Ouachita Baptist University | Christian Liberal Arts College

Tiger Football Team Camp

Registration
Camper Name*
First Last
Address*
Street Address City State ZIP Code
Date of Birth*
MM
DD
YYYY
High School*
Home Phone
Cell Phone
Emergency Contact*
First Last
Emergency Phone*
Requested Roommate Name
First Last
T-Shirt Size*
Select One*
Extra T-Shirt Order (List Quantity, $10 per shirt)
Small Medium Large XL 2XL 3XL
Health Insurance
By completing the information below, I acknowledge that I understand that Ouachita Baptist University and the camp staff do not provide primary insurance coverage during Tiger Football Team Camp. Camp tuition covers secondary accident insurance. In case of injury, the parents' or guardians' insurance is the primary insurance coverage.
Parent/Legal Guardian Name*
First Last
Insurance Company*
Group Number*
Statement of Disclaimer
By completing the information below, I hereby certify that I am the parent or legal guardian of the student named on this application. I hereby grant permission for him to participate in the Tiger Football Team Camp and acknowledge the fact that he is physically able to participate in camp activities. I hereby release the camp and its employees from all claims from injuries or illnesses which may be sustained by our son and authorize the director or his designee to select hospital facilities and/or a physician of his choice and authorize treatment of the camper on this application on an emergency basis in the event such treatment becomes necessary while attending Tiger Football Team Camp.
Parent/Legal Guardian Name*
First Last
Date (MM/DD/YYYY)*

Small	Medium	Large	XL	2XL	3XL

Tiger Football Team Camp Registration

Tiger Football Team Camp

Registration

Health Insurance

Statement of Disclaimer