RELEASE FO

RM

In consideration of the acceptance of this application for registration, I, intending to be legally bound, hereby for m

yself, my heirs,

executors, and administrators, w

aive and release any and all rights and claims for dam

ages I may have against Pleasantville C

SD or its representatives and/or assignees, for any and all dam

ages which m

ay be sustained and suffered by me in connection w

ith m

y association with or entry in this cam

p, and which m

ay arise out of my traveling to, participating in, or return from

the camp.

APPLICAN

T’S SIGN

ATURE __________________________________________________________________ DATE __________________

PARENT/G

UARDIAN

SIGN

ATURE ____________________________________________________________ DATE __________________

A $10 deposit must accom

pany this application (if not paid in full). Balance of the camp fee w

ill be due the first day of camp. N

o refunds on deposits

INSURANCE The Trojan Football Camps will not have insurance to cover player who attend the camp. In the case of an injury, Pleasantville will not be liable for the health costs. Each camper will be covered under their families’ health insurance.

TROJAN FOOTBALL

CAMPS 2020

Pleasantville High School KG - 2nd grade camp 3rd - 6th grade camp 9th - 12th grade camp

WEEK OF AUGUST 2nd - 6th

7th - 8th grade camp

WEEK OF AUG 17-19th

PLEASANTVILLE FB CAMPS are aimed at providing a positive learning experience for each camper and to help them attain their goals for next season.

CAMP COSTS: Grades 7-12 = $40 Grades 3-6 = $30 Grades K-2 = $20

A $10 non-refundable deposit is due by July 27th for all other applications in order to ensure enrollment and a T-shirt. The entirety of the balance must be paid by first day of camp. *CONTACT COACH JORTH WITH QUESTIONS ABOUT PAYMENT Make all checks payable to:

PLEASANTVILLE FOOTBALL CAMP ALL FORMS MUST BE TURNED IN BY

JULY 27th

EQUIPMENT NEEDS Athletic clothing. Cleats are also needed for 7-12th graders. All other ages can wear them if they have them, but not mandatory.

KG - 2nd Grade Camp Time: Sun, Aug 2nd 6-7:30 pmCost: $20Camp will include: -Camp T-shirt -Free admit to first home varsity FB game -An intro to the fundamentals of FB -Fun working with varsity FB players

CAMP STAFF Mack Jorth - Head Coach and Camp DirectorCoach Jorth is entering his 3rd year as head coach of the Trojans. He can be reached at the email below with any questions:

mjorth@pvillecsd.org

Josh Cook - Defensive coordinator, linebackers and running backs coachDillon Daniel - JV head coach and offensive coordinator, defensive backs and wide receivers coachEric Hoffman - Offensive and defensive line coach

Chase Lampe - Offensive and defensive line coachRyan Conrad - Varsity assistant coach

Derek Bingham - Middle school coachRobert Friday - Middle school coachBrian Harkin - Middle school coach

Cam

per’s Nam

e: ______________________________________ Grade in fall of 2020 _______ C

ircle the camp this student

Address _____________________________. City __________________________ Zip ____________ w

ill be attending:

Phone Num

ber ________________________________ School ________________________ K-2 3-6 M

S HS

Payment: $10 Deposit ______ or Full Paym

ent ____

T-Shirt Size: Youth S _____ Youth M _____ Youth L _____ Sm

all _____ Med _____ Large _____ XL _____ XXL ______

Make checks payable to: PLEASAN

TVILLE FOO

TBALL CAM

P, Attn: Mack Jorth, 415 Jones St Pleasantville, IA 50225

Please fill out the on the back of this application. It must be com

pleted in order for your athlete to participate.

Return the sign up sheet and signed release form by July 27th

3rd - 6th Grade Camp Time: Wed-Thur, Aug 5th-6th 3:30-5:00 pmCost: $30Camp will include: -Camp T-shirt -Work on the fundamentals of FB -Intro to core concepts of the Trojan FB program -Fun working with varsity FB players

MS Camp Time: Mon Aug 17th - Wed, Aug 19th 4-5:30 pmCost: $40Camp will include: -Camp T-shirt -Work on the fundamentals of FB, as well as an introduction to the foundations of the Trojan FB program -Fun working with varsity FB players

HS Camp Time: Monday-Thursday, Aug 3rd-6th, 5:30-8 pmCost: $40Camp will include: -Camp T-shirt -Work on the fundamentals of FB, as well as fun competitions -Installation of offensive and defensive scheme