University of Hawaii Head Football Coach Greg McMackin And Assistant Coaches George Lumpkin, Cal Lee, Ron Lee, Rich Miano, Mel DeLaura, Nick Rolovich, Ikaika Malloe, Dave Aranda, Brian Smith, Alex Gerke, Craig Stutzmann, and Brian Kajiyama DATE: Tuesday, Wednesday, Thursday, Friday July 15, 16, 17, 18 LOCATION: University of Hawaii Football Practice Fields TIME: 8:00-9:00 AM REGISTRATION* 9:00-11:00 AM Price: $80 (Includes T-Shirt) *Make checks payable to Hawaii Speed and Quickness, 1750 Kalakaua Avenue, Suite 1410, Honolulu, HI 96828. Checks must be received by July 10 or register at site. If paying online, please fax form to: 808-949-5900 *Walk-up Registration: $90 at Grass Field ATHLETE’S NAME: _____________________________ AGE: ______ BIRTHDATE: ______________ HOME ADDRESS: _______________________________ GENDER: MALE FEMALE ______________________________ HOME PHONE: __________________________ PARENT’S NAME: ______________________________ T-SHIRT SIZE:______________ EMERGENCY CONTACT: ________________________ EMERGENCY PHONE: _________________ Grass Football Shoes or Tennis Shoes WAIVER: I, the parent and/or guardian of the above named applicant, hereby give my approval to said applicant’s participation in the Hawaii Football camp. I assume all risks and hazards incidental to all participation and do forever RELEASE, acquit, discharge, and covenant to hold harmless University of Hawaii, Hawaii Speed and Quickness, any volunteers, and their representatives, from any and all liabilities from any and all actions, causes of action, and claims for any injury or damage, and agree to indemnify and hold harmless University of Hawaii, Hawaii Speed and Quickness, all sponsors, any volunteers, and their representatives, for any and all liability for any such injury or damage. I hereby authorize the personnel of University of Hawaii and Hawaii Speed & Quickness to take any necessary steps for the required medical treatment for said child/ward. I hereby release University of Hawaii and Hawaii Speed & Quickness and its personnel from any and all liability for any medical treatment decisions made for the treatment of said minor child/ward. Parent signature __________________________________________________ Date_______________________________________ For information contact 808-956-4516, www.HawaiiAthletics.com, Or 808-739-5444, www.HawaiiSpeedandQuickness.com .