Registration FormName_____________________________________

Address___________________________________

_________________________________________

Phone ( ) _____________________________

School/ Group_____________________________

Emergency contact # ( ) __________________

Contact Name _____________________________

Date of Birth ______________________________

Grade level - 1 2 3 4 5 6 7 8 (Please circle)

Youth T-Shirt size S M L XL

Adult T-shirt size S M L XL XXL(Please circle one size per player)

In case of any injury the parents insurance would be the primary insurance coverage.

Insurance Co.__________________ Policy #_____________________

______________________________________________(Signature of parent or guardian. Consent release in case of injury or illness)

What to Bring Cleats Running shoes Water Bottle Any Inhalers or Meds

Camp LocationSkillings FieldSkillings Road, Winchester, MA, 01890

Field is located next to Winchester High School

Registration OptionsBy Mail: mail completed form, check made payable to

'Junction Camps' and registration to the following address.Junction Camps

106 Providence RdWestford, MA 01886

781-858-6567By Paypal: Click link below or go to paypal.com and send registration fee to junctioncamps@gmail.comPlease make sure to put athlete's name in the 'add special instructions to seller' under the shipping information.

If you pay through paypal please bring completed registration form to camp check-in.

Registration FeeTake advantage of our early registration discount by signing up on or before June 10, 2013 and only pay $99.00 per camper.Registration Fee is $120.00 per camper after

June 10

Refund PolicyRefunds will only be issued after receipt of a written cancellation notice up to one week prior to the camp start date. The registration cost includes a $20.00 non-refundable processing fee. Any player who leaves the camp due to injury or medical reason will receive a pro-rated refund.

Cancellation PolicyJunction Camps function under a rain or shine policy. If for any reason the field or weather is deemed “not playable” or “dangerous” to players or staff, camp will be canceled for the evening and no refund will be given for the day lost. Additional time may be added to the

remaining scheduled days to make up for the lost time.Junction Camps and Big Blue Football in conjunction

with Sachem Youth Football Presents

Black & Big Blue

Football Camp

For Elementary & Middle School Athletes

Located in Winchester, Massachusetts

June 24-27, 20135:00pm – 7:00pm

Black & Big Blue Athletes and Staff

Camp Directors

Tom CaitoShaun Hart

Paul ManganaroLeon Modeste

Camp OverviewThe Black & Big Blue Football Camp includes both a fundamental and advanced technique program emphasizing individual instruction. Players will enhance their game by receiving technique and drill instruction on position specific skills. Additional drills will be used to improve speed and agility.

The coaching staff will teach both strategy and appreciation for the game particularly the qualities of sportsmanship.

The ultimate goal of the Black & Big Blue Football Camp is to provide each participant with an enjoyable and rewarding experience.

The Junction Football Staff is comprised of top football coaches and trainers from schools throughout Massachusetts.

Instructional ObjectivesFundamental skills in areas of quarterbacking, receiving, rushing, and line play will be stressed in the offensive drill periods.

Defensive drills will include defensive line play, linebacker play, and secondary skills.

Skills and techniques in the areas of kicking and punting will be taught by coaches who specialize in this area.

A Typical Day4:45pm Check In (Monday Only)

5:00-5:15pm Warm Up and Stretch &

Meet with Coaches

5:15-5:45pm Offensive Drills Session

5:45-6:15pm Defensive Drills Session

6:15-7pm Special Teams Session Team Building period, Short Game, or Guest Speakers

Black & Big BlueFootball Staff

Tom Caito, DirectorSachem Youth Football/ Assistant CoachMember of the Rhode Island Football Hall of Fame 1983Member of the Massachusetts Football Hall of Fame 1993Head Coach Chelmsford High School 1976-1995Head Coach Merrimack College 1996-2001

Shaun Hart, Director Assistant Football Coach Phillips Academy, Andover

Paul Manganaro, DirectorHead Football Coach/ Director Sachem Youth Football

Leon Modeste, DirectorHead Coach Phillips Academy, Andover

Lou BernieriAssistant Coach Phillips Academy, Andover

Rob Gronkowski speaking at B &BB 2012