Clark Brothers & Friends Football Camp July 13, 2019
Welcome to the 2019 Clark Brothers & Friend Football Camp!
The Clark brothers (Dan, Derrik & Dallas) of Livermore, Iowa have all played football at college level or higher and are excited to come back home for this annual football camp. Each year the Clark brothers team-up to help student-athletes (going into 7th to 12th grade) who want to learn the fundamentals of football and provide them the tools to gain a competitive advantage on the playing field.
Featuring some of the most talented names in college and professional football, Dan, Derrik and Dallas thought it would be a great idea to ask their friends and former college teammates to help teach the necessary fundamentals of football. This year we are proud to announce the Clark Brothers & Friends Football Camp coaching lineup (subject to last minute changes and updates):
Dan Clark, Simpson College Derrik Clark, Waldorf College, Iowa State University, Carolina Panthers Dallas Clark, University Iowa, Indianapolis Colts, Tampa Bay Buccaneers, Baltimore Ravens Rob Bloomster, Waldorf College Mark Kacrmarynski, Central College, Chicago Bears, Philadelphia Eagles, Indianapolis Colts Andy Lightfoot, University Iowa Kyle McCann, University of Iowa, New York Jets Bruce Nelson, University of Iowa, Carolina Panthers Brent Parrott, Simpson College Nick Thummel, Waldorf College, University of Iowa
We look forward to teaching you the fundamentals of football, providing you with key insights learned over the course of many years, and to give you the opportunity to become the best football player you can become.
Sincerely, Dan, Derrik & Dallas Clark
Clark Brothers & Friends Football Camp July 13, 2019
The Clark Brothers & Friends Football Camp focuses on teaching athletes the skills and fundamentals to play football at a higher level. (Registration on day of camp, no pre- registration).
WHO: Grades 7-12 (going into 7th through 12th grade). WHERE: Humboldt High School (practice fields behind the high school). WHEN: Saturday July 13, 2018 (Saturday – Registration at 7:30-8:30am; Camp 9a-3p). WHY: Teaching the skills and fundamentals to play the game of football at a higher level. BRING: Shorts, Shirt, and Football Cleats. COST: $25.00/Camper. Please make checks payable to: Dallas Clark Foundation (no cash please). *Lunch and camp t-shirt are provided
Clark Brothers & Friends Football Camp July 13, 2019
REGISTRATION FORM
NAME: ______
SCHOOL: ______
GRADE (for 2017/18): ______
SHIRT SIZE: ______POSITION (current or desired): ______
Release of Liability In consideration of being permitted to participate in the Clark Brothers Football Camp, I hereby release all the coach's and The Dallas Clark Foundation from any and all liability or claims relating to any bodily injury or property damage that may be sustained by the camper while attending and/or being transported to or from the camp.
I hereby authorize and give my consent to the staff of the camp to act on my behalf to secure medical treatment for the administration of all emergency medical treatment. I understand that should an emergency medical problem arise, an attempt will be made to contact me. In the event that I cannot be reached, I hereby give consent to such treatment as deemed necessary by a licensed health care professional. I agree to assume all cost related to such treatment. I understand that I will be responsible for any medical or other charges in connection with attendance at this camp.
Parent's/Guardian Signature ______Date______
Parent's/Guardian Name (print)______
Address______City______Zip______
Name and Emergency Phone #______
Insurance Company______
Insurance Company address______
Policy No.______
By filling this registration form out and signing I AGREE to the terms of Above.
NOTE: Please bring along this registration form and check made out to The Dallas Clark Foundation for the amount of $25 per camper.