Syndicate Youth Football Camp Form

Syndicate Youth Football Camp Form

Please fill out this form to release liability for participation in the football camp.
Participant Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Parent/Guardian Full Name (if participant is a minor)

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.
Medical Conditions or Allergies
ISD
Which ISD does your child attend
School attended
Position (QB, OL, RB, WR,.......)
Signature of Parent/Guardian (if participant is a minor)

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Signature of Participant (if over 18)

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My Products
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Student (solo)
$15.00 Quantity

Student and sibling or friend
$25.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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