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Diggs Football Camp 2024
Pennsauken Football Field 3501 Elm Ave, Pennsauken. NJ 08109
August 5th-9th, 2024
9:30am-11:30am
Ages 7-14
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Home Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
*
Gender:
M
F
*
Grade:
K
1
2
3
4
5
6
7
8
School/Team:
Position:
*
Shirt Size:
PARENT/GUARDIAN #1
*
Firstname:
*
Lastname:
*
EMail:
Home Phone:
Work Phone:
*
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
*
Insurance Carrier:
Policy #:
WAIVER INFORMATION
I, the undersigned parent/guardian of the above camper, do hereby grant the authority to the staff of Diggs Football Camp LLC to apply judgment regarding medical assistance in the event of an accident, injury, or illness if they are unable to contact the parent or guardian. I authorize first aid, a medical or surgical diagnosis and treatment which may deem necessary.
I, the undersigned, release Diggs Football Camp LLC and any of its coaches, staff, manager, and/or any parent for any responsibility in case of accident, illness, or injury during my child’s enrollment.
I/we agree with the above
*
For any additional information, questions or concerns contact Coach Diggs at diggsfootballcamp2@gmail.com or (856)577-4113. Registration will not be processed until payment is received.
* indicates required fields
SELECT FEE
$35 - Diggs Football Camp Youth (Ages 7-14)