2008 ALL-STATE QUARTERBACK SCHOOL REGISTRATION FORM
Session: Southwest Ohio - Lakota West
High School
Name_________________________________________
Grade (in September 2008)_________________________________________
Address_________________________________________
City:_______________________________________
Province:______________________________
State__________ ZIP__________
E-Mail_________________________________________
Father/Mother
(Name)_________________________________________
Home Phone_________________________________________
Parent Work Phone_________________________________________
Parent Cell Phone________________________________________
School
Name_________________________________________
T-shirt size (Men's): M
L XL XXL
My son has my permission to attend the 2008 All-State Quarterback
School. I certify that my son is in good health and capable of participating in
all activities. Further, by signing below, I agree to assume the risks associated
with participating in the school and release the All-State Quarterback School,
Inc., the camp director and staff from all liability except for acts of gross
negligence.
X_________________________________________
Signature
of Parent or Guardian
Only U.S. cash, U.S. cashier's checks, U.S. personal
checks or U.S. money orders accepted. All registration forms with payments are
due two weeks prior to desired session. Walk-in registrations may be accepted,
space permitting.
All refunds will be assessed
a $25 processing fee per registration. Mail registration form
with payment to:
All-State Quarterback School, Inc.
3592 Torrington Court/Shelby
Township, Michigan 48316
For additional information, call Terry Copacia
at (248) 652-1162 or email
| 
2 day camp - $185 
