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football camp participant touching cone

Houston Texans AbilityCAMP
For all disabilities, developmental and physical

Date: April 26, 2008
Time: 11:30am-2:00pm
Location: Methodist Training Center
8335 Lantern Point Dr.
Houston, TX 77054

11:00 - 11:30am

Registration & Check In
11:30 - 1:00pm Skills Clinic
1:00 - 2:00pm Lunch & Giveaways @ Texans Draft Party

This free interactive camp allows kids with physical disabilities, ages 6-18 to experience first hand the sport of football. This fun-filled day will include instruction and skill development, use of equipment, games, prizes and ends with a snack. Appearances could include players, cheerleaders and Toro the Texans mascot.

Camp is followed by a Pizza Party at the Texans Draft Party!

AbilityCAMP:
Participant First Name:
Participant Last Name:
Parent/Guardian Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Age:
Date of Birth:
Sex: Male
Female
Disabilities:
Seizures:

Yes
No

Medications:
Wheelchair:

Manual
Power

Emergency Contact:
Emergency Contact Phone:
 

AbilityCAMP Participant Waiver of Liability

In consideration of my child (Participant) being permitted to participate in the Houston Texans' AbilityCAMP (event) offered by the National Sports Center for the Disabled (NCSD), on behalf of the Participant, myself, and anyone who obtains rights from the Participant or me, I hereby voluntarily waive, fully release, discharge and agree not to file suit against, and agree to defend and indemnify, the Houston Texans, the NFL, Harris County, Harris County Sports and Convention Corporation, SMG-Reliant Park or any sponsor or entity associated with this event, and NSCD, and each of their respective directors, officers, employees, agents, insurers, various sponsors and paid and non-paid volunteers (collectively, Released Parties) from liability for injury, illness, death, damage or loss to Participant or Participant's property arising out of or in any way related to Participant's activities at the event, including claims that may be caused, in whole or in part by any act, omission or negligence of a Released Party. I have read this form and understand its content and request registration for the Participant. I certify that I am the parent or legal guardian of the Participant and acknowledge that the authorizations, agreements and waivers included herein apply to the Participant.

I understand that the staff/volunteers at the event are not allowed to administer medication or provide personal care such as feeding, toileting, and/or dressing. Anyone needing this type of assistance must make their own arrangements.

Agree: Yes
No
Photo Release
I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree: Yes
No
Participant Name:
Parent/Guardian Signature:
Date:
Sign here: __________________________
Please print this page out and bring it to the camp with you.


P.O. Box 1290, Winter Park, Colorado 80482 USA phone: 970.726.1540 or 303.316.1540 Fax 970.726.4112
Denver Office: 633 17th Street, #24, Denver, CO 80202 phone: 303.293.5711 Fax 303.293.5448 Email:
info@nscd.org

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