Dallas Champions Academy
June 24th-June 28th (In-Person)
(Boys and Girls, ages 8-18 in South and East Dallas)
8:30 am-3:00 pm
First 150 Campers (FREE)
Breakfast and Lunch Provided

The Dallas Champions Academy is an experience of a lifetime for youth ages 8-18!

The Dallas Champions Academy (DCA) is an experience of a lifetime for students (boys and girls, ages 8-18) in South and East Dallas. The DCA will inspire and educate in areas of faith, athletic skills from university football coaches, communication skills, the four life principles (Discipline, Trust, Respect, and Hardwork)! Campers will hear messages of hope from city and national leaders. The Dallas Champions Academy helps every student identify their purpose in life, develop a champion's spirit in the classroom, their arena, and walking down the street for success today and in the future!

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* 1. Parent/guardian contact information.

First and Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Who will participate (Student-Individual Application) in the Dallas Champions Academy (In-Person) on June 24th-June 28th?

Student (example: John Smith):

School Student Attending (example: A+ Academy):

Grade (example 7th):

Age (example: 12 years old):

Student Phone# (example: 479-123-4567):

Student Email (example: johnchampion@gmail.com):

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* 3. Please indicate (student/participant) health or medical concerns (Asthma).

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* 4. Please indicate (student/participant) medication storage and administration time or instructions.

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* 5. Please indicate (student/participant) allergies (bee-sting).

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* 6. Emergency Contact Name

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* 7. Emergency Contact Phone Number

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* 8. Communication Waiver (text):

I understand that by checking this box, I agree to receive text messages from the Day of Champions and the Dallas Champions Academy at the telephone number provided. I understand that my consent is not a condition of purchase (You don't have to buy anything, this is free).

Agree

Disagree

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* 9. Communication Waiver (email):

I understand that by checking this box, I agree to receive email messages from the Day of Champions and Dallas Champions Academy. I understand that my consent is not a condition of purchase.

Agree

Disagree

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* 10. Communication waiver (phone call):

I understand that by checking this box, I agree to receive phone calls/messages from the Day of Champions and the Dallas Champions Academy at the telephone number provided.

Additionally, I agree to receive phone calls/messages from the Day of Champions and Dallas Champions Academy. I understand that my consent is not a condition of purchase.

Agree

Disagree

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* 11. Are you 18 years or older for a guardian's e-signature?

Yes

Dallas Champions AcademyJune 24th-June 28th (In-Person)(Boys and Girls, ages 8-18 in South and East Dallas)8:30 am-3:00 pmFirst 150 Campers (FREE)Breakfast and Lunch Provided

The Dallas Champions Academy is an experience of a lifetime for youth ages 8-18!

Question Title

* 1. Parent/guardian contact information.

Question Title

* 2. Who will participate (Student-Individual Application) in the Dallas Champions Academy (In-Person) on June 24th-June 28th?

Question Title

* 3. Please indicate (student/participant) health or medical concerns (Asthma).

Question Title

* 4. Please indicate (student/participant) medication storage and administration time or instructions.

Question Title

* 5. Please indicate (student/participant) allergies (bee-sting).

Question Title

* 6. Emergency Contact Name

Question Title

* 7. Emergency Contact Phone Number

Question Title

Question Title

* 9. Communication Waiver (email):I understand that by checking this box, I agree to receive email messages from the Day of Champions and Dallas Champions Academy. I understand that my consent is not a condition of purchase.

Question Title

Question Title

* 11. Are you 18 years or older for a guardian's e-signature?

Dallas Champions Academy
June 24th-June 28th (In-Person)
(Boys and Girls, ages 8-18 in South and East Dallas)
8:30 am-3:00 pm
First 150 Campers (FREE)
Breakfast and Lunch Provided

* 9. Communication Waiver (email):

I understand that by checking this box, I agree to receive email messages from the Day of Champions and Dallas Champions Academy. I understand that my consent is not a condition of purchase.