Registration Form – GRIZ Team Camps

One Day Camp Registration

Step 1 of 2

Camper Information

Athlete's Name(Required)

First Last

E-Mail Address(Required)

Enter Email Confirm Email

Cell Number(Required)

High School(Required)

State(Required)

Graduation Year(Required)

Preferred Position(Required)

Height(Required)

Weight(Required)

Camp Registration Fee

Price:

Emergency Contact Information

Parent or Guardian Name (Primary)(Required)

First Last

Parent or Guardian Name (Secondary)

First Last

Home Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone (Primary)(Required)

Phone (Secondary)

Name of Insured Athlete(Required)

Insurance Company(Required)

Policy Number(Required)

Family Physician (name)

Physician's Phone

Allergies

Special Instructions

Franklin College Parental Permission/Liability Waiver Form

I/We grant permission for my our son (listed above on this form) to participate in the Franklin College Football One Day Camp. I further certify that he is in good physical health for such participation as verified by a physician’s examination administered during the past twelve months. I/We agree to indemnify, save, and hold harmless Franklin College of Indiana (College), its Board of Trustees, officers, employees, and agents against any and all property losses and/or judgments rendered against the event. I/We also agree to release, waive and discharge the College, its Board of Trustees, officers, employees, and agents from any and all liability to the undersigned, his/her, or their personal representatives, assigns, heirs, and next of kin for any and all loss or damage, and any claim or demands therefore, on account of injury to the person or property of, or resulting in the death of, the undersigned’s child or ward arising out of or related in any way to the undersigned’s child’s or ward’s participation in or presence at event. I/We further grant permission for my son to be treated by a local physician or hospital emergency room personnel if necessary.

Parent or Guardian Digital Signature(Required)

Payment

Credit Card(Required)

Card Details

Cardholder Name