SPX Football Youth Summer Camp 1st - 4th Grade | St. Pius X High School

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Parent Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email Address REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Number of Students Attending Camp REQUIRED Please fill out this field.
- Student 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Grade in 2023-2024 REQUIRED 1st Grade 2nd Grade 3rd Grade 4th Grade Please fill out this field.
  - Height REQUIRED Please fill out this field. Please enter valid data.
  - Weight REQUIRED Please fill out this field. Please enter valid data.
  - Tshirt Size REQUIRED Please fill out this field.
  - Has student played organized football? REQUIRED Yes No Please fill out this field.
  - If yes, what League? Please enter valid data.
  - Team Please enter valid data.
  - Coach Please enter valid data.
  - Position Please enter valid data.
  - Please list any medical conditions, allergies or special physical requirements for your child: REQUIRED Please fill out this field.
  - Camp Fee60.0
- Student 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Grade in 2023-2024 REQUIRED 1st Grade 2nd Grade 3rd Grade 4th Grade Please fill out this field.
  - Height REQUIRED Please fill out this field. Please enter valid data.
  - Weight REQUIRED Please fill out this field. Please enter valid data.
  - Tshirt Size REQUIRED Please fill out this field.
  - Has student played organized football? REQUIRED Yes No Please fill out this field.
  - If yes, what League? Please enter valid data.
  - Team Please enter valid data.
  - Coach Please enter valid data.
  - Position Please enter valid data.
  - Please list any medical conditions, allergies or special physical requirements for your child: REQUIRED Please fill out this field.
  - Camp Fee60.0
- Student 3
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Grade in 2023-2024 REQUIRED 1st Grade 2nd Grade 3rd Grade 4th Grade Please fill out this field.
  - Height REQUIRED Please fill out this field. Please enter valid data.
  - Weight REQUIRED Please fill out this field. Please enter valid data.
  - Tshirt Size REQUIRED Please fill out this field.
  - Has student played organized football? REQUIRED Yes No Please fill out this field.
  - If yes, what League? Please enter valid data.
  - Team Please enter valid data.
  - Coach Please enter valid data.
  - Position Please enter valid data.
  - Please list any medical conditions, allergies or special physical requirements for your child: REQUIRED Please fill out this field.
  - Camp Fee60.0
- Student 4
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Grade in 2023-2024 REQUIRED 1st Grade 2nd Grade 3rd Grade 4th Grade Please fill out this field.
  - Height REQUIRED Please fill out this field. Please enter valid data.
  - Weight REQUIRED Please fill out this field. Please enter valid data.
  - Tshirt Size REQUIRED Please fill out this field.
  - Has student played organized football? REQUIRED Yes No Please fill out this field.
  - If yes, what League? Please enter valid data.
  - Team Please enter valid data.
  - Coach Please enter valid data.
  - Position Please enter valid data.
  - Please list any medical conditions, allergies or special physical requirements for your child: REQUIRED Please fill out this field.
  - Camp Fee60.0
Emergency Contact
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Relationship to Student REQUIRED Please fill out this field. Please enter valid data.
I hereby waive and release the director and St Pius X High School from any and all liability for any injuries or illness which may occur during the camp. Further, I know of no mental or physical problems which might affect my student's ability to participate safely in the camp.
I Agree Please select this field.

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SPX Football Youth Summer Camp 1st - 4th Grade

Location: SPX Stadium Dates: July 10th - July 11th Time: 6:00 p.m. - 8:00 p.m.

SPX Football Youth Summer Camp
1st - 4th Grade

Location: SPX Stadium
Dates: July 10th - July 11th
Time: 6:00 p.m. - 8:00 p.m.