$100 Discount - Football Camp Registration | Fork Union Military Academy

Parent Full Name

Email

Have you signed up for Basketball School?

Yes

No

If you signed up for Basketball School and are registering for Football, Strength & Speed Camp, you will receive $100 off your total.

Basketball School Registration

Copy the link below into a new tab and register for Basketball School: https://www.eventbrite.com/e/2018-fork-union-basketball-school-registration-40095976144

Football, Strength & Speed Day Camp

Football Day Camp Description

July 16-20 Cost is $100 per camper since you registered for Basketball School. This camp is only offered as a day camp and is open to girls and boys.

yes, we would like to attend the football day camp.

Number of Campers

Please indicate how many children are participating in the camp.

Campers' Information

Please list all campers' names, ages and t-shirt sizes:

Please fill out the following information about your child: *

First Name

Middle Name *

Last Name

Nickname

Please indicate if your child has a nickname he or she would prefer to go by while at camp:

Male or Female

Male

Female

Date of Birth *

Age on opening day of camp *

Height *

Weight *

T-Shirt Size *

What size t-shirt does your camper wear:

Emergency Contact Information

Please answer the following questions about Emergency Contact information.

Camper's Primary Residence is with: *

Both Parents

Mother

Father

Guardian

Guardian's Name

Mother's Full Name *

Spouse's Full Name (if different from Father)

Mother's Home Address *

City *

State *

Zip Code *

Mother's Home Phone *

Please include area code and no dashes or parenthesis.

Mother's Work Phone *

Please include area code and no dashes or parenthesis.

Mother's Cell Phone *

Please include area code and no dashes or parenthesis.

Mother's Email *

Father's Full Name *

Spouse's Full Name (if different from Mother)

Father's Home Address *

City *

State *

Zip Code *

Father's Home Phone *

Please include area code and no dashes or parenthesis.

Father's Cell Phone *

Please include area code and no dashes or parenthesis.

Father's Work Phone *

Please include area code and no dashes or parenthesis.

Father's Email *

Emergency Contact Full Name *

Please indicate the name, relationship to child, and phone number for an additional emergency contact.

Relationship to Camper *

Emergency Contact's Phone *

Please include area code and no dashes or parenthesis.

Parent Questionnaire

The information you provide in this questionnaire will be valuable in helping the staff understand your son and his skill level before he arrives.

Does your child have siblings? If so, please list their names and if they will be attending camp: *

We need your help with creating athletically balanced teams for Sports Camp. Because we may play a variety of team sports, it is important to understand how much experience each camper has in each sport. Please check the box that most accurately describes his experience level.

Football

No experience

Has played on a team

Started on a team

Outstanding player

Does your child have any unique habits (eating or otherwise) of which you wish the Director to be aware of? *

Does your child have any physical handicaps that may affect his activities? *

What medicines does your child take that will be brought to camp? *

Please provide details on each medicine and when it is required to take them.

Physician's Name *

Physician's Phone *

In Closing...

How did you learn about our camp offerings this year?

If camper's father is an alumnus of Fork Union Military Academy please tell us what year he graduated:

I grant permission for my child to attend the above Fork Union camps *

Yes, my child may attend camp at Fork Union.

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$100 Discount - Football Camp Registration

Football, Strength & Speed Day Camp

Emergency Contact Information

Parent Questionnaire

In Closing...

Payment