Joe Headen's

Please check the training session you will be attending

□ Quarterback Training Session □ Youth Football Camp
□ Receiver (WR, TE, RB) Training Session □ Father/Son Quarterback School
□ Linemen Training Session □ Co-Ed Agility Training
□ Defensive Back Training Session □ Linebacker Training Session
□ Individual Position Specific Training Session
□ Skill Position Mini Passing Camp □ Other ___________________________
Name (please print)

Address

City State Zip Code

Phone Cell

Parent Email

Team name you play for

Grade Age DOB

Please note any medical condition that Keep It R.E.A.L. Football should be aware of:

Camper Waiver Form

I hereby authorize the directors of Keep It R.E.A.L. Football to act according to their best judgment in any emergency
requiring medical attention and hereby waive and release the Keep It R.E.A.L. Football and Susquehanna Township
School District from any and all liability for any injuries or illness incurred while at the Keep It R.E.A.L. Football session.
I will be responsible for any medical or other charges in connection with my child's attendance.

Parent/Guardians'
Signature
Date
Press Release Form
I hereby give permission for my child's name and/or likeness to be on the Keep It R.E.A.L. Football website.

Parent/Guardians'
Signature
Date
*No refunds will be given for failure to show up for camp.
For Staff Only:
Check Number: Cash: Amount: Notes:

WWW.KEEPITREALFOOTBALL.COM