th 4 ANNUAL LAKER FOOTBALL CAMP With Head Coach Darrell Fusco and Mountain Lakes Varsity Coaches, High School Players and special guests including New York JETS Coach Steve Hagen Monday, July 13th, Tuesday, July 14th, Wednesday, July 15th, Thursday, July 16th. 9:00am - 12:00pm @ MOUNTAIN LAKES TURF FIELD For Incoming 3rd, 4th, 5th, 6th, 7th & 8th Grade Football Players Purpose: To teach and develop football skills and fundamentals in a fun environment. This is a non-contact camp so NO equipment is required. Cost: $150 (includes camp T-shirt and Gatorade) Due by June 20 th Checks payable to: Laker Football Camp Registration: NAME: ___________________________________________ 2015-2016 GRADE: ________________ ADDRESS: _________________________________________ TOWN: ________________________ PHONE: _________________________________________ CELL #: ________________________ EMAIL ADDRESS: ___________________________________ ALLERGIES: __________________________________ EMERGENCY CONTACT: ___________________________________________________________ CIRCLE T-SHIRT SIZE: Youth Medium (10-12) Youth Large (14-16) Adult Small Medium Large XL I, the undersigned, being the parent or legal guardian of the above-named child, do hereby grant permission for participation in the Laker Football Camp. I assume all risks and hazards incidental to such participation and release to Laker Football Camp and its agents and assigns form any liability and/or responsibility for any injuries sustained by my child or expenses incurred there from while engaged in or traveling from any activities of the above-named organization. PARENT GUARDIAN SIGNATURE: ____________________________________ DATE: _______________ Mail payment and completed form to: Laker Football Camp. 96 Powerville Road, Mountain Lakes, NJ 07046 Questions: dfusco@mtlakes.org
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