Print an fill out form. Make Checks payable and send applications to:

Chesapeake Sports c/o MGN Solutions Group
PO Box 4115
Crofton Md. 21114

Name: ____________________________________________

Age (at time of camp): ________

Address: __________________________________________

City: ____________________________________ State: ____  

Zip Code:______

Home Phone ______________________________

Email Address: _____________________________________

Club/ Team/ School: _________________________________

Date of  Last Tetanus Shot (REQUIRED) __________

Shirt Size (Check One) Youth Large ____ Adult Small ____ Adult Medium ____ Adult Large ____ Adult X-Large ____

Tuition is $95 per camper before May 1, and $125 per camper after May 1.

I confirm that my child's health meets medical standards for participation in the physical activity in a football camp. I understand that football is a contact sport and injuries sometimes result from participation. I further understand that neither Little Pro Football Camp nor the coaches and staff of Little Pro Football camp assume responsibility for accidents medical or dental, resulting from sports training during my child's stay on the camp ground or during travel. I give my consent and approval for the responsibility for the Little Pro Football Camp , its director, and staff to act on my behalf in securing emergency medical attention fort he above applicant from a licensed physician or hospital. 

Parent/Guardian Signature: ______________________ Date: ______

Physician's Name: _____________________   Phone # __________