WHERE: GEORGE RANCH FIELD HOUSE WHEN: 8/5-8/7 (Mon-Wed)

1. FOR MORE INFORMATION CALL: RICKY TULLOS CAMPUS COORDINATOR 832-223-4360 rtullos@lcisd.org GEORGE RANCH 2nd-9thGRADE FOOTBALL CAMP 2013 WHERE: GEORGE RANCH FIELD HOUSE WHEN: 8/5-8/7 (Mon-Wed) TIME: 8:00-11:00 INSTRUCTORS: GEORGE RANCH FOOTBALL STAFF COST: $50.00 (Payable to GRHS Activity Account #4-includes registration and tee shirt) WEAR SHORTS, T-SHIRT, RUNNING SHOES, AND BRING A POSITIVE ATTITUDE SKILLS: FOOTBALL SKILLS, WEIGHT ROOM TECHNIQUES, NUTRITION, AND LEADERSHIP DEVELOPMENT SHIRT SIZE : S M L XL 2X NAME:_____________________________________________________ PARENT’S NAME:____________________________________________ ADDRESS:___________________________________________________ CITY, STATE, ZIP CODE:______________________________________ HOME PHONE:______________________WORK PHONE:________________ DATE OF BIRTH:________________________ JUNIOR HIGH ATTENDED:____________________________ PLEASE RETURN THIS FORM TO: Ricky Tullos GEORGE RANCH HIGH SCHOOL 8181 FM 762 Richmond, Texas 77469 (OR BRING IT WITH YOU TO CAMP.) I HEREBY AUTHORIZE THE DIRECTORS OF THE GEORGE RANCH HIGH SCHOOL PROGRAM TO ACT FOR ME IN ACCORDANCE WITH THEIR JUDGEMENT IN ANY EMERGENCY REQUIRING MEDICAL ATTENTION, I FURTHER WAIVE AND RELEASE THE FOOTBALL CAMP, STAFF MEMBERS AND THE L.C. I.S.D. FROM LIABILITY FOR DAMAGES FROM INJURIES OR ILLNESS. I KNOW OF NO MENTAL OR PHYSICAL CONDITION WHICH MAY AFFECT MY CHILD’S ABILITY TO PARTICIPATE IN THE FOOTBALL CAMP. PARENT’S SIGNATURE: ___________________________________ “THIS ORGANIZATION AND ITS ACTIVITIES ARE NOT RELATED TO OR SPONSORED BY LAMAR CISD.”