Lee Williams Football
Welcomes
Coach Mo Football Camps
Get ready for next season NOW! Learn how to get in shape & stay in shape while improving your
football skills, speed and agility with Coach Mo. Well known for his speed training and working with
several NFL draft picks (including 5 first rounders) Coach Mo is the youth football manager for the
Arizona Cardinals and a USA Football trained Player Safety Coach. Utilizing a relentless series of drills
and techniques, we create in each athlete a physical model of improvement at all levels. We have a
well-earned reputation for training the finest in football players from the youth to the professional
levels.
Cost: $ 40.00 Please Make Checks Payable to Coach Mo SportsGroup
Grades 3rd – 9th for the 2015/16 School Year
Sunday June 14th: 6pm-8:00pm), MondayJune 15th:
(9am-11:00am & 6pm-7:30pm)
What to bring: Plenty of Water–Cleats Shoulder pads, Helmet (NO FOOTBALL PANTS), Shorts
Mouthpieces!!!( Shoulder Pad/Helmet Rental will be available.)
Contact us: Cell/Text (480) 217-0175 Email: coachmo@live.com Online: www.coachmo.com
Lee Williams Football
Welcomes
Coach Mo Football Camps
(All registrants must submit release/waiver& Fees before participating in camp activities)
-Release
The Undersigned ("participant") has requested to participate in Coach Mo SportsGroup activities (football, basketball,
track
&
field,
Speedcamp,
football
camps,
and
related/other
activities).
On
this
Date
________________________________________ and any subsequent dates. The participant voluntarily desires to
participate in Coach Mo SportsGroup activities and hereby agrees to release Coach Mo SportsGroup or the abovementioned school from any liability, loss or damage the participant may incur as a result of participation in the activity. I
also understand that there are absolutely no refunds.
Acknowledgement of the assumption of risk:
Participant is not a minor (or, if a minor, this release is signed on the participant's behalf by a parent or legal guardian)
and is voluntarily participating in the Arizona events with full knowledge of the inherent risks, potential hazards and
possible consequences of such participation. Participation hereby expressly releases the host school, staff, officers,
contractors and invitees (collectively referred to as the school) from any cause whatsoever related to Coach Mo
SportsGroup. Participation in the activity or the actions or inaction's of participant or other participants at or in
connection to Coach Mo SportsGroup activities, including, without limitation, any such injury, loss or damage caused in
whole or in part by any act or omission by the host party, team, organization, municipality (host city/state/town), school
or school district, whether in connection with the host facilities/organization’s involvement in scheduling or coordinating
the activity, its ownership or control of any real or personal property used in connection with the activity, if applicable, or
otherwise. We understand that as the club has several entries every event that at times a mistake may be made. If it
happens, we will address the coach and if changes can be made or we will correct it next time. We also understand that
Coach Mo is the Head Coach and can change practice sites & times to suit the needs of the team during certain phases. I
also understand that as a coach & official, Coach Mo and his staff must also “work” the meets/games and are not
available to events during events. We also understand that team positions are not definite. Athletes can be added or
removed at any point. I/We understand that proper sportsmanship, proper etiquette & behavior are to be exercised at all
times by parents & athletes. I/We will contact the head coach to address any problems that may arise before or after
practice or games if possible. I/We have read & understand and am in agreement with the set policies listed above. The
signatures below confirm that both parent (s) & athlete (s) will abide by rules & guidelines set forth herein in and
confirm that both parent (s) & athlete (s) will abide by rules & guidelines set forth herein.
Medical Information-Circle one Y=yes/N=
Asthma Y N Allergies Y N
Glasses/Contacts
Y N Serious Illness
Y N
Sickle Cell
Y N Heart Murmur
YN
Kidney Disease Y N
Seizures {Fits}
Y N Diabetes
Y N Bleeding tendencies Y N
Fractures last year?
Y N
Repeated Bone/Joint injury Y N Surgery in the past Year
Y N
Current Medication (s)
By signing, I/We understand and agree to all the policies above and that my or my child’s participation is at my own risk
and that neither Coach Mo SportsGroup, the Lightning Track Club, the host, host school/park, or any training site the
Lightning uses, coaches, the National Football League (NFL-it’s players, employees, volunteers and alumni), the Arizona
Cardinals (it’s players, employees, volunteers and alumni) other volunteers or athletes will be held liable for any injuries
that occur. I/We also give my permission for any emergency treatment necessary either in practice or competition. I/We
authorize any hospital and or physician to perform treatments from any injuries resulting from any Coach Mo
SportsGroup functions including travel to and from said functions.
_________________________
Athlete’s Signature
_______
Parents Signature
______
Lee Williams Football
Welcomes
Coach Mo Football Camps
_________________________
Athlete’s Name/Age
_______
Athlete’s Name/Age
______
_________________________
Parent’s Printed Name
_______
Parent’s Signature/Date
______
_________________________
Cell Phone Number
_______
Home Phone Number
______
____
_________________
____
Email Address
Please Make Checks Payable to Coach Mo SportsGroup