340 Morris Road Fort Washington, PA 19034 E-mail: summer@gacamp.org
Telephone: Fax:
267-405-7321 267-405-7184
FOOTBALL CAMP HOLD HARMLESS AGREEMENT I, _______________________________, am attending Germantown Academy’s Summer Football Camp, and am renting football equipment from Germantown Academy. I understand the risks involved in playing football and that Germantown Academy is not responsible for any personal injury or any property loss that I may sustain while using the Academy’s equipment. I also understand that I am using the equipment of my own free will and that if I feel there is a dangerous condition I will not use the equipment and will notify a camp counselor of any such concerns.
Participant’s name:
Parent’s /Guardian’s Signature:
Date:
Check the equipment to be rented: Helmet Shoulder pads Total Rental Fee
$20 $15 ------------_________
Please send a separate check to the Summer Programs Office for the total rental fee, made payable to Germantown Academy.