Kelly Bates Football Camp Registration Form

Name:
E-mail (parent/legal guardian):
E-mail (player):
Phone #:
Age:
Current Grade:
City/Town:
High School Football Program:
Birthdate (d/m/y):
Height (ft/in):
Weight (lbs):
Emergency Contact Person:
Emergency Contact Person Phone #:
Desired Position:

(If the desired position is unavailable please email kbates59@hotmail.com to be put on a waiting list.)

 

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