2018 Winter Showcase NJ $125.00 WHEN: December 9th, 2018 11-2pm WHERE: 460 Milltown Rd. Bridgewater, NJ. 08807 *Student Name Primary Position (Choose 1) Other Positions Height/Weight Date of Birth Day12345678910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 *Graduation Year *Current School *GPA SAT/ACT *Athletes Cell # Twitter/Facebook *EmailBe sure you regularly check this email for pertinent camp information. *Street Address *City *State Zip *Country *Parent/Guardian *Parent Cell # Parent Email Shirt Size (S,M,L,XL,XXL) *Where did you hear about the camp? *CONSENT, WAIVER & RELEASEIn consideration of my participation, I intending to be legally bound do hereby, for myself, my heirs, executorand administrators, waive, release and forever discharge any and all rights and claims for damages, which I may have or which may hereafter accrue against Get Recruited Exposure Football Camp, any coach involved in camp, and/or their respective officers, representatives, successors, and/or assigns, for any and all damage which may be sustained or suffered by me in connection with my association with or participating in and/or rising out of my travel to or from this camp. THIS WILL HEREBY CERTIFY THAT THIS PARTICIPANT IS QUALIFIED TO ATTEND THIS CAMP. I further state that officers, representatives, successors, and/or assigns are in no way responsible for any pre-existing injury, or re-occurrence of any injury or illness, disclosed or undisclosed. I give my written permission for my child to be treated by a medical doctor if deemed necessary by coaches. I, THE PARENT OR GUARDIAN, DO HEREBY AGREE TO THE ABOVE WAIVER AND RELEASE FURTHER CERTIFY HEALTH INSURANCE COVERAGE FOR THE PARTICIPANT NAMED HEREIN AND ACKNOWLEDGE THE SOLE USE OF SAD HEALTH INSURANCE IN ALL CASES RELATIVE TO PARTICIPATION THIS CAMP. Yes I agree INSURANCE INFORMATIONIMPORTANT: Your health insurance information will be the source of care should illness or injury occur. *Name of primary care physician *Phone *City Any known allergies An additional person, when a parent/guardian is unavailable, to contact in an emergency situation *Name *Relation *Cell # Work # Any Questions, please contact Andrew Cohen at (570) 428-2872 *Player Evaluation Only Additional $59.99 Yes I would like to get a profile, evaluation of film and a listing of level of play. 2018 Winter Showcase NJ quantity Add to cart Category: Uncategorized Related products 2018 Spring Showcase PA $125.00 Add to cart My Football Recruits Services 450 $450.00 Add to cart 2020 February Showcase FL $65.00 Add to cart Player Evaluation $59.99 Add to cart