PARENT/GUARDIAN
CONSENT AND WAIVER
I hereby approve of my son’s attendance to the Red & Black Football Camp from July 21st to July 24th, 2014. I certify that he is in good health and able to participate in the program. I authorize that the director may act for me according to his best judgment in any emergency requiring medical attention.
I acknowledge that at the Red & Black Football Camp my child will participate in a sport that may involve physical contact with other persons or objects, including the ground. I specifically waive and give up and release the camp and its staff from liability for any claim for damages which my child may sustain in camp.
PARENT/GUARDIAN SIGNATURE
DATE
Supervision and Safety
Campers safety is priority one at the Red & Black Football camp. Counselors will be on site to supervise all camp activities throughout the day. A Certified Trainer will be on duty full-time to care for the needs of all campers should they be required. In case of an emergency, parents will be contacted immediately.
July 21st – July 24th
2014
Monday – Thursday
8 AM – 12:00 PM
The Red & Black Football Camp is based on a concentration in sound football fundamentals. Through intensive, intelligent, and repetitive actions our camp will help athletes develop basic football skills. Our focus on drill work in offense, defense, and special teams will assist athletes to develop a sense how to maximize their performance. This focus will support our athlete’s strive for excellence while serving as a solid foundation for any successful team. The Red & Black Football Camp 2014 is open to all football players ENTERING GRADES 2 -9. The camp will be held Monday July 21st through Thursday July 24th and the hours are 8 AM – 12:00 PM
Camp Director: Chris Locurto
Coach Locurto is currently the head football coach at Northern Highlands Regional High School (Allendale, NJ). With almost 20 years of experience at the high school level, he brings with him a long legacy of expertise and success.
Before arriving at Northern Highlands Locurto coached at his Alma Mater, Spring Valley High School (Spring Valley, NY). He spent his final three seasons at Spring Valley serving as Offensive Coordinator, and during that time the Tigers were one of the top-ranked offenses in New York. In 1997, he played an integral role in leading Spring Valley to the New York State Section 1 Championship, the first in school history. Throughout his coaching tenure, Locurto has also served as both a Defensive and Special Teams coordinator.
In 2013 Coach Locurto led the Highlanders to a Big North Colonial Division championship. His team also advanced to the state semi-finals for the first time in 14 years.For the 4th consecutive year, the Highlanders broke the school record for most yards gained in a season, as well as having an offense that was ranked in the top 10 in New Jersey. Coach Locurto began his coaching career in 1995.
Camp Information
LOCATION: Northern Highlands
Regional High School
TIME: 8AM – 12:00 Monday - Thursday
DATES: July 21st - July 24th
COST
$ 220 registration fee
Sibling Discount $25
$ 20 Discount if you Register Before June 1st
Price includes instruction and camp giveaways
For Additional Information:
Coach Locurto
Phone: (845) 548-2664
Email:
Mail the completed application form, consent and waiver form along with payment to:
Red & Black Football Camp
PO Box 292
Stony Point, NY 10980
MAKE CHECKS PAYABLE TO:
Red & Black Football Camp
Return Check Policy: There is a $25 charge for all checks returned for insufficient funds.
Refund Policy – No refunds will be given after July 8th
What to bring daily:
Ø T-Shirts-Socks-Shorts
Ø Cleats for grass or turf field
Ø Sneakers for indoor activities
Application Form (Please Print)
Red & Black Football Camp
July 21ST - July 24th
$ 220 registration fee
Sibling Discount $25
$ 20 Discount if you Register Before June 1st
Name: ______
______
Address: ______
______
Town: ______
Zip: ______
Grade as of September 2014:______
Email Address: ______
Parent/Guardian: ______
______
Home Number: ______
Emergency Contact Name and Phone Number:
T-Shirt Size (Circle one size)
Children: S M L
Adult: S M L XL 2XL