Fill out and submit the form below.

*-Required Fields

 
PARTICIPANT INFORMATION
First Name * Last Name *
Age At Time Of Event *  
 
Gender *  
Male / Female  


Shirt Size*
Youth Size
Small
Medium
Large
Adult Size
Small
Medium
Large
X-Large

Number of Years You Have Attended CAMP COWBOYS Including 2011 *
1-year 2-years 3-years 4-years


 

MAIN CONTACT INFORMATION
All Camp Information will be sent to the Main Contact.
Parent/Guardian First Name * Parent/Guardian Last Name *
Address *
City * State *             Zip *
   
Telephone (Home) *
Telephone (Work)
Telephone (Mobile)
Main Contact Email *

(Must have email address for camp confirmation and updates)


Emergency Contact Name and Phone Number.
Full Name * Phone Number *
Emergency Contact Relationship:

SESSIONS
Please Select Your Session(s):*

Football Camp
Ages 7-14
5-Day (Monday-Friday) . 9:00 a.m. - 4:00 p.m.
$300 Per Player, Per Session ($325 After May 1st)
[All Dates/Locations/Times Subject To Change]

$3005-Day (Monday-Friday) June 6-10, 2011 - :
Arlington - Cowboys Stadium

$3005-Day (Monday-Friday) June 20-24, 2011:
Arlington - Cowboys Stadium

$3005-Day (Monday-Friday) June 20-24, 2011:
Dallas - Episcopal School of Dallas

$3005-Day (Monday-Friday) June 27-July 1, 2011:
Frisco - Heritage High School

$3005-Day (Monday-Friday) July 11-15, 2011:
Arlington - Cowboys Stadium

Ages 7-14
3-Day
* $150 Per Player, Per Session ($175 After May 1st)
[All Dates/Locations/Times Subject To Change]

$1503-Day, March 14-16, 2011:
McKinney - Michael Johnson Performance Center (8AM-NOON)

$1503-Day, June 13-15, 2011:
Austin - Steiner Ranch (8AM-NOON)

$1503-Day, June 20-22, 2011:
Austin - Cedar Park (8AM-NOON)

$1503-Day, July 20-22, 2011:
Arlington - Cowboys Stadium (8AM-NOON)

$1503-Day, July 25-27, 2011:
McKinney - Michael Johnson Performance Center (8AM-NOON)

Ages 14-18
Enrollment limited to high school students entering Grades 9-12 as of Fall 2010
3-Day (Wednesday-Friday). 5:00 p.m. - 9:00 p.m.
$150 Per Player ($175 After May 1st)
[All Dates/Locations/Times Subject To Change]

$1503-Day, June 8-10, 2011:
Arlington - Cowboys Stadium (5PM-9PM)

 
PAYMENT INFORMATION

Your total is: $


Charge to my *

 
CC Number * Exp. Date *

Card Holder's Name and Address:
First Name * Last Name *
Billing Address *  
City * State * ZIP *
Email *
Day Phone # w/ Area Code *

WAIVER*
In consideration of the Participant's right to participate in the Event, I agree as follows:

  1. I authorize the Participant to participate in the Event.
  2. I acknowledge that the Participant's participation in the Event involves risk of serious bodily injury, death, and/or property damage. I assume and accept all risk of bodily injury, death, property damage and other harm connected with the Participant's participation in the Event. I acknowledge that I am responsible for any and all medical expenses due to the Participant's illness or injury in connection with the Event.
  3. I acknowledge that the Event may involve strenuous and hazardous physical activities and I certify that the Participant is in excellent physical health and has no physical limitations, medical ailments, physical or mental disabilities that would prevent the Participant from participating in the Event. I grant permission to the Event parties to provide the Participant with emergency medical treatment if needed.
  4. I hereby indemnify, hold harmless, agree not to sue, and release the Parties: Dallas Cowboys Football Club, Ltd., any Dallas Cowboys player, Gene and Jerry Jones Family Charities, Cowboys Stadium, L.P., the National Football League, any participating agencies, their officers, directors, members, employees, volunteers, owners, agents, affiliates and corporate sponsors both as organizations and each person individually from any and all liability for all claims, demands, losses, damages and costs, including reasonable attorneys' fees, that arise out of or in connection with any personal injury, even injury resulting in death, property damage, and/or other loss suffered by the Participant in connection with Participant's participation in the Event.
  5. I authorize the Parties to take photographs and videotapes of the Participant and to record the Participant's voice, conversation and other sounds during and in connection with the Event. I acknowledge that the Parties shall own exclusively all copyright and other rights in and to such tapes, photography, and recordings and may use them forever and throughout the world in any manner without compensation to me or the Participant. I authorize the Parties to use the Participant's name, voice, likeness, and any biographical facts provided to the Event in advertising and promoting the Parties without further compensation.
  6. I acknowledge that I am to be in attendance for the duration of the event and that I am solely responsible for the Participant, he/she is under the direct supervision of my party and is my responsibility during the event.
  7. I certify that I am the parent or legal guardian of the Participant, should the Participant not be of a legal age to sign this release.
  8. I acknowledge that by signing this release I will be forever prevented from suing or otherwise claiming against the Parties for any property loss or personal injury that may be sustained while participating in or preparing for the Event.
  9. I acknowledge that I have read and understand this release fully, understand its contents, and I am aware that by signing this release I am waiving certain legal rights which me or my heirs, next of kin, executors, administrators and assigns may have against the Parties.
  10. I have signed this release of my own free will.
Agree

Is your child on medication, or have any medical condition or allergies of which we should be made aware?
Yes     No
If you answered "Yes", then please provide details:
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