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football camp participant touching cone

Houston Texans Specialty Football Camp
For all disabilities, developmental and physical

Date: Thursday, April 22, 2010
Time: 5:00pm - 8:00pm
Location: Methodist Training Center
8335 Lantern Point Dr.
Houston, TX 77054

Directions:
Take 610 South Loop and exit North on Kirby
Take Kirby to Murworth and go West (left)
Take Murworth and exit right into the Teal Parking Lot

5:00pm - 5:30pm

Registration & Check In
5:30pm - 7:00pm Football Skills Clinic
7:00pm - 8:00pm Pizza Party & Giveaways @ Texans Draft Party

This free interactive camp allows kids with disabilities, either physical or developmental, 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 Pizza Party at the Texans Draft Party. Appearances could include players, coaches and the mascot, TORO.

Sports Camp:
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:
 

Sports Camp Participant Waiver of Liability

In consideration of my child (Participant) being permitted to participate in the Houston Texans' Sports Camp (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:
Date:
By checking this box, this will act as your digital signature. I agree
Please print this page out and bring it to the camp with you.


P.O. Box 1290, Winter Park, Colorado 80482 USA ph: 970.726.1540 or 303.316.1540 fx: 970.726.4112
Denver Office: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email:
info@nscd.org
KC Office: 4600 63rd St, Kansas City, MO 64130 ph: 816.513.7571 Email:
infokc@nscd.org

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