CAMP PHILOSOPHY REGISTRATION APPLICATION The philosophy of the Brown Football Camp is to teach Registration will begin at 4:00 pm on Sunday, June 28th Consent must be completed, signed and sent along every participant sound fundamental techniques at their at the Olney-Margolies Athletic Center. Day campers Zak DeOssie with deposit to the campus offi ce for enrollment. specifi c positions and instruct and refi ne those techniques should arrive each day at the Olney-Margolies Athletic • 3 time All-Ivy selection on the practice fi eld. Center by 8:00 am. Camp concludes at noon July 1st. Date of Birth • 3 time All-American Coach Estes and his entire staff will be on hand to personally coach and instruct each player. The camp will • 2008 NY Giants Name not only improve the techniques of each player but also Champions Address serve as an informational introduction to • 2009 Selection Football. City/State/Zip Currently there are several former campers playing for Brown and one former camper in the NFL. Home Tel # Tel # In Case of Emergency This is a technique camp, no drills will be entirely live. Proper technique and fundamentals will be emphasized. Email Address

WHAT TO BRING: Paul Raymond Age Grade in the Fall School Campers are responsible for their own helmet, shoulder • Former NY Jet Height Weight 40 Yard Dash Time pads, mouthpiece, jersey, shoes (cleats and sneakers), Berylson Family Fields - Brown Football Practice Facility • Former Detroit Lion shorts, t-shirts and socks. Campers should also bring • Current NY Giant Offensive Pos. Defensive Pos. bedding and toiletry items as well as a notebook, pens T-Shirt Size ( S M L XL XXL ) and pencils. CAMP SUPPORTERS HOUSING AND MEALS Full Camp: Partial Camp: Brown Football would like to thank the following ❏ ❏ ❏ Campers will stay in the on-campus residence halls. Meals Day Camper Sun. Tues. supporters of the Brown Football Camp. ❏ ❏ ❏ will be served at on-campus dining halls. On Monday and Overnight Camper Mon. Wed. ❏ ❏ Tuesday, three meals will be provided. Breakfast ONLY Gordon Perry Vinny Kenney Chas Gessner Need Room Yes No will be provided on Wednesday. Bill Perry Dick Carolan • 2003 Super Bowl Champion Roommate Request CARE AND SUPERVISION Scott Perry Kevin Mundt with Bob Hall Jim Burke Coaches will be monitoring the dining and residence • 2 Time Walter Payton Award Medical Problem or Concerns halls throughout the camp. Athletic trainers will be on Ken O’Keefe Richard Gouse the fi eld during all practices. fi nalist for IAA Player of the Kevin Seaman Dick Dresdale Year PLEASE READ CAREFULLY STATES REPRESENTED BY Tony Gould • 2 Time All-American at Wide My son has my permission to attend the Brown Football Camp. Receiver I understand the risks and the liabilities involved with the game of 2008 CAMPERS football and I understand that the Brown Football Camp Staff or BEARS IN THE PROS • Former Tampa Bay Buccaneer anyone associated with the camp or the University will not assume Arizona Missouri & Seattle Seahawk responsibility for accidents incurred as a result of participation at the California New Jersey camp. I will be responsible for any medical or other charges in connection Colorado New York with my sons attendance at the camp. Furthermore, the applicant is Connecticut North Carolina covered by family insurance, is in good health and is able to participate in physical activity. My signature below authorizes the Camp Staff to Florida Ohio use their best judgement in case of any emergency situation requiring Idaho Pennsylvania Mark Whipple ’79 & Sean Morey medical attention. Illinois Rhode Island Sean Marey ’99 - • Current Arizona Cardinal Indiana Texas I am covered by ______• 2 Time All-American at Kansas Vermont ❏ ❏ Super Bowl Champions 2006 Are there restrictions on your participation? Yes No Kentucky Virginia If yes, explain on a separate sheet Louisiana Washington • Selection Maryland Wisconsin Parent or Guardian Signature Washington DC Michigan Canada Date