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Fast Break Football Camp 2024 Registration
Fast Break Football Camp runs Monday, 6/24 - Friday, 6/28, 2024
*CAMP IS ONLY FOR RISING 4th-8th GRADE BOYS AND GIRLS
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Email
*
Your email
Camper's LAST Name
*
Your answer
Camper's FIRST Name
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Your answer
Camper's Nickname (if applicable)
Your answer
Camper's Birthday (mm/dd/yyyy)
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MM
/
DD
/
YYYY
The grade he/she will be in next year (24-25 school year):
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4th
5th
6th
7th
8th
Parent/Guardian Name
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Your answer
Home Address
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Your answer
Phone Number
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Your answer
Emergency Contact Name and Phone #
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Your answer
Tee Shirt Size (Adult Sizes)
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Small
Medium
Large
XL
XXL
Payment Method - $250 ($200 for campers with brothers on the Broughton football team or additional children in same family)
Online payment
Check or money order
Cash
Check here , and email Coach McGuire at
Fastbreakfootballcamp@gmail.com
if your family needs financial assistance.
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I understand that my camper cannot participate until the registration is paid in full.
*
Yes
Photo/Video,Name Release (choose one)
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I GRANT permission to use my child’s image, name for display, publication or release to external organizations.
I DENY permission to use my child’s image for display, publication or release to external organizations.
How did you learn about Fast Break Football Camp?
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Your answer
Anything else we should know about your camper? (Allergies will be asked for in next section of form)
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