Dutchmen Football Camp Enrollment Form

                                                           # of Campers                Price

Dutchmen Football Camp                    ____________                $160

                                                                                                    Total ____________

Waiver and Release: I understand that any camper who does not abide by the rules of the camp is subject to dismissal without reimbursement or recourse. No camper will be allowed to leave the campgrounds for any reason other than a medical emergency until the completion of each camp day.

Insurance Waiver:  I hereby authorize the Director to act for me according to his/her best judgment in an emergency requiring medical attention.  I hereby release and discharge the camp staff, and affiliated entities and their offices, agents and employees from and against any and all liability or causes for actions arising out of or in connection with my participation in the camp.

Make Checks Payable to:

Dutchmen Football Camp

Mail to: Dutchmen Football Camp

PO Box 204

Blauvelt, NY 10913