YOUTH FOOTBALL CAMP

Fields marked with an * are required.

Name

First Name

Last Name

Phone

Address

Street Address

City

Country

Child's Name

Child's Age

Child's Grade

Emergency Contact Information

Name | Relationship | Number

Any medical conditions or allergies?

Does your child have any current injuries?

Do you allow the Iron Bulls to use images for marketing/social media? (Yes/No)

Do you give permission for your child to be photographed/video recorded?

I agree to the Mishawaka Iron Bulls Liability Waiver and release of claims.

Yes

What are you hoping your child gains from this camp?

Signature

Full Name

Sign

Registration Fee

Price$20.00

Quantity

Camp Fee is $20 per child

Discount

Subtotal

Tax

Total USD