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The 38th Annual Gus Purcell Quarterback School ( June 22-25, 2008 )
APPLICATION
Check One: ( ) overnight camper $385 ( ) day camper $285
non-participant ( ) $200
NAME___________________________________________________
ADDRESS________________________________________________
__________________________________________________________
Phone Number:______________________________________________
E-Mail Address:______________________________________________
School:_________________________________School ph. no._______________
Camper's Cell Ph. No. (if bringing one)_______________ Grade in Fall of 2008__________
Age____Ht._____Wt.______ Adult t-shirt size S M L XL
Roommate Request (optional)________________________Return Camper?________
A deposit of $85 (non-refundable after May 15, 2008) must accompany application.
Balance is due on or before June 1, 2008, and is non-refundable after June 10, 2008.
(All refunds will be mailed on May 16, 2008)
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To Parent or Guardian: Please read carefully and sign:
It is recommended that your son have a physical exam prior to camp. By signing this application, you assume responsibility for his fitness. Fee incluses supplementary accident and liability insurancce while on the college premises or in camp-operated vehicles. Non-authorized vehicles excluded.
Please note: Accident insurance will be a supplement to participant's family coverage.
I understand that the camp assumes no liability for my child except on camp property or in camp-operated vehicles driven by a camp employee. Participants who leave or return to camp in non-authorized vehicles, or ride in such a vehicle during the camp session, will not be covered by camp accident or liability insurance, should an accident/injury occur in said non-authorized vehicle.
Note to overnight campers driving themselves to camp: On arriving at camp, all vehicles are to be locked and the keys are to be registered with the Camp Director. Cars are not to be used during camp session, without written permission by a parent, and approval of Camp Director.
PLEASE INCLUDE INSURANCE INFORMATION WITH APPLICATION
Signed:_________________________Phone no.________________________
Address:_________________________________________________________
Any prescription medicine to take, or restrictions on participation? Y N
If yes, explain fully__________________________________________________
(medicine will be kept by camper unless other arrangements are made in advance)
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Applications are accepted in the order they're received, and we are limited to 150 campers. This insures that everyone receives personal attention and instruction. Only quarterbacks entering 8th-12th grades may attend. This camp is non-contact, and pads and helmets are not necessary to bring.
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Please mail applications to our administrative address:
1029 Granville Rd. Charlotte, NC 28207
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