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Schedule:
10:15am- Youth Clinic Check In
10:30am – Youth Clinic Offense Session
11:20am- BREAK
11:30am- Youth Clinic Defense Session
12:15pm -End Clinic/ T-Shirt Distribution
CBA Football Youth Clinic 2024
Step
1
of
3
33%
Youth Clinic Registration
Player Name
*
First
Last
School District
*
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Clinic Athlete Registration
*
$5 per CBA athlete
$10 per non-CBA athlete
Sunday April 21, 2024, 10:15am - 12:15pm
Quantity
*
Birthday
*
Month
Day
Year
Grade in September '24
2
3
4
5
6
7
8
Offensive Position
*
Defensive Position
*
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Parent/Guardian
*
First
Last
Email
*
Phone
*
Medical Concerns
Carrier
*
Policy Holder's Name
*
First
Last
Policy #
*
Group #
*
Emergency Contact other than parent
First
Last
Phone
Medical Release:
As the parent/guardian of the participant in the 2024 CBA Youth Football Clinic, I certify that he is in excellent physical health and capable of participating in any strenuous activity. I hereby give my approval to his participation at the CBA Football Youth Clinic. In case of injury to my child, I agree to waive all claims resulting from or in connection with the activities that my child is a participant. I hereby release, absolve and hold harmless Christian Brothers Academy, the football coaching staff, sponsors and supervisors from any such claim. In the event of an emergency, I hereby give permission for a representative of the camp to transport my child if necessary for medical attention.
Signature
*
Credit Card
*
Card Details
Cardholder Name
Total
$0.00
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