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Gridiron Workshop 2020
Registeration for the 2020 Gridiron Workshop 3-day Offensive and Defensive Line Camp. Dates are July 24-26th from 4-6pm. Cost is $120.00.
Personal Information
Player Name
Age
Grade
# of years playing tackle football
Parent cell #
Parent email address
Medical Information
Player Birth date
Player Height
Weight
Home Address
City
State
Zip
County
Emegency Contact Person
Relationship
Home Phone
Cell Phone
Email
Alternate Emergency Contact Person
Relationship
Home Phone
Cell Phone
Email Address
Hospital Preference
Doctor's Name
Phone
Physical Restrictions
Past Injuries you would want health care provider to konw about?
Medications you would want health care provider to know about?
Allergies
Medical Release/Waiver of Liability Medical Release
Your Name
Credit Card Information
Name on Card
Card Type
Card Number
Card Exp Date (mm/yy)
Bank Code
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