Due to enrollment limits we will no longer be accepting registrations for this years football camp. We apologize and look forward to seeing you next year. Camper's Name:
Parent/Guardian:
Address:
City:
State:
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Home Phone:
Cell Phone:
Email Phone:
Grade:
Age:
Height:
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Health Insurance:
Medical Conditions:

I am the parent or guardian of the above named child who is a candidate to be a camper at the Antonio Pierce Football Camp (the “Camp”). I hereby give my approval to the participation in any and all of the activities of the Camp on Saturday, May 6, 2006, including, but not limited to practices, drills, games, and any other activity associated with the Camp.

In consideration of your permitting my child to participate in the Camp and the activities, and in consideration of the time and effort devoted by the Camp staff, I ASSUME ALL RISKS AND HAZARDS INCIDENTAL TO THE CONDUCT OF THE ACTIVITIES AND TRANSPORTATION TO AND FROM THE CAMP.

I further hereby release, resolve, indemnify and agree to hold harmless Antonio Pierce, Antonio Pierce Football Camp, New York Giants, NFL, Compton College (El Camino College) Profiles Public Relations, the organizers, directors, officers, sponsors, supervisors, commissioners, referees, counselors from any claim, demand or action arising out of injury to my child and only to the extent of and in the amount covered by any accident or liability insurance.

I HAVE CAREFULLY READ THE ABOVE WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I UNDERSTAND THIS IS A RELEASE OF LIABILITY AND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT VOLUNTARILY.