FORDHAM UNIVERSITY FOOTBALL
CAMP REGISTRATION FORM

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
EMAIL  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME PHONE  
CELL PHONE  
SCHOOL  
HIGH SCHOOL GRAD YEAR  
 

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CAMP ATTENDING  
 

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OFFENSIVE POSITION  
DEFENSIVE POSITION  
SPECIAL TEAMS POSITION  
T-SHIRT SIZE  
PLEASE TYPE LEGAL GUARDIAN'S NAME FOR RELEASE APPROVAL  
EMERGENCY CONTACT 1 (NAME AND CELL PHONE)  
EMERGENCY CONTACT 2 (NAME AND CELL PHONE)  
ADDITIONAL NOTES  
RELEASE BY PARENTS OR GUARDIAN OF APPLICANT

In consideration of the Joe Moorhead Football Camp and granting the camper permission to participate, I hereby state the Joe Moorhead Football Camp is not responsible for any pre-existing injury, recurrence of any undisclosed pre-existing injury or illness of the above camper. I further acknowledge and release the Fordham University Board of Regents, Fordham University, the Joe Moorhead Football Camp and their officers, employees, contractors, agents, all instructors and all participants in said football camp, from liability, including, claims and suits at law or in equity, for injury which may result from the camper taking part in the Joe Moorhead Football Camp.

I, as a parent or legal guardian, acknowledge and fully understand that the participant will be engaging in activities that involve the risk of serious injury. Further, that there may be other risks not known or not reasonably foreseen at this time. I assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability of death. I hereby consent to said minorís participation and assume all the risks of his personal injury that may result from the football camp activity.

I release, waive, discharge and covenant not to bring legal action upon the Fordham University Board of Regents, Fordham University, the Joe Moorhead Football Camp, their officers, employees, contractors, agents, all instructors, all participants and anyone else associated with its operation.

MEDICAL TREATMENT AUTHORIZATION

I/We, being the parents and/or legal guardian of the applicant, authorize the Ram Football Technique Camp and its agents permission to request emergency treatment or care as necessary to insure the well-being of our dependent and claim that the registrant has had a physical examination deeming him to be fit for all physical endeavors.