Capital Area Football Camp- Registration Form

Name:>
	(first)^	(middle)^	(last)^
Address:>
	(street)^

	(city/town)^	(province)^	(postal code)^
Home Phone:		Work Phone:
Birth Date:		Height:	Weight:
Have you previously played football ?		Yes	No
If yes at what level ?	PeeWee	Bantam	High School
Position:	1st Choice: 2nd Choice:
School:		Grade:
Coach:		Medicare #:

Make cheques for $110 payable to C.A.M.F.A.

Return to:
David Blanchard
61 Duffie Drive
Oromocto, N.B.
E2V 4M9

There are only 50 openings in each of the Senior and Junior Divisions.
Applications must be received by July 29.

Waiver and Release: We hereby give our consent and approval to the participation in the Capital Area Football Summer Camp, and certify that he or she is physically fit to take part in all activities. Further we do hereby waive, release and forever discharge said organization, its staff and employees from any and all claims for damages occurring from activities arising from travel to or from Camp.

Signature of parent or guardian _____________________________________