Prime Time/Suffolk PAL Football Academy (July 11-15)

2022 Prime Time Football Academy held at The Suffolk PAL Sports Complex (Holtsville, NY)

Grades 2-8; All Positions

Monday July 11th- Friday July 15th

Directed by Former Miami Dolphins and NY Jets QB Jay Fiedler

Learn fundamental techniques of playing your position to improve your skills along with strategy and mental training to improve your overall Football IQ and resilience to challenges the game of football poses.  All campers will be taught by high level coaches who are experts at teaching positional skills.  Our staff also understands the balance between working hard and having fun.

JOIN THE TOP FOOTBALL CAMP IN THE AREA BY REGISTERING BELOW

2022 Prime Time/Suffolk PAL Football Camp Registration Form

July 11-15th at The Suffolk PAL Sports Complex 700 Furrows Rd., Holtsville, NY 9am-Noon Daily

Camper/Athlete Information

Camper Name *

First

Last

Camper's HS Grad Year *2026 (entering 9th grade)2027 (entering 8th grade)2028 (entering 7th grade)2029 (entering 6th grade)2030 (entering 5th grade)2031 (entering 4th grade)2032 (entering 3th grade)2033 (entering 2th grade)

Camper's Shirt Size *

• Youth Medium
• Youth Large
• Adult Small
• Adult Med
• Adult Large

Offensive Position *

• QB
• RB
• WR
• TE
• O-Line

Defensive Position *

• DB
• LB
• D-Line

School/Club/Program *

Twitter Handle

Instagram Handle

Health & Medical Information

By signing and submitting this online form, you acknowledge and understand that the tuition fee includes 5 days of on-field instruction in a non-contact setting, camp shirt, and accident insurance. You hereby authorize Prime Time Sports Camps, Inc., The Suffolk PAL, it's affiliates, officers and staff members to act for you according to their best judgement in any emergency requiring medical attention, and hereby waive and release the camp, affiliates, officers, and staff from any and all liability for injuries incurred while at camp. You understand that accident insurance is provided, but health insurance is not.

Health Insurance Provider: *

Health Insurance Policy #: *

Does the camper have any allergies or medical issues of which we should be made aware? *

• Yes
• No

List all known allergies or medical conditions below:

Parent/Guardian Contact Information

Relationship *

• Mother
• Father
• Guardian

Name *

First

Last

Email *

Phone *

Enter the best phone number to reach you in case of emergency at the camp

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Payment Options *Leave a Deposit - $ 50.00Pay in Full - $ 299.00Pay Later - $ 0.00

A minimum of a $50 non-refundable deposit is required to reserve a spot in the camp. Further information and instructions for attending the camp will be provided following receipt of your payment. If you decide to pay later, your spot in camp may not remain available.

Processing Fee

Price: $ 1.85

Processing Fee

Price: $ 11.50

Total

$ 0.00

Stripe Credit Card *

Card

Name on Card

Signature

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