STEP #1 - Fill out the registration form below. Make sure to click on the 'SUBMIT' button after reading the release. By clicking on submit, you agree to all terms in the release.
STEP #2 - Determine your method of payment. Regardless of how you decide to pay, please ensure you have submitted a valid registration. Registration will be closed once the camp or clinic has filled up.
Parent/Guardian Full Name
Projected Offensive Position:
Projected Defensive Position:
Played tackle previously?:
I approve of my child/ward’s attendance at the 2017 FIRE Football contact camps, clinics, and/or off-season training and certify that he or she is in good health and able to participate in these athletic activities. I understand that participation in the FIRE Football Camp could result in an accident or injury. I also certify that my child has been examined by a physician and found to be in good physical health and able to participate in all camp activities without restriction. Therefore I, as parent or guardian, assume all risks related to these activities.
I acknowledge and agree that FIRE Football Camp, LLC does not provide the Child any form of: (a) health, medical, dental, or other insurance. Obtaining such insurance for the Child is my sole and exclusive responsibility. I am responsible for any and all medical expenses.
I acknowledge that contact tackle football presents the risk of concussions. I understand the nature of concussions and potential consequences of the injury. I also understand and acknowledge that a coach or trainer may remove my Child from participation and there is a return to play protocol will be adhered to if there is a concussion or suspected concussion. I have read and understood the concussion information located on this website.
I hereby certify that the Child is physically fit and physically able to participate in FIRE Football Camp, LLC. I hereby: (a) authorize coaches and other staff and personnel to administer first aid to the Child and to call for medical care for the Child in the event of injury; and (b) agree to pay all costs associated with any and all medical care and related transportation provided to the Child, such costs being my sole and exclusive responsibility.
I hereby certify that the Child's equipment has been inspected by myself, prior to my Child's participation at FIRE Football Camp offerings, including helmet certification.
I acknowledge that there are no refunds after June 15, 2017 for any reason, including weather cancellations. In the event of weather cancellations, FIRE Football Camp, LLC retains the option to cancel camp if unable to secure a viable hosting facility on account of inclement weather.
In consideration of FIRE Football Camp, LLC allowing the Child to participate, I HEREBY AGREE TO RELEASE, DEFEND, INDEMNIFY, AND HOLD HARMLESS FIRE Football Camp, LLC and all of their affiliates, sponsors, vendors, officers, directors, members, supervisors, coaches, volunteers, and other related parties FROM ANY AND ALL CLAIMS, DAMAGES, LOSSES, LIABILITIES, PENALTIES, FINES, COSTS, AND FEES (INCLUDING ATTORNEYS' FEES AND COURT COSTS) ARISING IN CONNECTION WITH THE CHILD'S PARTICIPATING IN FIRE Football Camp, LLC, including without limitation all Losses arising from said participation REGARDLESS OF WHETHER SUCH LOSSES: (A) ARE SUFFERED OR ALLEGED TO BE SUFFERED BY THE CHILD OR ONE OR MORE THIRD PARTIES; (B) ARISE IN CONNECTION WITH FIRST AID ADMINISTRATION; OR (C) ARISE DIRECTLY OR INDIRECTLY FROM THE NEGLIGENCE OF ONE OR MORE INDEMNITEES.
This Agreement is a Contract. I understand and acknowledge that this Agreement is a contract and shall be binding to the fullest extent permitted by law.
I HAVE HAD SUFFICIENT TIME TO CAREFULLY READ THIS AGREEMENT AND TO ASK QUESTIONS ABOUT TERMS I DO NOT UNDERSTAND, AND MY QUESTIONS HAVE BEEN ANSWERED TO MY SATISFACTION. I UNDERSTAND THE CONTENTS OF THIS AGREEMENT.
I AM AWARE THAT, BY ENTERING INITIALS BELOW AND CHECKING THE BOX BELOW, I AM ELECTRONICALLY AFFIXING MY SIGNATURE TO THIS AGREEMENT, I AGREE TO BE BOUND BY ALL TERMS OF THIS AGREEMENT, AND I AM RELINQUISHING CERTAIN LEGAL RIGHTS THAT I AND/OR THE CHILD OTHERWISE COULD HAVE.
By providing my initials, I, the Child's parent or legal guardian, agree to be bound by all terms and provisions of the Agreement.
By pressing 'SUBMIT', I, the Child’s parent or legal guardian, agree to be bound by all terms and provisions of the Agreement.
Please check ALL camps/clinics your child will be attending: