SHERMAN PARKS
& REC’S: TEXAS LONESTAR FOOTBALL CAMP
• The camp will be held at :TBA
• Registration begins at 8:00AM, TBA. Camp begins at
9:00AM and ends at 3:00PM.
• This Camp Is Open to ALL Boys & Girls, Ages 6-16.
Camp price is $40.00 or 65.00 per player/per camp.
• There is a controlled contact camp: Helmet,
Mouthpiece, Shoulder pads, Athletic socks, Gym Shorts, Jersey, and Athletic supporter. Pads may be rented
for $15.00 for the day.
• There is a a non-contact camp, so football
pads are not needed. Please bring Sneakers ( cleats if you already have them), Gym
Shorts, Athletic socks and Athletic supporters, and Jersey.
Please Send Completed Registration
Form To: HHSM, C/O :Tom Long
_____________Or
Fax to: (903) TBA
Registration Forms Should Be Postmarked
by June 1, 2008, or register at camp. For more information, please call us at 903-957-3405. *Register Early, Camp will
Fill Up again this year.
Name:______________________________________
Age:____ Gender:___ Ht.:____ Wt.:_____
Address:____________________________________
City:___________ State:___ Zip:_______ Controlled Contact Camp:____________
Have Equipment:_____ Will Rent Equipment:_____ Non-Contact Camp:_______
Parent/Guardian:____________________
Home Phone:_______ Work/Cell Phone:__________
Grade (for 2008 school year):____Parent's EMail:____________________________
Position (circle):
Offense: OL R RB QB
Defense: LB DL DE DB
How did you hear about the camp?
Newspaper____ Parks & Rec____ School_____ T.V.____ HHSM:_____ Returning Camper:_____
Other (Please explain)___________________________________________________________
_____________________________________________________________________________
CONSENT
FOR TREATMENT OF A MINOR
(This is required of ALL Campers.)
Name of Camper:______________________________________
Date of Birth:_____________
Address:_____________________________________________________________________
Parent/Guardian:__________________
Home Phone:___________ Work Phone:___________
I, __________________________________the
undersigned, as the parent or legal guardian of__________________________________ (a minor) hereby authorize such diagnostic,
medical and/or surgical treatment
of such minor as may be considered necessary or appropriate under circumstances for the treatment of any illness or injury
of the minor. The attending physician, appropriate staff, and the Sherman Parks and Recreation and its employees and camp
volunteers shall not be responsible in any way for the consequences from said diagnostic, medical and/or surgical treatment
and are hereby released from any and all claims and causes of action that may arise, grow out of, or be incident to such diagnosis,
treatment, or surgery insofar as the law allows and provided that these services are performed with ordinary care to the best
of their ability. I have read this release and fully understand its contents. I am aware that this is a release of liability
and a contract between me and the Sherman Parks and Recreation and I sign it of my own free will.
Signature of Parent/Legal Guardian_______________________________
Date_______
_____________________________________________________________________________
Pertinent
Medical/Insurance Information (to be completed by parent/guardian):
Allergies:______________________________________________________________________
Current Medications: Current/Previous
Injuries:________________________________________
Other:________________________________________________________________________
Insurance Company:_________________________Policy
#:___________________
