2017 Adventure Cove & Lava Fitness Camp Details: All- Camp Campers will receive position specific training and be put through Camp Application Form: drills by camp workers including the nation’s best college and NFL May 19-21 (Hilton Head HS Practice Fields) Parent Signature: Date: players/coaches as well as the HHIHS Varsity Staff. 5/19 5:30pm 8:00pm 5/20 & 5/21 9am-noon ______Camp Staff: Cost: Includes instruction and camp t-shirt Participant’s Name (Please Print): $100 if received on/prior to April 28 2017 ______$125 any day after April 28, 2017or day of camp Phone : Walk-up campers are welcome. You do not have to pre-register, ______however it is preferred. Address:

______All School Districts are welcome Emergency Contact: Phone:

Lamar Jackson--Louisville -Clemson JT Barrett– Ohio State Camp is open and available to all students currently in grades k-8. ______

Current Grade Level & school May 2016: Registration and sign in will be at the Island Rec Center starting at 4:00pm on May 19, 2017 ______

T-shirt Size (adult, circle one) Medical coverage will be provided by Dr. Doug Scott from S M L XL Orthopedic Associates of the Lowcountry. Make all checks/money orders payable to : Island Rec Center Release of all claims and responsibility: ( you may also register and pay online using a credit card) http:// -Clemson -Clemson -Clemson As a participant in this camp and/or guardian of a participant, I www.islandreccenter.org/ acknowledge that there are certain ris ks and I agree to assume **Questions? Call or email Coach Payne or Coach Beachkofsky all risks that I (my camper) may sustain as a result of participating [email protected] or (843)368-4618 in any and all activities connected with or associated to this camp. [email protected] or (812) 605-1068 In Consideration of the ALL-AMERICAN FOOTBALL CAMP accepting ***Send completed form and payment to me or my child’s fee, and with intent to be legally bound, I hearby, Island Rec Center for myself, my child, all heirs, executors, administrators and PO Box 22593 Hilton Head Island, SC 29925 assigns, do hearby, forever release, waive and relinquish all claims PROUD SPONSORS OF THE ALL AMERICAN FOOTBALL CAMP I have as a result of participating in this camp. I do not hold BJ Nick Chubb -Georgia Raekwon McMillan-Ohio State Sony Michel– Georgia Payne, the ALL-AMERICAN FOOTBALL CAMP, Island Rec Center, Beaufort County Schools, staff, Dr. Scott, Adventure Cove, Lava Fitness nor any officers, agents, employees, and insurers nor any workers or associates of the camp liable. My signature on this application form shows my agreement to this statement.

Jaire Alexander-Louisville Khalil Lewis-GWU Tyler Hamilton-Purdue