OnLine Registration

	KFL Football Skills Camp Registration

Ages:         5 to 12 years

Date:         July 13 - 16

Time:         Mon –Thurs 6:00 - 8:00 pm

Where:      KFL Fields

Cost:          $75.00

**Friday, July 17^th, 6-7pm – Last chance to register for the 2009 season.

This is a NON-CONTACT camp. Instruction for 9-12 year olds will be led by Kingwood area high school coaches. Instruction for 5-8 year olds will be led by KFL coaches.

WHAT TO BRING

Positive attitude

Cleats or tennis shoes

Water jug

Player's Name (First, MI, Last):

Address: Birth Date (MM/DD/YYYY):

City, Zip: Age (as of July 31, 2009):

Phone: Grade In Fall 2009:

Subdivision: School Attending 2009:

Parent/Legal Guardian Information

Father/Guardian's Name:	Mother's Name:
Address (if different):	Address (if different):
Home Phone (if different):	Home Phone (if different):
Work Phone:	Work Phone:
Cell Phone:	Cell Phone:
Email:	Email:

Do you have Personal or Group Insurance? Yes No (If yes, then complete the following)

Name of Insurance Company:

Name of Insured:

Please list all pertinent medical information, physical limitations, problems or special needs:

Emergency contact (other than parents):

Phone #: Relationship:

Previous Season Data:

T-shirt size? YM YL AS AM AL AXL

Legal Info:

Liability Waiver: I, the parent/legal guardian of the above child, hereby give permission for him/her to participate in any and all Football/Cheer related activities during the current season. I assume all risks of hazards incidental to such activities. I hereby release, waive, and hold harmless the Kingwood Football League & Lone Star Youth Football Alliance, its respective organizers, directors and coaches from any claims arising out of any injury or damages incurred during or en route to such activity.

Enter "Y" (without quotes) in the box below to indicate you've read and agree to the Liability Waiver.

I have read and understand the Liability Waiver.

Medical Authorization Form: I, the parent/legal guardian of the above child, in the event of my absence, do hereby give my permission to Kingwood Football League, its agents and directors to authorize any medical attention required when an injury has incurred to my child.

Enter "Y" (without quotes) in the box below to indicate you've read and agree to the Medical Authorization Form.

I have read and understand the Medical Authorization Form.

*Important:

In order to guarantee that your order is linked to your payment, please provide the following information:

Name on credit card used for payment

*Please submit a form for each player participating in the 2009 KFL Camp season.