
2008 Enrollment Form
Mail to: Midwest Football Camps
Attention: Scott Hale, Director
231 23rd Street
West Des Moines, IA 50265
Name__________________________________________
Address________________________________________
City________________________ State_____ Zip____________
Phone
( ) ___________________ E-Mail___________________________Age____________ Grade Next Fall_____________________
School___________________________________________________
Will Need Lodging? YES
NOCircle Your Position(s):
Kicker Punter Center/Long Snapper
Circle Camp Preference:
University of Iowa (Iowa City, IA) June 17-18 University of Nebraska @ Omaha (Omaha, NE) July 7-8 Mid-America Nazarene University (Olathe, KS) June 20-21Parental Authorization and Release:
My son/daughter has permission to attend the Midwest Football Camp. I enclosed a $100.00 deposit,
with the balance due when he/she reports to camp. I understand that refunds will be subject
to a $50.00 cancellation fee. I, hereby, release the Midwest Football Camp, its staff and the
host institution from all claims due to injuries sustained by my son/daughter during the camp.
___________________________________________
Parent or Guardian's Name (Printed)
_______________________________________________