Camper's Name _______________________________ Age at camp_____

Street: ________________________________________ Apt. # ________

City:  _____________________________  State: ____   Zip: __________

Home Phone:  _________________  Secondary Phone:_______________

Email Address:  _______________________Grade entering Fall  09: ____

School/Club you play for:  ______________________________________

Your position (please circle):  Offense: QB  WR  RB  TE  OL

                                                      Defense:  LB  CB   S     DL

Camp you are registering for (please circle):    Day Camp        Overnight Camp      Bowl Game     speed training  7 on 7 passing camp

Adult Shirt Size:  _____  Adult Pant Size: ______  Youth Shrit Size: ______

How did you learn about camp (please circle): 

Friend     Coach     Mailing     Newspaper     Internet            

Cancellation & Refund Policy:  Pre-enrollment determines the number of staff hired and the number of campers guaranteed to the University or campsite location.  With this in mind, the $50 deposit and any processing fees are NON-REFUNDABLE for any reason.  Any additional tuition paid is non-refundable for any reason other than medical.  MEDICAL REFUNDS WILL NOT BE ALLOWED AFTER April 5th - NO EXCEPTIONS!  Requests for medical refunds, less the non-refundable deposit of $50, must be in writing accompanied by a physician's letter of explanation prior to April 5th  (if you register after April 5th, there are no refunds for medical reasons).  If you arrive late and/or early, there are not tuition deductions or discounts - No Exceptions. Speed trainging , positioning Technique DRILLS FROM QB OL DL RB DB WRTO LB STARTING April 2,2110.cost is $25.00 per hr or $ 225.00 PER MONTH 2 DAYS A WEEK AT 2 HR AT A TIME. $130.00 for day camp for 3 days.$420 per team 7 0n 7 passing camp

[   ] I understand that I must sign  a waiver form when I register for camp.  I understand that tuition (including the deposit and any processing fees) is non-refundable for any reason other than medical.

Deposit enclosed:

[   ] $50 for Camp only      [   ]  $50 for Clinic only     [   ]  $50 for Bowl game

Please choose your payment plan:  [   ]  Full Tuition Payment* 

*Full tuition payment can be made when you register.

[   ]  Check Enclosed          Check #  ________

[   ]  Money Order

To reserve a spot in camp, you may contact (828) 301-1806 or fax registration form to (828) 210-1194

I have read and I accept the terms and conditions.