Day 2 Youth Camp Registration

Saturday, July 11

Day 2 Youth Camp. Player Registration

For young athletes ages 6 to 12, Saturday July 11, 9am to 12pm. Parent or legal guardian must complete this form.

Player first name*Player last name*Date of birth*Ages 6 to 12 on July 11, 2026Grade entering Fall 2026*Primary position*Player t-shirt size*

Parent / guardian full name*Relationship to player*Parent / guardian cell phone*Parent / guardian email*

Emergency contact name*Emergency contact relationship*

Emergency contact phone*Allergies*Required. Enter "none" if not applicable.Medical conditions or medications*Required. Enter "none" if not applicable.Does the player have current health insurance?*

Yes No

Liability waiver. I am the parent or legal guardian of the player named above. I understand football activities involve inherent risk. I release Rasheed Walker, One Huddle One Mission, camp staff, host venue, and all affiliated parties from liability for injury during camp, except in cases of gross negligence. I authorize camp staff to seek emergency medical treatment if needed and accept financial responsibility for any such treatment. I confirm my child is physically able to participate.Photo / media release*

Yes No

I grant permission for my child to be photographed and recorded for use in marketing, social media, and partner recap materials.How did you hear about the camp?