WALNUT GROVE Football
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Please Fill Out & Submit for Registration (2024 Camp)
*
Indicates required field
Player Name
*
First
Last
Team for Fall 2024 Season
*
Team 6U
Team 7U
Team 8U
Team 9U
Team 10U
Team 11U
Middle School (7th/8th)
Athletic Shorts Size
*
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Primary Parent/Guardian Information Required
Parent/Guardian Name
*
First
Last
Secondary Parent/Guardian Information Recommended
Secondary Parent/Guardian Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Parent/Guardian Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Information concerning insurance must accompany the registration form. The waiver form
must be signed & submitted for participation.
Has this Camper Played Organized Football in the Past?
*
Yes
No
Insurance Company Name
*
Insurance Policy #
*
Camp Waiver/Disclaimer
I/We the undersigned hereby clarify that I/We am (are) the parent(s) or legal guardian(s) of the camper. I/We
hereby give permission for the staff of the Camp to seek appropriate medical attention to be given and for the
camper to receive medical attention in the event to an accident, injury, or illness. I will be responsible for any and
all costs of medical attention and treatment. I/We, the undersigned for ourselves, our heirs, executors and
administrators waive release and forever discharge Walnut Grove High School and the Warrior Football Camp and its
staff, officers, agent’s employees, representatives and successors and assign of and from all rights and claims for
damages, injury or loss to person or property which may be sustained or occur during participating in Camp activi-
ties or while at Camp, whether or not damages, injury, or loss is due to negligence. I/We hereby acknowledge that
our child is physically fit and mentally capable of participating in football camp activities. I/We also give permission for digital images/videos of the camp to be shared on Walnut Grove Football approved Social Media pages.
Type Name For Signature
*
Date Acknowledged
*
Submit
Please
SUBMIT
Form First, then Click Payment Button to Proceed
YOUTH CAMP PAYMENT
Home
Volunteer Sign Ups
Teams
Coaching Staff
Administration
Support Staff
Varsity Team
Youth League
Schedules
Varsity
Junior Varsity
Youth Middle School
Tickets
Directions to Away Games
Touchdown Club
The Warrior Way
Moms Club
More
Prospect Camps
College Recruiting
MaxPreps
Facilities
Contact Us
Recruiting