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FYFC CAMP REGISTRATION FORM

CHILD NAME (LAST, FIRST) *

DATE OF BIRTH

CHILD SCHOOL *

GRADE *

CHILD ADDRESS, CITY, STATE, ZIP *

GUARDIAN NAME *

GUARDIAN CONTACT NUMBER *

GUARDIAN EMAIL *

I hereby register my aforementioned child for this camp and authorize personnel to direct him/her in participation in the camp activities and drills. My child has no medical or emotional problems that may affect his/her ability to safely participate in the FYFC Skills & Drills camp. The camp staff and training personnel are authorized to attend to any health problems or injuries that might occur while attending this camp. I understand that my child must have current medical insurance. I will not hold Fairbanks Youth Football and Cheerleading or its staff liable for any injury or expenses relating to injuries sustained by my child while attending this camp. Fairbanks Youth Football and Cheerleading has my permission to use my or my child in photographs publicly to promote FYFC. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. *

$25 Camp Fee

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