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REGISTRATIONPlease completely fill out the information on the attached registration form. Mail registration form along with $75 deposit. Make check payable to MSFC and mail to: Mike Sanford Football Camp P.O. Box 19058 Las Vegas, NV 89132

Call (702) 895-3400 for more information.

EQUIPMENT Campers are encouraged to supply their own equipment. Equipment must include shoulder pads, helmet, chin strap, pads, cleats, mouthpiece, etc. Limited equipment available for $35 rental charge.

INSURANCE / MEDICALAll camp participants must be covered by parent/guardian medical insurance before participating in camp activities. The parent/guardian consent portion of registration form must be completely filled out along with medical profile/insurance form. These forms must be correctly completed before the start of camp. The camp will have a training staff on site at all camp sessions.

THIS CAMP IS NOT SPONSORED OR SUPPORTED BY THE STATE OF NEVADA, THE BOARD OF

REGENTS OF THE UNIVERSITY AND THE NSHE, THE UNIVERSITY OF NEVADA LAS VEGAS,

OR ANY OTHER POLITICAL SUBDIVISION, ITS OFFICERS, AGENTS OR EMPLOYEES OF THE

STATE OF NEVADA.

June 12-15, 2009 at

2 0 0 9

MIKE SANFORDFOOTBALL CAMP

“On the fields of UNLV are sewn the seeds that on other fields, on other days,

will bear the fruit of victory.” — Mike Sanford UNLV Head Coach

m DAY CAMPER ($235)m OVERNIGHT CAMPER ($330)m EQUIPMENT RENTAL ($35)

NAME

ADDRESS

CITY ST ZIP

HOME PHONE

SCHOOL

POSITION OFF. DEF.

SPECIALTY

GRADE IN FALL HT WT AGE

ROOMMATE PREFERENCE

T-SHIRT SIZE: m S m M m L m XL m XXL

Each participant must also fill out a medical profile form available to download online at www.unlvrebels.com

I, ____________, am the parent or legal guardian of

who will be attending the Mike Sanford

Football Camp on June 12 - 15, 2009. I understand that the football

camp will focus on fundamental football skills, including but not

limited to running, lifting, jumping, throwing, kicking, and catching

footballs, and exposure to heat and sunlight.

I further understand that physical contact with other camp

participants, instructors, or objects may be part of said activities.

Such activities may result in injuries to muscles, joints, ligaments,

bones, including but not limited to sprains to joints, and ligaments,

broken bones, dislocations, concussion, sunburns, heat-related

illness, paralysis, and even death. I, and

voluntarily assume the risks. I release and hold harmless

Mike Sanford’s Football Camp and any of its employees, directors,

shareholders and Clark County School District from liability for injury

to resulting from said risks.

INSURANCE CARRIER____________________________________

POLICY# DATE

I sign stating the above information to be true:

SIGNATURE

A DEPOSIT OF $75 MUST ACCOMPANY THIS FORM.Mail registration and deposit to:

Mike Sanford Football Camp

P.O. Box 19058

Las Vegas, NV 89132

MIKE SANFORD FOOTBALL CAMP REGISTRATION FORMKEYS TO OUR CAMP

n OVER 120 COMBINED YEARS OF COACHING EXPERIENCE ON STAFF

n OPPORTUNITY TO COACH YOUR OWN TEAM

n NCAA RULES EDUCATION

n VIEWING OF HIGHLIGHT FILMS

n INDIVIDUAL TEAM INSTRUCTION

n PASSING TOURNAMENT

n EXPERIENCE COLLEGE LIFE WITH DORM ACCOMMODATIONS & DINING COMMONS MEALS

COST DAY CAMPER $235

Includes camp fee, lunch, dinner and T-shirt.

Equipment not included. Additional $35

OVERNIGHT CAMPER $330

Includes camp fee, room, meals and T-shirt.

Bring your own linens or sleeping bag.

Equipment not included. Additional $35

DISCOUNTSTeams of 15 or more overnight campers will receive a discount on camp fees. All applications must be received in one envelope. Please call Mike Bradeson at (702) 895-4145 for details.

DEPOSIT $75

A non-refundable deposit is required with your registration. The balance of your tuition is payable upon arrival. The camp fills up quickly, so to ensure your spot, please register and pay your deposit by May 1, 2008. Payment must be made by Money Order, Cash or Check only.

CANCELLATION POLICYRefunds will be made for medical reasons only.

ABOUT THE CAMPThe camp is designed to accommodate high school age athletes and conform to all high school regulations. Participants cannot have started the 12th grade.

CAMP SCHEDULE7:00am WAKE-UP

7:30am BREAKFAST

9:00am MORNING CAMP SESSION

11:30am LUNCH

2:00pm AFTERNOON ACTIVITY

5:00pm DINNER

7:00pm EVENING PRACTICE

10:00pm LIGHTS OUT

Check-in will be at 7-9 am June 12th. Camp will end at 9 pm June 15th.