ALCAN FOOTBALL EARLY BIRD REGISTRATION
(To be eligible for Early Bird prizes registration must be postmarked, or received online, by May 31)
Mail to: ALCAN Sports: P.O. Box 80691, Fairbanks, AK, 99708 Phone 907-455-4203
Drop Off at Play It Again or Sport King

NAME: _________________________________________ AGE: ____________________

ADDRESS: _________________________________ CITY: ________________________

STATE: ________ZIP: _____________ EMAIL:  __________________________________

HOME PHONE: _____________________ DAYTIME PHONE: _______________________

LAST TEAM/AGE DIVISION: _________________________________________________

POSITION: _____________  HEIGHT: ___________  WEIGHT: ___________________

MEDICAL INFORMATION: (Allergies or any special conditions):__________________________

I WISH TO ATTEND & ENCLOSED IS A CHECK OR MONEY ORDER FOR THE FOLLOWING CAMP:

__ Camp 1: Ages 5 & 6
__ Camp 2: Ages 7 - 9
__ Camp 3: Ages 10 - 12
__ Camp 4: Ages 13 & 14
 ___ Full Day Program ($200)
___ Half Day Program ($125):
        AM ____  or PM ____
___ Camp Deposit ($100)
  * Early Bird Deposit remainder
     due upon check in at camp
ALCAN CHEER
Check here if you
are participating
in Cheer.
____

ALCAN FOOTBALL INSURANCE WAIVER
The applicant, his/her parents and/or guardians, acknowledge that baseball is a contact sport, and agree ALCAN SPORTS, ALCAN FOOTBALL, its agents, servants, employees, instructors, and directors, shall be held harmless and not liable for any injury or damage to the participants as a result directly or indirectly caused by attending the school. The applicant, his/her parents and/or guardians also agree to indemnify the AMERICAN YOUTH FOOTBALL FAIRBANKS, and the FAIRBANKS NORTH STAR BOROUGH, their employees, agents, and managers from all claims and damages.

NAME OF PLAYER: ________________________________ DATE: __________________

SIGNATURE OF PARENT OR GUARDIAN: ____________________________________