RRS Youth Football Camp
Application/Registration

Application/registration for the 2013 session is now open and closes on July 8, 2013

Early Bird Registration:
• Register On/Before May 4, 2013: $175 per child
• Register On/After May 4, 2013 : $200 per child

Optional Lunch:
Lunches will be provided this year at no cost, if the parents would like to send a lunch that is fine.

Sibling Discount:
Register one child at full price and take $25 OFF the cost for each additional sibling.

If you are registering more than one child, you must complete a separate form for each child.

To reserve your child's space at camp, please complete the application below.

All potential campers must have a physical or signed clearence from a doctor prior to participating in this camp.

Proof of physical must be supplied at check-in on the first day of camp, or it can be submitted with your payment.

Campers without the necessary paperwork will not be permitted to participate in camp.

If you’d like additional information, have any questions, or need to speak with someone, please call 717-434-4558 or e-mail ron@ronsrisingstars.com.

CAMPER’S INFORMATION
First Name:
Last Name:
Address:
City/State/Zip:    Zip
Email:
Birthday (month/day/year):   /     /  
   
CAMPERS’S PLAYER/TEAM INFORMATION
League Name:
Team Name:
Coach's Name:
Offensive Position:
Defensive Position:
Special Teams Positions: Kicker/Punter     Holder     Long Snapper
Punt Returner     Gunner  
   
PARENT/GUARDIAN’S INFORMATION
First Name:
Last Name:
  Check here if parent/guardian's address is same as child's.
       If not, please complete.
Address:
City/State/Zip:    Zip
Phone:
Alternate Phone:
PAYMENT INFORMATION

At this time, RRS can accept payment by paypal, cash, cashiers check, money order or personal check. If paying by check, money order, cashiers check or cash please complete this form and make payment payable to Ron’s Rising Stars LLC. then mail to:

Ron’s Rising Stars LLC
P.O. Box 21331
York, PA 17402

Registration closes on July 8, 2013.

Camp cost per child is $175 (Before/On May 4, 2013)) and $200 (As of May 4, 2013). RRS's sibling discount is $25 off regiastration cost each additional child registered for this session.

Other terms and conditions may apply. Application/registration is not complete without receipt of payment, signatures and proof of physical/doctor's clearance.
Amount Enclosed: $   Chk/MO #:
Siblings:
 

If yes, # of children attending:
   
The SUBMIT REGISTRATION button below will generate and transmit a registration application to our offices. If you are using PayPal you will have an oppurtunity to remit payment after the application has been submitted.
   
         

Thank you and we look forward to seeing you in July!

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