Registration Form s8

REGISTRATION FORM ***If there are any concerns with payment, please contact Coach Kish. A registration form must be completed for each participant. Make checks or money orders payable to Zimmerman Booster Club and return it to Coach Kish. Registration can be given to Coach 2015 Zimmerman High School Kish at summer strength or mailed to his address at: 13508 3rd Ave S Football Camp Zimmerman, MN 55398

th Please register by July 8 so an accurate The Thunder Football Camp will number of shirts can be ordered. provide individual instruction for all positions. Proper tackling, blocking, All participants will receive a camp t shirt. running, throwing, receiving, and T Shirt Size: S M L XL XXL XXXL warm-up techniques will be demonstrated. The program’s Participant Information philosophy of assisting with the nurturing and cultivating of young Name:______men will also began at camp. July 27th – 30th Address:______8:00 A.M. – 1:00 P.M. Phone: Campers need to provide their own ______Grades 9-12 Emergency Phone: ______football cleats Grade (Fall 2015) ______http://zimmermanfootball.homestead.com

Cost: Program fee $35.00 Community Ed fee $8.00 Camp Questions should be Bus cost to Rogers $7.00 directed to Coach Kish th Total due $50.00 3 Level (V/JV/9 Grade) Scrimmage at 763-241-3505 x2825 Rogers High School on Thursday 7/30 Email: [email protected] from 10 AM - Noon

Finances will NEVER be a reason why a young man cannot play football at Zimmerman High School. Focus of Instruction Thunder High School Football Camp (Grades 9-12) Statement of Risk Quarterbacks: th th Ball Handling, Passing, Field Generalship, Strategy July 27 – 30 8:00 A.M. – 1:00 P.M. Parents and participants in the Zimmerman Running Backs: High School Football Camp should be Ball Security, Blocking, Pass Receiving, Faking July 27th – 8:00 A.M. Equipment aware of the possible risks that are Wide Receivers: Handout inherent in program activities. These risks Releases, Patterns, Receiving, Ball Carrying, Blocking Meet at equipment shed next to the include, but are not limited to: the game field. potential for accidents or illness while Offensive Lineman: traveling to and from the high school, as Stance, Starts, Run and Pass Blocking Techniques Players are encouraged to bring a well as participating in the program’s Defensive Lineman: snack daily for the daily 20 minute various activities. Risks are minimized by Stance, Defeating Blocks, Pass Rushing, Tackling practice break. the use of proper technique and equipment, safe facilities, and sound safety Linebackers: practices. However, participants should Stance, Reading Keys, Reaction, Tackling, Pass Camp will be conducted on the Defense practice fields on the north side of the realize these risks cannot be entirely eliminated. Defensive Backs: high school. Stance, Reading Keys, Tackling, Waiver of Liability Pass Defense (Zone/Man) 9th graders will practice with the varsity during the individual drill period and By signing this form, I hereby state I separate during group and team periods release all members of the Zimmerman of practice. High School Football Camp from any accident that may result in an injury in or Typical Day All equipment is provided except for around the program site, or in cleats. transportation to and from the site. I hereby declare that the participant is in 1. Position specific warm-up On Thursday, the team will travel to good health and has current health 2. Individual Drills Rogers for a 10 AM scrimmage against the insurance. In case of emergency I grant Royals. The scrimmage will last permission for my child to be given 3. Group Drills approximately 45 and will be followed by medical treatment at a hospital. By a lunch provided by the Rogers QB Club. 4. Team Drills/Scrimmage signing this form, I accept all Players will return to the school around responsibility and assume all costs that 12:30 may be incurred in the event of an injury of accident.

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Parent/Guardian Signature Date