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Rowland High Football Camp Player Registration

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

Sate:

Zip Code:

* Phone/Cell:

Birthday:

Gender:

Grade:

Primary Position:

PARENT/GUARDIAN #1

First Name:

Last Name:

Email:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

First Name:

Last Name:

Work Phone:

Cell Phone:

Email:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact::

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

I/we agree with the above ! *

Signature:

Date:

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