Davenport Wildcats Youth Sports Program
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Wildcats FOOTBALL Camps
5th grade to 8th grade - preregistration, pay 1st day of camp
*
Indicates required field
Athletes Name
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First
Last
School
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Grade
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Select One
5
6
7
8
Shirt Size
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Select One
YS
YM
YL
Y XL
Sm
Med
Lg
XL
Birthdate
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MM/DD/YY
Home Address
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Street Address, City, State
Email
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Work Email
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Home Phone Number
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Cell Phone Number
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Parent/Gaurdian Authorization: I request that the you accept the application for the above entrant to participate in the Wildcat Football Camp during the dates and times set forth in this application. In consideration of your application I hereby release Guy Dierikx, the camp staff, Davenport North Schools, and all of their employees from all claims in account of injuries which may be sustained by my child while attending this camp. I also certify that my child is medically fit to participate in this camp.
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First
Last
Filling in this box, you certify that the entrant is in the stated grade and accept full responsibility for his/her conduct while participating in the North High Youth Football Clinics. I also waive all claims against the North High Football staff, the volunteer coaches, the Davenport School District and its officials and organizers for any injuries that occur while my child is participating. I will be responsible for all damages to the school property caused by the above entrant and understand that I need to provide my own insurance
Comments/Questions
*
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The Davenport Wildcats YSP are dedicated to build a tradition of excellence at Davenport North High starting at the Foundation, the Feeder Programs. SPORTS. PRIDE. FUN.