Camp Registration

Step One of Four: Parent Or Guardian, Emergency Contact, and Insurance Information

Fields marked with an astrisk * are required.

Parent Or Guardian Information

Name*:

Relationship*:

Telephone*:

Emergency Telephone*:

Street Address*:

City*:

State*:

Zip*:

Email Address*:

Secondary Contact Information

Name*:

Telephone*:

Emergency Telephone*:

Relationship*:

The following persons have permission to pick up my child(ren) from Elite Football School:

Insurance Information

In order for any child to participate in the camp, each athlete must show proof of medical insurance.

Insurance Company*:

Policy Number*:

How did you hear about Elite Football School?*