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Douglas S. Freeman High School 2010 Youth Football Camp

Medical Waiver

I certify that _________________________________ is physically fit for playing football and has my permission to participate in the camp program. Please list any allergies, special conditions, medications, or special needs: ___________________________________________

2010 Rebel Football Youth Camp

___________________________________________ Insurance Information Company ___________________________________ Policy Number ______________________________ Doctor’s Name_______________________________ Doctor’s Number ____________________________ Emergency Contact

For Grades 3—8

Name ____________________________________ Number __________________________________

August 2—5 6:30—8:30 PM

In case of an emergency, I understand that every attempt will be made to contact me. If contact is unsuccessful, I hereby give permission for any medical treatment which may be deemed necessary and reasonable under the circumstances.

On the campus of Douglas S. Freeman


High School

Rebel Football Camp Douglas S. Freeman HS 8701 Three Chopt Rd. Richmond, VA 23229

Parent’s Signature

“Get the jump on your competition!”


2010 Camp Information Monday, August 2—Thursday, August 5 Open to anyone entering grades 3—8 in 2010 Early registration fee—$75 before July 1 Registration fee—$100 after July 1 Check in and walk-up registration is Monday, August 2 from 5:00-6:00 Camp runs from 6:30-8:30 each evening Parking is available in the student lot at the intersection of Three Chopt Road and Camden Road Campers must be picked up each night by 8:45 Campers should bring cleats and tennis shoes each night Plenty of water will be available for campers throughout the camp In the event of inclement weather, updates will be posted to DSF_Rebel_FB

Camp Goals The Rebel Football Camp ‘s goal is provide the best possible instruction as well as to instill the confidence that goes hand-in-hand with training for the game of football. Campers will have the unique advantage of playing under the watchful eye of coaches with the experience and dedication to help young athletes improve and develop their skills. This is a non-contact camp which will give all players, regardless of their experience, a chance to improve their skill level for the game of football. The camp staff will direct the campers through a series of agility and position specific drills that will allow them to improve their football fundamentals and all-around athletic ability. Guest speakers will share some of their experiences as well as offer advice about how to succeed both on the football field and in life. The timing of the camp gives players a great chance to get into playing shape just before the start of practice.

Name - __________________________ Address _______________________________ _______________________________ Home Phone - ____________________ Work Phone - ____________________ Email - _________________________ Camper’s Age - _______ Entering Grade - ______ (Next Year 2010-11) School - _________________________ Shirt Size (Circle One) Youth-M Youth-L Adult-S Adult-M Adult-L Adult-XL Adult-XXL Camp Application Payment: Camp Sign-Up before July 1—$75.00 - ($25 deposit required then $50 on August 2) Camp Sign-Up after July 1—$100.00

Rebels at the next level William Bischoff—Richmond Fela Tunde Ogun—Christopher Newport Jake O’Connor—William and Mary Daniel Ryan—William and Mary Harrison Baronian—Hampden-Sydney Chapin George—Hampden-Sydney Justin Reidelbach—Christopher Newport Doug Fraser—Washington and Lee Chris Harper—VMI Monty Smalley—Old Dominion

- ($50 deposit required then $50 on August 2)

Checks payable to: DSF Athletic Boosters Complete application and waiver. Detach and mail with payment to: Rebel Football Camp Douglas S. Freeman High School 8701 Three Chopt Road Richmond, VA 23229

DSF Rebel Football Camp Brochure  

Info about DSF Football camp.

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