th
4 ANNUAL LAKER
FOOTBALL CAMP
With Head Coach Darrell Fusco and Mountain Lakes Varsity Coaches, High School Players and
special guests including New York JETS Coach Steve Hagen
Monday, July 13th, Tuesday, July 14th, Wednesday, July 15th, Thursday, July 16th.
9:00am - 12:00pm @ MOUNTAIN LAKES TURF FIELD
For Incoming 3rd, 4th, 5th, 6th, 7th & 8th Grade Football Players
Purpose:
To teach and develop football skills and fundamentals in a fun environment. This is a non-contact camp so NO
equipment is required.
Cost: $150 (includes camp T-shirt and Gatorade) Due by June 20 th
Checks payable to: Laker Football Camp
Registration:
NAME: ___________________________________________
2015-2016 GRADE: ________________
ADDRESS: _________________________________________
TOWN: ________________________
PHONE: _________________________________________
CELL #: ________________________
EMAIL ADDRESS: ___________________________________
ALLERGIES: __________________________________
EMERGENCY CONTACT: ___________________________________________________________
CIRCLE T-SHIRT SIZE: Youth Medium (10-12) Youth Large (14-16)
Adult Small
Medium
Large
XL
I, the undersigned, being the parent or legal guardian of the above-named child, do hereby grant permission for
participation in the Laker Football Camp. I assume all risks and hazards incidental to such participation and release to
Laker Football Camp and its agents and assigns form any liability and/or responsibility for any injuries sustained by my
child or expenses incurred there from while engaged in or traveling from any activities of the above-named organization.
PARENT GUARDIAN SIGNATURE: ____________________________________ DATE: _______________
Mail payment and completed form to: Laker Football Camp. 96 Powerville Road, Mountain Lakes, NJ 07046
Questions: [email protected]