Carroll Cardinal Youth Football Camp

Child Name: ______________________________________

Address: ___________________________________      City: _______________     State: ____________

Grade Entering in September 2023 (Circle) :         3rd                4th                   5th                6th                     

Parent / Legal Guardian Name: ___________________________

Parent / Legal Guardian Contact or Cell #: ____________________________

The parent or legal guardian of _________________________________, a participant in the Cardinal Football Camp, do hereby grant permission for his/her participation in all camp activities.                                                              *Initials ________

I agree to assume all risks and hazards incidental to participation in this camp.  I do hereby waive, release, absolve, indemnify, and agree to hold harmless, Carroll Cardinal Youth Football, its board, coaches, sponsors, volunteers, participants for any claim arising out of an injury to my child whether the result of negligence or any other cause.

I verify that the participant has no known medical problems that would increase the risk of illness, injury, and/or death, as a result of participation in the Carroll Cardinal Youth Football Camp or any other activity facilitated and or designed related to the camp.                                                                                                                                                    *Initials_________

Because my child is involved in an active training and condition camp, I understand that there may be an occasion when an injury occurs that requires medical treatment and representatives of the Carroll Cardinal Youth Football Camp are unable to contact me.   This situation may occur before, during or after the camp activities, while at the site.

Emergency Name and Contact Number if Parent or Guardian cannot be reached: ________________________________

I hereby grant permission to the organizers of the Carroll Cardinal Youth Football Camp to administer first aid, secure proper treatment, and/or hospitalize my child in case of emergency, provided they are unable to communicate with me, and according to their best judgement.

Please list any allergies and medical conditions that should be brought to our attention.

________________________________________________________________________

Include any medications that your child uses regularly.

 ________________________________________________________________________

I HEREBY ACKNOWLEDGE BY MY SIGNATURE THAT I HAVE READ, UNDERSTOOD, ACCEPTED AND AGREED TO THIS DOCUMENT. 

X_________________________________________         X______________________________________________

SIGN Parent or Legal Guardian Name                                      PRINT Parent or Legal Guardian Name

X__________________________________________

Date Signed