APPLICATION INFORMATION
————————————— SOUTH FOOTBALL YOUTH CAMP APPLICATION
Make Checks to: BHSS Youth Football Camp
Physicals: We strongly recommend that all campers complete a physical exam. I hereby authorize the directors of the SOUTH PANTHERS YOUTH FOOTBALL CAMP to act for me according to their best judgment in any emergency requiring medical attention, and hereby waive and release the SOUTH FOOTBALL YOUTH CAMP, MONROE COUNTY SCHOOLS, AND SOUTH STAFF from any and all liability for any injuries and illness incurred while at camp. I will be responsible for any medial charges or any other charges incurred in connection with my child’s attendance at the camp.
Send to: Gabe Johnson 1678 W. Hennessy St Bloomington, IN 47403
He is covered by_________________________________________ (Name of insurance company)
Signature of parent or legal guardian ________________________________________
Primary Phone ___________________________
Equipment Grades 2-5 wear T-shirt, gym shorts and football cleats.
Arrival time is 10 to 15 minutes before practice.
Emergency ______________________
Participant’s name: ______________________________________
Address: _______________________________________ ___________________________________________
Registration does not close. Walk-in registration will be accepted with a late fee.
Tear off — Keep
2014 Panther Football Youth Camp with Bloomington South Head Coach Mo Moriarity and Gabe Johnson
July 7-10, 2014 for grades 2 through 6 10:30a.m.-11:45a.m.
Circle grade this fall: 2 3 4 5 6 Circle correct t-shirt size Youth M L Adult S M L XL XXL XXXL
Make check payable to: BHSS Youth Football Camp
At Bloomington South High School Football Stadium Instructors: Bloomington South High School Coaching Staff
Who: Players who will be in second, third, fourth, fifth, grade this FALL! When: July 7-10 (one-week commuter format) (Mon.—Thurs.)
Grades 2-6
Bloomington South Youth Football Camp July 7-10, 2014 SOUTH FOOTBALL STATE CHAMPIONS:
1968, 1972, 1993, 1998
10:30 a.m.-11:45a.m. Players should arrive 15-20 min Early on first day of camp
Where: Bloomington High School South Football Stadium 1965 S. Walnut St., Bloomington, IN 47401
Registration: Make Checks Payable to: BHSS Youth Football Camp Please send your registration form and check to: Attn: Gabe Johnson 1678 W. Hennessy St Bloomington, IN 47403 Mark your calendar now!
Program Proper stretching methods, correct running techniques, agility drills, special kicking skills, and instruction for both offensive and defensive positions will be taught. Games will be played at the end of each day!
Cost: Grades 2-6 $40 Walk-in registration: Grades 2-6 $45