The Offensive Line Camp Application & Medical Release

Please click on the SUBMIT button REQUIRED to send the form to Champion Coach Inc.

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.

Name:*

Address:*

City:.*

State:*

Zip Code:*

School:*

Grade:*

as of September 2011

E-Mail:*

Shirt size:*

* means this is a required field

DOB*

Phone #*

List weakness:

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

There is a $45 cancellation fee.

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

Location: Football Complex at Curry College

REQUIRED STEPS:  FILL OUT PLAYER(S) FORM and CLICK SUBMIT BUTTON.  CLICK MEDICAL RELEASE BUTTON AND PRINT AND MAIL MEDICAL RELEASE FORM

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