Conwell Egan High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Conwell-Egan Catholic High School

Youth Football Camp

The CEC Youth Football Camp is a non-contact instruction camp for students entering 1^st through 9^th grade as of September 2025. The Camp will be for 5 days running from June 23^rd through June 2^7th from 5:30pm-8:30pm each day. The Camp includes 5 days of instruction, guest speakers, daily “Eagle Ball” games and a CEC Football T-Shirt.

All Campers should bring shorts, t-shirt, cleats for outdoors and sneakers for indoors, and a water bottle with their name on it.

Date: June 23, 2025 - June 27, 2025
Time: 5:30pm - 8:30pm
Cost: $80 per camper
Grades: Students entering 1st through 9th grade as of September 2025 are welcome

Deadline For Pre-Camp Registration is June 6, 2025. Walk Up Registrations will also be taken at camp starting at 4:30pm on Monday June 23^rd.

If any questions, please email either Coach Jim Jenkinson at coachjimjenkinson@gmail.com or Head Football Coach Brian O’Hara at oharabrian@conwell-egan.org

Payment Options

Qty

Description

Amount

Total

Football Camp

$80.00

Cost is per child

Total: $80.00

Student Information

Child's Name: *

Grade in Sept. 2025: *

Current School: *

T-Shirt Size: *

Operations or serious injuries:

(dates)

Chronic or recurring illness(es):

Dietary Restrictions:

Current Medications:

Allergies

(Please note whether the allergy is an ingested or a contact allergy)

Does your child carry an Epi-Pen?

If yes, for what allergy:

Comments:

PHOTO RELEASE
I grant permission for my child to be photographed, filmed, videotaped or otherwise recorded and for my child’s likeness, image, appearance, and/or voice to be used in Camp materials, productions made by or on behalf of Conwell-Egan, or in advertising or trade in promoting and publicizing the Camp, Conwell-Egan, or its or their operation, affiliates, and business partners.

Photo/Video Release: *

Parent Contact Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Alternative Departure

Please list anyone who will pick up your child. Only listed adults will be allowed to pick up. All adults authorized for release must present a photo ID at pick up. I grant permission for my child to leave with the following adult guardians in addition to those listed above.

Alternate Name:

Alternate Phone:

Liability Release

I/We being the parents(s) or legal guardian(s) for, above named child(ren) hereby give Conwell-Egan Catholic High School (CEC) staff permission to administer basic first aid when applicable, including the treatment of minor cuts, scrapes, burns (including sunburns) and stings. Medication will not be administered by CEC staff at any time. I hereby give permission to medical personnel and Emergency Medical Services selected by the staff of CEC to provide transportation and treatments, including X-rays and routine tests, for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician/hospital where my child is transported to secure and administer treatment, including hospitalization and surgery, for my child. The completed forms may be photocopied for trips out of camp. I agree to assume financial responsibility for all medical and hospital expenses.

On behalf of the child/minor, I hereby release, discharge and hold harmless, Conwell-Egan Catholic High School, and their employees from and against all losses, claims, actions, costs, expenses and or damages, including attorney fees, arising out of my/our child’s participation in the CEC Football Camp, except for the willful misconduct or gross negligence of Conwell-Egan.

I/We have carefully read this release prior to it’s execution and I/We fully understand its contents.

Parent/Guardian Signature: *

Relationship to the child(ren): *

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *