Joe Namath/John Dockery Football Camp
PO Box 1010, Latham, NY, 12110

(Toll Free) 866-626-2841
www.joenamathcamp.com

Complete and return along with $50.00 deposit. Camp runs from July 6th-July 11th, 2008. Tuition for our 2008 session is $750.00 for overnight campers and $450.00 for day campers. A $50.00 non-refundable deposit is required with your application. Full payment on all balances must be paid on or before your arrival at camp. No refunds after June 27, 2008 can be made for late arrivals, early departures, illness, injury, cancellation or dismissals. Group rates are available upon request.

Camper's Name_______________________________________________________________

Address______________________________________________________________________

City_____________________________State________________Zip_____________________

Age (as of 7/11/08)__________Birthdate___________Height___________Weight_________

Parent's Name________________________________________________________________

Home Phone____________________________Work Phone___________________________

Name of School/Organization ___________________________________________________

How did you hear about the camp?_______________________________

Email address (optional) _______________________________

Program (Please Circle One):

                                         Day Camper                                          Overnight Camper

Additional Clinics (Please Circle One):

 Quarterback                  Weight Training                  Speed Development

Health Insurance Plan__________________________________________________________

Plan Number__________________________________________________________________