mfc (9K)
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 NO

Circle 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 20-21

Parental 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)

_______________________________________________
Parent or Guardian's Signature