The Quarterback Camp Application

Name:*

Address:*

City:.*

State:*

Zip Code:*

School:*

Grade:*

as of September 2012

E-Mail:*

Shirt size:*

STEP !:  FILL OUT PLAYER'S FORM & PRINT MEDICAL RELEASE TO MAIL

PLAYER 1

Please click on the SUBMIT button REQUIRED to send the form to Champion Coach Inc. and to proceed to pay by credit card.

Registering more than one Player? Fill out the form for player 1 then click submit.  Repeat for each player.  Then proceed to pay by credit card.

* means this is a required field

DOB*

EQUIPMENT NEEDED:  Helmet and cleats are required.  No helmet rental available.

Location: Football Complex at Curry College

Please cllick the button left, print and mail the completed form.  We must have a medical release form.

Phone #*

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