Oscar Solis Football Camp

Registration and Fees

In order to register for the 2008 Oscar Solis Football Camp(s) please provide the following information:

Name
Grade (Fall 2008)	2 3 4 5 6 7 8
School (Fall 2008)	outlook express backup
Email
Daytime Phone
Address
City
State
Zip
The remainder of this form MUST be completed by parent or guardian.
List any physical conditions that the Physician should be aware of: (including but not limited to allergies, recurring illness, disabilities, chronic illness, etc.)
Emergency Contact Name
Emergency Contact Phone
Family Physician Name
Family Physician Phone
This is to certify that my son or daughter is free from illness, injuries, or defects which would inhibit any and all participation in camp activities. Please confirm.	Initials of Parent or Guardian
I hereby waive and release Oscar Solis Football Camp Staff, Slaton ISD, Lubbock ISD, City of Lubbock, and City of Slaton from any and all liability for any injury or illness incurred by my son or daughter while in camp. Please confirm.	Initials of Parent or Guardian
Camp(s) Attending	Slaton Junior Camp June 16-17, 2008 Slaton Senior Camp June 18-20, 2008 Lubbock Camp June 23-25, 2008
T-shirt size	YM YL S M L XL
My child's photo can be used on the Official Oscar Solis Football Camp Website	Yes No
Payment	Credit or Debit Card, PayPal, electronic check Check Cash
	Further payment instructions will be provided on the next page.