COBB COUNTY ALL-STAR SENIOR BOWL©

COBB SENIOR BOWL III    DECEMBER 19, 2009  

Player Registration
ATTENTION:  YOU MUST FILL OUT AND SUBMIT THE TWO FORMS FURTHER DOWN THE PAGE

It is a great honor to be selected for the Cobb County High School Senior Bowl. You will be representing not only yourself, but your school and your community. You will have the opportunity to meet alumni players, coaches, sponsors and dignitaries. The game will also be attended by national college coaches, by invitation.

Your participation in the event will require you to accept the responsibility for a ‘Buddy’, and to promote the entire event with character and respect.

You are also responsible for:

1. Registering with the event organizers, the American Youth Council, Inc. Please fill out the TWO forms below and submit as indicated as soon as you are notified of your selection.

2. Attending the official photo shoot for individual and team photos. This will be held on the Kickoff Mini Camp on December 12, 2009 at McEachern High School. Jerseys will be issued and team photos taken after lunch and before the afternoon practice. Note: For those players who are taking the SAT test on December 12, please arrive as soon as you can after the test. You will NOT be disqualified for being late on this day.

3. Encouraging teammates, fans, and friends to purchase tickets and attend the game.

4. Securing your football equipment needed for the Cobb County All Star Senior Bowl and practices. Only Game Jerseys and pants will be provided. You must use your own helmets, practice jerseys, pads, socks and shoes.

5. Attendance is mandatory at the Special Needs event, the pre-game banquet, the pre-game practices, and game week promotional events.

6. Players fee of $150 will be paid by your school, or the booster club. It must be paid before you can play. We will invoice the schools by November 12, with the request that the fees are paid no later than December 1, 2009. Note: If your head coach requires that the selected players sell the 30 $5 tickets to meet this requirement, you will receive a ticket packet from the head coach. Please give the ticket sales money to either your athletic director or head coach. Ask your head coach which is appropriate for your school.

CSB III Player Contact Information

Please complete all fields in this FIRST OF 2 forms. When you hit the 'submit' button ON THIS FORM you will come back to this page. Please then go to the NEXT FORM BELOW, the Health Information form and fill it out and submit it.
First Name:
Last Name:
Address Street 1:
City:
Zip Code: (5 digits)
State:
Parent Name:
Parent Phone:
Parent Email:
Your Email:
Your Phone:
Position:
School:
PHOTO RELEASE:

I give the American Youth Council, Inc. the right to use, publish, display, and/or reproduce any photographs in which I appear (my child appears), including the right to edit or use a portion or all of the photographs for promotional publications, promotional materials, the Cobb Senior Bowl website and/or other Cobb Senior Bowl program-related purposes.

I further agree that the Cobb Senior Bowl will own the photographs and all rights to them, may copyright the photographs in its own name and may grant to others permission to use them.

I understand that my name will not be published on the Internet.
Photo Release Signature (parent signs if player is under 18):
Security Code: *  

 

CSB III Player Health Information

Players will be covered under a group liability policy for the event. There will be a medical trainer on site at all times, and emergency care will be summoned if required. If a player requires further medical treatment, he will be transported to an appropriate medical facility. There are doctors and hospitals minutes away from the event facility. Every effort is made to protect the health and safety of the players.

No payment for medical services is agreed to or implied by American Youth Council, Inc. , or by any host High School.

When the form is completed and submitted, you will return to the Home Page.  You will receive a confirmation email when all information has been received.


IMMUNIZATION HISTORY (please insert dates - IMPORTANT - IF YOU DO NOT HAVE READY ACCESS TO THE IMMUNIZATION DATES, PLEASE TYPE 'CURRENT' IN ALL APPLICABLE BOXES)
Hepatitis B:
TB Test:
Rubella:
Rubella Booster:
Chicken Pox:
Meningitis:
Tetanus:
Measles:
DTP Series
PHYSICIANS CLEARANCE: Campers with the following conditions must provide written physician's clearance before attending camp. Please fill out any information in the form below, and bring physician's letter to Kickoff Mini Camp on December 12, 2009. Please specify the condition in the space provided.
Fracture in the last 6 mos.
Surgery in the past year::
Spinal or Head Injury:
Diabetes:
Heart Condition:
Loss of Organ:
Hemophilia:
Seizure Disorder:
Hospitalization in the last 6 mos:
PARENT/GUARDIAN AUTHORIZATION: To the best of my knowledge the health information provided is correct and the person described herein has my permission to engage in all Cobb Senior Bowl III activities, with the exception of any physical limitation as described.
PLAYER:
PARENT/GUARDIAN:
WITNESS:
Security Code: *  

                               
        OFFICIAL TEAM SPONSOR

                                                          

                      OFFICIAL HAT SPONSOR

           

                                                                                                                            CLICK FOR SPECIAL CSB III
                                                                                                                                   EVENT COVERAGE

                                    
         
Extreme Performance Enhancement                                                                                               CLICK HERE
                                                                                                                                                FOR SPECIAL
                                                                                                                                           COBB SENIOR BOWL
                                                                                                                                                ATHLETE SITE

     
       
                            
                                                                                                                                 Cobb County Touchdown 
                                                                                                                                               Club
                 

                    

                     



                                            
                                                             
                     
                                                          

                                                                                                  



                                    


                                      
                                                          
                                                              
                                                                                                                                                                                                                                                                                
                                                                                                               

                                                                                                              Trouble with the site?  
                                                       director@cobbseniorbowl.com
 
                                                                                              Copyright 2008 American Youth Council, Inc.
                                                                                                                    All Rights Reserved            

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