1. sports
2. football

Parent’s Release & Indemnity Agreement to
Central Nebraska Youth Football Camp
I understand that the Central Nebraska Youth
Football Camp director, staff, and sponsors will
NOT be held responsible for injuries or loss of
property while the previously-named participant is
attending. I do hereby release Central Nebraska
Youth Football Camp and its employees and
Kearney Catholic High School from all liability,
including claims and suits in law or equity for any
injury – fatal or otherwise. The signatures below
absolve the Central Nebraska Youth Football Camp
and its sponsors of all responsibility for loss of
personal property. Furthermore, I realize the risks
involved to the participant. I will pay, or cover
through my insurance, any medical or hospital
expenses, doctor bills or other expenses which
could be incurred as a result of treatment given to
the previously-named participant for illness or
injury while attending or subsequent to attending
the Central Nebraska Youth Football Camp, and
other medical specialists in the Kearney area to act
for me according to their best judgment in any
emergency requiring medical attention. I further
understand the camp retains the right to use, for
publicity and advertising purposes, photographs of
participants taken at the camp.
Please print, then sign below:
Participant Name:
___________________________________
Parent/Guardian Name(s):
Message from Camp Director: Rashawn Harvey
I’ve created this camp due to my
love for the game of football, the
opportunities football created in
my life and due to the important
lessons the sport has taught me.
Being involved with little league
football and attending camps as a
middle school student prepared me
for high school football and ultimately played a role in me earning
a athletic scholarship to the University of NebraskaKearney. The athletic scholarship was the vehicle that
allowed me to earn a college degree in the field of education.
Being in the field of education has given me the
opportunity to work with youth for 18 years, plus serve
has a high school football coach at Kearney Catholic
High School for 10 years. My focus at Kearney Catholic
High School has been in coaching the quarterbacks, offensive and defensive lines, as well as coordinating the
offense.
Central
Nebraska
Youth
Football
Camp
This camp will have a staff that is excited about football,
but more importantly, the staff will focus on the intangible byproducts the game of football provides: discipline,
teamwork, accountability, confidence, academic importance, work ethic, friendship and the power of
association.
If you have any questions about the camp, please contact me by phone at 308-440-5400 or by email at
[email protected].
___________________________________
Home Phone: ________________________
Cell Phone: __________________________
Register on-line by June 9, 2015 at:
Centralnebraskayouthfootballcamp.com
Signature: ___________________________
Date: ________________
*This release & indemnity agreement must
be signed in order for your child to
participate at the Central Nebraska Youth
Football Camp*
***Registration forms must be postmarked by
June 6, 2015***
Register On-line by June 9, 2015
centralnebraskayouthfootballcamp.com
Camp Staff
Camp staff will consist of local college and high school
coaches, as well as collegiate football
athletes. Coaches participating in the
camp will have specialized knowledge
of individual football positions, helping
to maximize each child’s learning
experience at the camp.
*This is not a Kearney Public Schools Activity*
Centralnebraskayouthfootballcamp.com
Camp Objective
The Central Nebraska Youth Football Camp
is open to all students entering 6-8 grade
with the purpose of maximizing each
camper’s potential as a football player by
focusing on the fundamentals of football.
Campers will be taught the fundamentals of
all offensive and defensive football positions.
All campers participate and touch the
football in a safe, non-contact environment.
Camp Information
Dates:
June 22-25, 2015
Location: Kearney Catholic High School
Time:
T-Shirt Size: Youth= S M L
8:30 AM—11:45 AM
2015-16 Grade Level: ________
$85 per camper. This includes all four days, treats,
plus a camp t-shirt. **Tuition is non-refundable**
City: ______________ State: ____ Zip: ________
*Make Checks Payable to: Central Nebraska Youth
Football Camp (CNYFC)
_______________________________________
Camp Activities

NFL Style Combine Testing

Individual Offensive Position Instruction

Individual Defensive Position Instruction

1 on 1 Competition
Make It Fun

Football Games
Limit Standing Around
Daily Schedule (*tentative*)
Everyone Plays
8:30= Intro’s/Warm Up/Flex
Teach Every Position to
Every Participant
9:00= Offensive Skill Instruction
Incorporate a Progression of
Skill Development for
Every Participant
Provide Encouragement
The principles above will provide an
enjoyable and educational experience for all
involved.
Working with Central Nebraska Youth
Football Camp staff will allow your child to
learn much more than just football. Campers will be taught the importance of teamwork, self discipline, work ethic, consideration for others, achieving good grades, positive association and being accountable.
Age: ________
Address: _______________________________
7 on 7
Emphasize the Fundamentals
Adult= S M L XL
Cost/Tuition

A goal of The Central Nebraska Youth
Football Camp is to make a positive impact
on children’s lives both on and off the field
through the game of football. Our football
camp will adhere to the “Seven Guiding
Principles” designed by NFL Youth
Programs:
Camper’s Name: ____________________________
Practice Field (North side of KCHS)
Registration forms must be postmarked
by June 6, 2015
Parent Info
REGISTRATION FORM
9:40= Water Break
9:45= Defensive Skill Instruction
10:25= 1 on 1 Challenge
10:35= Water Break
10:40= NFL Combine Testing
11:00= 7 on 7
11:15= Water Break
11:20= Football Games
What to Bring to Camp
Each camper should arrive everyday in a shirt,
shorts, football cleats and sun block. Also, bring a
water bottle and a great attitude!
centralnebraskayouthfootballcamp.com
Parent/Guardian Names: _____________________
Contact Phone #: _______________________
Email Address: __________________________
Emergency Contact (if different from above):
Name: ___________________________________
Relationship to Camper: _______________________
Phone #: ____________________________
Medical Insurance Information:
___ I do not have medical insurance that covers my child
and I agree to be fully liable for any and all medical cost
incurred for treatment.
___ I do have medical insurance for my child and I agree
to be responsible for all costs that my medical insurance
does not cover.
Insurance Carrier: ___________________________
Insurance Carrier Phone: ______________________
Policy Holder’s Name: ________________________
Relationship With Camper: _____________________
Policy/Member Number: ______________________
Group Name/Number: ________________________
Camp Enrollment
Please cut out and return the registration form along with
payment (cash/check/money order) payable to:
Central Nebraska Youth Football Camp (CNYFC)
3706 20th Ave.
Kearney, NE 68845
*Registration forms must be postmarked by 6/6/15*
**Register On-line* by June 9, 2015*
centralnebraskayouthfootballcamp.com