YOUTH FOOTBALL CAMP FORM – NON-CONTACT – Youth NON CONTACT FORM Ty Nsekhe 7TH Annual FREE Youth Football Camp – Non-Contact June 24, 2023 at James Bowie High SchoolThe Multi-Purpose Activity Center2101 Highbank Dr., Arlington, TX 76018Ages 6-18 *boys and girls welcome* Player Application Form Player/Child Name * Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country USA AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Parent Phone * Parent Email * Player/Child Height * 2'0" 2'1" 2'2" 2'3" 2'4" 2'5" 2'6" 2'7" 2'8" 2'9" 2'10" 2'11" 3'0" 3'1" 3'2" 3'3" 3'4" 3'5" 3'6" 3'7" 3'8" 3'9" 3'10" 3'11" 4'0" 4'1" 4'2" 4'3" 4'4" 4'5" 4'6" 4'7" 4'8" 4'9" 4'10" 4'11" 5'0" 5'1" 5'2" 5'3" 5'4" 5'5" 5'6" 5'7" 5'8" 5'9" 5'10" 5'11" 6'0" 6'1" 6'2" 6'3" 6'4" 6'5" 6'6" 6'7" 6'8" 6'9" 6'10" 6'11" 7'0" 7'1" 7'2" 7'3" 7'4" 7'5" 7'6" 7'7" 7'8" 7'9" 7'10" 7'11" Player/Child Weight * 45 lbs 46 lbs 47 lbs 48 lbs 49 lbs 50 lbs 51 lbs 52 lbs 53 lbs 54 lbs 55 lbs 56 lbs 57 lbs 58 lbs 59 lbs 60 lbs 61 lbs 62 lbs 63 lbs 64 lbs 65 lbs 66 lbs 67 lbs 68 lbs 69 lbs 70 lbs 71 lbs 72 lbs 73 lbs 74 lbs 75 lbs 76 lbs 77 lbs 78 lbs 79 lbs 80 lbs 81 lbs 82 lbs 83 lbs 84 lbs 85 lbs 86 lbs 87 lbs 88 lbs 89 lbs 90 lbs 91 lbs 92 lbs 93 lbs 94 lbs 95 lbs 96 lbs 97 lbs 98 lbs 99 lbs 100 lbs 101 lbs 102 lbs 103 lbs 104 lbs 105 lbs 106 lbs 107 lbs 108 lbs 109 lbs 110 lbs 111 lbs 112 lbs 113 lbs 114 lbs 115 lbs 116 lbs 117 lbs 118 lbs 119 lbs 120 lbs 121 lbs 122 lbs 123 lbs 124 lbs 125 lbs 126 lbs 127 lbs 128 lbs 129 lbs 130 lbs 131 lbs 132 lbs 133 lbs 134 lbs 135 lbs 136 lbs 137 lbs 138 lbs 139 lbs 140 lbs 141 lbs 142 lbs 143 lbs 144 lbs 145 lbs 146 lbs 147 lbs 148 lbs 149 lbs 150 lbs 151 lbs 152 lbs 153 lbs 154 lbs 155 lbs 156 lbs 157 lbs 158 lbs 159 lbs 160 lbs 161 lbs 162 lbs 163 lbs 164 lbs 165 lbs 166 lbs 167 lbs 168 lbs 169 lbs 170 lbs 171 lbs 172 lbs 173 lbs 174 lbs 175 lbs 176 lbs 177 lbs 178 lbs 179 lbs 180 lbs 181 lbs 182 lbs 183 lbs 184 lbs 185 lbs 186 lbs 187 lbs 188 lbs 189 lbs 190 lbs 191 lbs 192 lbs 193 lbs 194 lbs 195 lbs 196 lbs 197 lbs 198 lbs 199 lbs 200 lbs 201 lbs 202 lbs 203 lbs 204 lbs 205 lbs 206 lbs 207 lbs 208 lbs 209 lbs 210 lbs 211 lbs 212 lbs 213 lbs 214 lbs 215 lbs 216 lbs 217 lbs 218 lbs 219 lbs 220 lbs 221 lbs 222 lbs 223 lbs 224 lbs 225 lbs 226 lbs 227 lbs 228 lbs 229 lbs 230 lbs 231 lbs 232 lbs 233 lbs 234 lbs 235 lbs 236 lbs 237 lbs 238 lbs 239 lbs 240 lbs 241 lbs 242 lbs 243 lbs 244 lbs 245 lbs 246 lbs 247 lbs 248 lbs 249 lbs 250 lbs 251 lbs 252 lbs 253 lbs 254 lbs 255+ Player/Child Food Allergies PLEASE LIST ALL FOOD ALLERGIES YOUR CHILD HAS Player/Child Age (As of 06/30/2023) * 6 7 8 9 10 11 12 13 14 15 16 17 18 Player/Child Age (As of 06/30/2023) Player/Child Grade (Fall 2023) * Kindergarten First Second Third Forth Fifth Sixth Seven Eight Freshman Sophomore Junior Senior College Player/Child Grade (Fall 2023) Player/Child School Name * Player/Child Team Name Player/Child Position * Never Played / None Offensive Line (OL) Center (C) Offensive guard (OG) Offensive tackle (OT) Quarterback (QB) Running Back (RB) Half/Full (HB/FB) Wide Receiver (WR) Tight end (TE) Defensive Line (DL) Defensive Tackle (DT); Defensive End (DE) Linebackers (LB) Middle Linebacker (MLB) Outside Linebacker (OLB) Defensive Back (DB) Cornerback (CB) Safety (S) Kicker (K) Punter (P) Holder (H) Long Snapper (LS) Kick/Punt Returner (KR,PR) Years Played Never Played 1 2 3 4 5 6 7 8 9 10 11 12 13 Player/Child Shirt Size * Youth - XS Youth - S Youth - M Youth - L Youth - XL Adult - XS Adult - S Adult - M Adult - L Adult - XL Adult - XXL CAMP REGISTRATION: 9:00-10:00amCAMP TIMES: 10:00 am. - 2:00 pm. CAMP FEE: FREE - lunch will be provided *Deadline to Register is June 16, 2023 This camp will take registration forms on a first come first serve basis. LIMITED SPOTS AVAILABLE Questions - Email: MaryAnnepB1M@gmail.com PARENTAL PERMISSION WAIVER:I hereby authorize the directors and staff of The Ty Nsekhe FREE Football Camp to act in my behalf using their best judgment in any emergency, including medical emergency. I hereby waive and release the Camp, its employees, directors, sponsors, suppliers and facilities from any and all liability for illness or injury incurred while my child is attending Camp. I know of no mental or physical problems that might adversely affect my child's ability to participate in this Camp. I hereby grant the Camp permission to use any photographs or video of my child for promotional purposes.Knowing, understanding, and fully appreciating all possible risk, I do hereby expressly, voluntarily, and willingly assume all risks and dangers associated with my child’s participation in this Camp. These risks could result in damage to property, personal and/or bodily injury or death.I CONSENT TO MY MINOR CHILD’S PARTICIPATION IN THIS CAMP. I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS CONTENTS, AND HAVE SIGNED IT OF MY OWN FREE WILL. PARENT/GUARDIAN FULL NAME (this is your e-Signature) * By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Date * ...NOTE... Parental Permission Waiver Form must be signed, dated and completed prior to DEADLINE June 16, 2023 *** Players will not be able to participate without a completed, signed & dated form*** Submit Don't Wait Any Longer. Get In Touch Today! Email Address Full Name Phone Number Message Send Message