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					                                                 FREE CAMPS
            Hosted by NFL Player Nate Livings
                                         Register online @

       Free Youth FB & Cheer Camp                                                                               Free Varsity FB & Cheer Camp
                  Grades 1 – 6                                                                                               Grades 7 -12
      Saturday, March 12, 9:00 – 11:00 am                                                                         Saturday, March 12, 12:00 – 3:00 pm

         Special awards will be given to campers achieving A/B honor roll. Please bring copy of report card.

                                       Register Now! Space is limited for Free Camps. Mail form to:
                        Multi-Sports Complex, 3200 Power Centre Pkwy, Lake Charles LA 70607
                                              Questions? Contact 337.990-0112
                  For donations or t-shirt: Make checks or money orders payable to the Nate Livings Fund.

CAMPER'S NAME                                GRADE                                                                            Which event will you attend?
____________________________________________                                                                                  ( ) Free Youth FB (Grades 1-6)
EMAIL ADDRESS                                                                                                                 ( ) Free Youth Cheer (Grades 1-6)
____________________________________________                                                                                  ( ) Free Varsity FB Skills (Grades 7-12)
STREET ADDRESS                                                                                                                ( ) Free Varsity Cheer Skills (7-12)
____________________________________________                                                                                  ( ) Autograph T-Shirt
CITY                      STATE         ZIP                                                                                           $10 Early / $15 at Camp
                                                                                                                              Total Payment: $__________

                                                                   Medical / Liability Release Agreement
The individual identified on this form understands that all participants are expected to abide by the activity rules. The director has the authority to require individuals to
leave due to conduct and misappropriate behavior. As a result, no refund is required. Further, I do release and hereby agree to hold blameless activity sponsor, and its
employees and agents from any and every claim arising, or which may be asserted by me or by any member of my family by reason of participating in any activities
associated with the activity. I also release the lessor of properties on which the activity is held. Further, I do authorize the sponsor of this activity in the event I cannot be
reached by phone, to give consent to a physician and/or hospital for emergency medical or surgical treatment. It is understood that I will assume any financial
responsibility for any expense that may be incurred for said emergency treatment. Further, I do certify that said individual is covered by adequate accident insurance.
My consent and signature is given below. I have read and agree to the information given in this entire form. Further, I do authorize the activity sponsor to use my
photographs and video footage shot at the activity for media and promotional purposes. For minors: I, the parent or legal guardian of the individual listed on this form,
certify that he/she has my full approval to participate in this activity.

PARENT / GUARDIAN SIGNATURE                                                                          DATE

                                             A Flying Colors Sports Production
                           "Marketing, PR & Camps for Pro Athletes"
           FREE CAMPS

Phone: 337-

         A Flying Colors Sports Production
"Marketing, PR & Camps for Pro Athletes"
           FREE CAMPS

         A Flying Colors Sports Production
"Marketing, PR & Camps for Pro Athletes"