REGISTER FOR THE 2022 FUTURE FALCONS YOUTH CAMP

1Camp Option

2Student Information

3Parent/Guardian Information

4Payment

Parent/Guardian First Name*
Parent/Guardian Last Name*
Parent/Guardian Email*
Parent/Guardian Phone Number
Emergency contact, if parent not available*
Emergency Contact's Phone Number*
Liability Release
WAIVER: I hereby authorize the above camper(s) to participate in all camp activities. I understand that participation may result in injury, and I hereby assume all risks associated with participation, including but not limited to catastrophic injury, death, paralysis, and any and all other bodily injury. I agree to unconditionally release the Falcon Football Camp staff and the Kent School District from any and all liability.
Signature
Date
MM slash DD slash YYYY

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00

Liability Release