Last Name________________________________ First Name______________________________

 

   Age________  Home Address____________________________________

 

  City ________________________ Zip __________ School ___________________

 

  Shirt size:  YM  YL  S  M  L  XL  e-mail ________________________________

 

   Phone Number _________________________ Emergency Contact______________________________

 

   Check ____ payable to PASS  Visa____  MasterCard____   cc#________________________________

 

   exp date _____________ Any Medical Conditions_________________________________________

 

I hereby give my consent for my child to participate in the P.A.S.S. Performance Training program, and all personnel, including P.A.S.S. employees,  and all others associated with the program shall not be held liable for any injury whatsoever my child may sustain in the   activities thereof. I also certify that I know of no physical problems or conditions of my child which would impair participation in the program. I authorize the person in charge to secure first aid and/or the services of any legally qualified physician or hospital, and agree to assume all financial obligations connected therewith.

 

  Signed______________________________ Date____________  Relationship_____________________

3 day camp only $125 per athlete

 

Early Registration just $105 (ends June 30)

make checks payable to PASS

3 day camp is for grades 3 thru 8

 Camp will be held at

Heritage Christian High School

 

Cold water will be available, bring your own water bottle for refilling.  Cold drinks (such as Gatorade) will be available for sale.

Each day will consist of proper warm-up, speed/agility training & football skills training.

Each camper will receive a t-shirt.  Each session will include a Q&A with Courtney and other NFL players

  Camp will end with an awards presentation including NFL memorabilia and other prizes.

We expect that camp will fill up quickly this year—register early to ensure your spot.

Courtney Roby is an Indianapolis native.  He is a 2001 graduate of North Central High School where he was an all-state selection in football and track.  Courtney accepted a football scholarship to Indiana University.  While at Indiana he played wide receiver and broke all of the receiving and yardage records and left as the most prolific receiver in the schools history.  In the 2005 NFL draft Courtney was selected by the Tennessee Titans as the 3^rd pick of the 3^rd round.  He played several years with the Titans and was then picked up as a free agent by the Indianapolis Colts in 2008.  Courtney’s big highlight came in the preseason against the Cincinnati Bengals where he ran a kick off for 104 yards in the new Lucas Oil stadium.  He became a member of the New Orleans Saints in the mid year of the 2008 season.  There he came in to handle their kick off return duties and instantly became a fan favorite with several big runs over 50 yards.  He is currently on the New Orleans Saints roster as a WR/Kr.  He wears #15.