PART II
By
checking this box
you agree to the
terms and condi-
tions of PART II
of Chuck Wiley’s
Front 7 Football
Combine Camp
Disclaimer
I FURTHER HEREBY RELEASE, ABSOVLE, IN-
DEMNIFY AND AGREE TO HOLD HARMLESS
CHUCK WILEY, FRONT 7 LLC, CHUCK WILEY’S
FRONT 7 FOOTBALL COMBINE CAMP, SEEDS
OF SUCCESS, BOARD OF DIRECTORS, TRUS-
TEES, THE ORGANIZERS, DIRECTORS, SPON-
SORS, SUPERVISORS, COACHES, REFEREES,
COUNSELORS, KING’S RIDGE CS, AND AD-
MINISTRATION AND EACH OF THEM, FROM
ANY CLAIM, DEMAND, OR ACTION ARISING
OUT OF, OR IN ANY WAY RELATED TO CHUCK
WILEY’S FRONT 7 FOOTBALL COMBINE CAMP
OR RELATED ACTIVITIES, INCLUDING, BUT
NOT LIMITED TO ANY INJURY TO MY CHILD
EXCEPT AND ONLY TO THE EXTENT OF AND
IN THE AMOUNT COVERED BY ANY ACCIDENT
OR LIABILITY INSURANCE. IN THE EVENT OF
AN INJURY, CHUCK WILEY’S FRONT 7 FOOT-
BALL COMBINE CAMP-STAFF IS AUTHORIZED
TO OBTAIN ANY MEDICAL CARE OR TREAT-
MENT DEEMED NECESSARY. I HAVE CARE-
FULLY READ THE ABOVE WAIVER AND RE-
LEASE AND FULLY UNDERSTAND THIS IS A
RELEASE OF LIABILITY AND I HAVE SIGNED
IT VOLUNTARILY. I ALSO GIVE PERMISSION
TO HAVE MY CHILD’S
IMAGE/VOICE/
PHOTOGRAPH TO BE USED BY THE FRONT 7
FOOTBALL COMBINE CAMP FOR PROMO-
TIONAL AND EDUCATIONAL PURPOSES. I
UNDERSTAND THAT THEY WILL BECOME THE
PROPERTY OF CHUCK WILEY’S FRONT 7 JRS
FOOTBALL COMBINE CAMP.
Chuck Wiley’s
Front 7 Football
Combine Camp
PO Box 467004
Atlanta, GA 31146
cw@chuckwileysfront7.com
Fax: (270)682-0459
CAMPER’S NAME
CAMPER’S AGE
SCHOOL
PARENT OR GUARDIAN
STREET ADDRESS
CITY/STATE/ZIP
EMAIL ADDRESS
HOME & CELL PHONE
HEALTH INSURANCE CARRIER
POLICY NUMBER
CARRIER TELEPHONE NUMBER
EMERGENY CONTACT INFORMATION
FIRST CHOICE (Full Name)
HOME NUMBER
CELL NUMBER
SECOND CHOICE (Full Name)
HOME NUMBER
CELL NUMBER
Camp Registration Form
Chuck Wiley’s
Front 7 Football Combine Camp
Superior football instruction, skill development
drills, SPARQ testing, official camp T–shirt, snack,
cha