to: MSU Northern Football Camp. Cost $60
Camper’s Name: _______________________________________ Age:_____________
Entering Grade: __________ T- Shirt Size (circle one): Youth: S M L XL XXL or Adult: S M L XL XXL
Parents/Guardian __________________________________; ____________________________________
Address: ___________________________________________________________
City:_________________________ State: ________ Zip Code: ______________
Phone: (Home)______________________________ - (Cell)________________________________
Emergency Contact : (Name)________________________________ - (Phone)______________________________
Medical Information: (please list any medical conditions, allergies or prescriptions)
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Disclaimer:
I give my child permission to participate in the Northern Lights Football Camp June 6-8th at the MSU Northern Practice
Fields. I understand that there is always possibility for injury while participating in the camp, and agree to let the employees of
Northern Football act in their best judgment in case of sickness or injury. My signature below indicates that :
(1) I will not hold Montana State University-Northern or affiliates of the camp responsible if injury or sickness does occur,
(2) my son/ daughter is mentally & physically capable of participating in this camp,
(3) I voluntarily permit his/her participation.
Parent’s Signature: ______________________________________ Date:___________________
Dress for appropriate weather conditions.
This is a non contact camp; helmets or shoulder pads will not be admitted.
Contact Information:
Jake Eldridge (406) 945-1108 or Cody O’Neill (815) 560-1237
[email protected]
[email protected]
Lights Football
PO Box 7751
Havre, MT 59501