2017 PRA High School Football

Summer Weight Lifting Camp Registration

Coach Roberts Email:

Incoming 9th – 12th Grade

DATES: June 5 thru July 27 (Off the Week of July 4th)

DAYS: Monday/Tues/Wed/Thursday

TIME: 9:30am – 11:30am (PRA Field and Weight Room)

Objective: Athletes will learn the basics of correct weight training technique:

§  Back Squat, Bench Press, and Hang Clean

§  Basic Auxiliary Lifts

Where: PRA Weight Room/Field

What to wear: Shorts and tennis shoes/Bring Cleats and Water Bottle

COST: $225.00 (If you pay for summer this will include the Fall Mini-camp Aug. 7, 8 and 9)

Cash or check payable to PRA Football

Memo: Summer Football

(Tear along dotted line and return bottom portion to Athletic Director by May 25

Form and Money must be paid prior to doing any workouts with team)

NAME (please print)______HOME PHONE ______

HOME ADDRESS ______

CITY ______ZIP CODE ______

èPlease have on file with PRA Athletic Director: Adams 12 2015-2016 Authorization for Athletic Participation Form

I hereby register my son for the 2017 PRA High School Summer Weight Lifting Camp and authorize the coaching staff to direct him in participating in camp activities. I verify that I have full knowledge of the rigors of this camp and the risk involved in participation. My son has no medical or emotional problems that may affect his ability to safely participate in the above-mentioned camp. The camp staff is authorized to attend to any health problem or injury my son may incur while attending camp. I acknowledge that anyone associated with the 2017 PRA High School Summer Weight Lifting Camp will not be liable for any damage from injuries or illness sustained by my son while participating in the camp.

Please list any pre-existing medical conditions or special medication:

Signature of Parent or Guardian Date

Emergency Contact (please print) Phone Number