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