WHO: Grades K – 6th WHEN: June 1st, 2nd, 3rd TIME: 9:00AM-12:00PM Registration starts at 8:00AM PRICE: $50 (proceeds go to the Glen Este High School Football Program) WHAT: SKILLS CHALLENGE, COMBINE, GROUP COMPETITONS, NATIONAL SIGNING DAY, CAMP T-SHIRT SAFETY TRAINING, WINNING CHARACTERISTICS, LINEMAN/SKILLS OBSTACLE COURSE, HIGH SCHOOL STAFF EVALUATION

Camper’s Name:______Grade:______

Parent/Guardian Name:______Phone:______

Address:______Email:______

Emergency Contact & Phone :______

Health Concerns:______

Parent/Guardian Consent:

I hereby state that my child is in good health, and has my permission to participate in all activities. In addition, I authorize the Glen Este Football Camp staff to act for me in securing medical treatment for my child in the event of injury or illness. A registration requires that a parent or guardian sign below to agree that in case of an accident involving my child while attending the camp, they release the camp, school, sponsors, counselors, and directors from any and all liability. This camp is in no way affiliated with West Clermont School District.

Parent/Guardian Signature:______Date:______

Checks Made Payable To: Glen Este Football Mail/Bring your check & completed registration form to: Attention: Nick Ayers 4342 Glen Este-Withamsville Rd. Cincinnati, OH 45245 Questions: Contact Nick at 513-487-0109 or at nickrayers @ gmail .com