Camp Application
Please Print this application and send it to:

Sandusky Associates
130 Grandview Rd.
State College, PA 16801

Due:  Capital College May 22, Erie- May 29

Please pay in full with check or credit card.  Cancellations must be in writing and must be received twenty days before camp.  After this, cancellation will count for 20% of tuition.  Campers will be sent additional information after applications are received.  Sandusky Associates reserves the right to cancel the camp at any time and pay full refunds minus travel expenses.  A $10 discount, per person, will accompany teams of eight or more who apply and mail applications together.  The number of coaches hired and equipment rented depends on the initial enrollment.  For this reason there must be a strict payment calendar.  Sorry.

Name __________________________________   Grade in Fall ___
Address _________________________________  Apt. ____
City ________________________  State ____  Zip________
E-Mail Address ______________________________

Home Phone ___________________
Parents Work Phone  (mom) ___________________
                        (dad) ___________________
Emergency Phone      _____________________
Coaches Name  _________________________________________
Height ______________  Weight _______________
Position in camp       Offense ___________  Defense ___________
Tee- Shirt Size (circle)     S    M    L    XL
Location:   Capital College   Overnight ($305) ______  Day ($210) _______
(check one) Erie   Overnight ($305) _______ Day ($210) ______
                  Roommate Preferred _____________________________________
Family Physician ________________________  Phone ______________________
Insurance Company _______________________________________
Medical Conditions _________________________________________
Credit Card?    Visa ___  Mastercard ___  American Express ___ Discover ___
 Card Number _______________________exp.___________
Waiting List?  Yes ____ No ____

I approve of my child's attendance at football camp and certify that they are in good health and able to participate in all camp activities.  If medical attention is required for illness or injury while attending camp, I give my permission for such care and release the camp, it's staff, and the college of all liability for any illness or injury.

Signature of parent __________________________ Date ____________

Any Questions? Call (814) 237- 2638 or e-mail us at info@thesanduskyfootballcamp.com
* feel free to make copies if more are needed *