Pontiac Football Camp Registration Form (Summer 2014)

Pontiac Football Camp For example: asthma/inhaler, allergies/epi pen, Registration Form (Summer 2014) heart condition, etc.

Name______

Email Address______

Phone______

Home Address______Pontiac Football Camp City______

Grade this Fall______Age______

T-Shirt Size (indicate Y for youth)______(High School campers will be receiving practice jerseys for our program)

Check the Sessions you will be attending: JFL Session #1 ($50) ______July 7th-11th (Monday-Friday) 9:30-11am

JFL Session #2 ($30) ______July 9th-11th (Wednesday-Friday) 9:30-11am Heart Integrity Team High School Camp ($100) ______July 14th-18th and July 21st-25th 6-8pm Buck Casson Camp Director Bonus discount ______815-867-6315 Family / June 21st Registration (Please Circle) [email protected] Total amount due ______

I hereby release and forever discharge Champion Fitness, Camps will be held at Inc., Pontiac Township High School, and Casey “Buck” Pontiac Township High School Casson from every claim resulting from any incident which may occur as a result of participating in any activity at the Pontiac Football Camps sponsored by Champion Fitness. Please make checks payable to Pontiac Football Camp ______and give to Buck Casson during High (Signed—Parent/Guardian) School workouts or mail to: Stephanie Kennedy (Champion Fitness) Please indicate any health issues your child may 924 W. Custer Ave have below and provide appropriate medical Pontiac, IL 61764 supplies for your child if necessary. Session Information JFL Cost: $100

*All JFL campers who register by June 21st will have their camp shirts given to them in camp* All campers who sign up after June 21st will Family Special: Any family that sends two receive their camp shirt from their JFL Coach. or more student-athletes to camp will We will have a manager available to take receive a $5 reduction per camper. registration orders beginning at 8:30am. Early Registration: Register by June 21st and receive $5 off each camper JFL Chiefs Camp (Session #1) July 7th-11th (Monday-Friday) 9:30-11am Grades: To-Be 5th-8th graders Cost $50 Pontiac Football Camp Note: Position fundamentals are taught by Pontiac sponsored by Champion Fitness football alumni who are currently competing in These camps are designed to develop an college athletics along with our current High School appreciation for the expectations of winning Program leaders. Campers are taught proper fundamentals by position and are introduced to basic football. Campers are constantly active and offensive and defensive systems. taught the proper fundamentals necessary to compete in games safely and effectively. JFL Squirts and Peewee Camp (Session #2) Camp instructors will stress on all areas of July 9th-11th (Wednesday-Friday) 9:30-11am running, passing (throwing), receiving Grades: To-Be 1st-4th graders Cost: $30 (catching), kicking, punting, blocking, and Note: This camp provides any first-year player to tackling. JFL an introduction to the game of football by Pontiac football alumni who are currently competing No “to the ground” contact, between in college athletics along with our current High campers, is allowed in the camps. School Program leaders. Special Camp Features *JFL Camp shirt / High School Practice jersey for all *JFL Sign-up will take place near the participants * Intro to offensive/defensive concepts High School Chop House and * Individual instruction by all coaches Natatorium from 10:30am-1pm on * Weight training and conditioning work Friday July 11th (last day of camp) * 7 on 7 for all grade school campers ______* Punt-Pass-Kick

High School *All High School campers who register by June 21st will have program jerseys given to them in camp*

High School Camp July 14th-18th Monday-Friday 6-8pm July 21st-25th Monday-Friday 6-8pm Incoming Freshmen, Sophomores, Junior, or Senior student-athletes Note: Coaches in this camp will teach the players proper technique by position, as well as defensive, offensive, and special team’s philosophies. Helmets will be given out during the camp week.