* Required

Hilltopper Youth Football Camp

Summer 2022

Grades 4-8

Camp Dates/Time: June 27 - June 30, 5:30 p.m. - 7:30 p.m.
Camp Location: Takton Field at MUHS, 3401 W. Wisconsin Ave., Milwaukee, WI
Camp Cost: $130

Camp Coordinator: Varsity Head Coach Keith Klestinski, klestinski@muhs.edu


Please select the school that the student will be attending in the Fall of 2022.​​​
Please enter the name of the school.​​
​​​​​​​​​​​​​​Please select the grade that the student will be entering in the Fall of 2022.​​​
​​​​​​​​​​​​​​​
​​xxx-xxx-xxxx​​​​
Number we can call in case of an emergency and the parent primary phone number is not answered.​​​​​​
xxx-xxx-xxxx​​​
​​​​​​If no email, enter NONE.​​​​​
If no email, enter NONE.​​​​

Each attendee should be covered by a parent or guardian's health insurance policy. Anyone participating in a summer sports camp must have health insurance. Marquette University High School does not provide health insurance coverage for athletes. In any sport, especially contact sports, there is a risk of injury. Injuries to organs, paralysis and even death may occur. Students without health insurance may not participate.

List any health concerns/allergies of which we should be aware.​
By checking the "I Agree" box below, I, as the parent or guardian of the student being registered, give permission for him to participate in the camps offered by Marquette University High School. I understand that some of the camp activities are designed to increase workload on the musculoskeletal system and cardiovascular system and thereby improve their function. There exists the possibility of certain changes or risks occurring during any physical activity. They include muscle soreness, fatigue, abnormal blood pressure, fainting, irregular, fast or slow heart rhythm, and in rare instances, heart attack, stroke, or death. While these changes in addition to injury are rare, they are possible and cannot be predicted with complete accuracy. As the parent/guardian of the named student, it is my responsibility to provide any medical information which may affect his full participation in the camp and to report any adverse reactions or injury resulting from participation. A physical completed within the last year does not provide any reason why he should not participate in this camp or any of its activities. If some emergency should occur I give the camp staff permission to seek medical attention and provide care according to their best judgment. I also understand that because safety is of the most importance during such activities, participants who do not behave appropriately will be asked to sit out for the session, with continued misbehavior being just cause for termination of camp participation. I have read the above form and fully understand it, agreeing to the camp rules. Any questions have been fully answered to my satisfaction. I hereby release the camp staff and Marquette University High School from any liability incurred through its camps.​​​​​​​​

As the parent or legal guardian, I give permission for my child to be included in photographs, videos or articles generated by Marquette University High School for official school use.​​​​​

No refunds will be given after form and payment have been submitted.