AMERICAN FORK, UTAH
June 6th and 7th


CASTLE ROCK, COLORADO
June 14 and 15


SPEARFISH, SOUTH DAKOTA
June 21 and 22


LARAMIE, WYOMING:
Elite Camp*
July 12 and 13


CASTLE ROCK, COLORADO
July 19 and 20


AMERICAN FORK, UTAH
July 25 and 26


    *Only for participants who have attended a previous camp; Advanced Training.

* denotes required field

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Name:

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City:

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Zip:

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Cell Phone:

*

School:

*

Head Coach:

Coach email:

*

Address:

*

State:

*

Home Phone:

*

Email:

Grade:

Coach Phone:

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Select a position:


Number of years Kicking/Punting:

Number of camps attended:
Select Camp(s):
American Fork, UT: June 6-7, 2008
Castle Rock, CO: June 14-15, 2008
Spearfish, SD: June 21-22, 2008
Laramie, WY: July 12-13, 2008
Castle Rock, CO: July 19-20, 2008
American Fork, UT: July 25-26, 2008
Private Camp
If you chose private camp, please enter a date that would be good for you. (mm/dd/yyyy)
Mail Check/Money Order payable to:
On-The-Line Specialty Camps
4303 Cheyenne Dr.
Laramie, WY 82072.

*There are no refunds, however, you can change camp dates.

WAIVER AND RELEASE OF CLAIMS:
In consideration of my attendance at the program run by the company and other good and valuable consideration, the sufficiency of which is hereby acknowledged, I

*

for myself, my heirs, and administrators fully, and unconditionally release On-The-Line Specialty Camps and the States of Wyoming and South Dakota and its' officers, directors, employees, shareholders, representatives, sponsor's and affiliates from any and all liability for death, disability, personal injury, property damage, property theft, or actions of any kind, which may hereafter accrue to the User. I also release On-the-Line Specialty Camps, LLC and its employees from any claims arising out of the minor's participation in the program.

INFORMATION RELEASE PERMISSION:
I agree that by submitting this form, On-The-Line Specialty Camps may use the personal information disclosed therein for the purpose of college recruiting and the same may be released to individuals in the recruiting and/or athletic testing and evaluation business as well as to other high schools and college football programs. I understand that participating in a On-The-Line Specialty Camps program does not guarantee any financial aid or scholarship money.

By entering your name here you are providing an electronic signature which will take place of a written signature.

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Parent/Legal Guardian:

*

Date:

*

Participant:

*

Date: