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Saturday Night Lights Camp

Please submit the below form and send your $40 fee to:

Ellsworth Community College
Attn: ECC Head Football Coach Jesse Montalto,
1100 College Avenue, Iowa Falls, Iowa 50126.

You may also print the form and fill it out and send it to the same above address.

Payment and registration may also be done at the door. The cost will then be $50. Check should be payable to ECC Football.

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Medical Release & Waiver of Liability

I hereby authorize the coaches of the Football Camp to act accordingly to their best judgment in any emergency requiring medical attention. A recent physical examination for my son or daughter indicates no reason he or she should not participate in the activities of the camp.

As a parent/guardian of the participant in the football camp, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume full risk of any injury, including death, damages or loss which the participant may sustain as a result of participating in, and all activities connected with or associated with Iowa Valley Community College District.

As parent/guardian, I do hereby fully release and discharge Football Camp and Iowa Valley Community College District and its officers, agents and employees from any and all claims from injuries, including death, damages or loss which the participant or I may sustain arising out of connection with, or in any way associated with IVCCD .

I also give permission for my child's photo to be taken by a college employee and use for promotional purposes on the website and/or print publications.

 
* = required field