Dallas Champions Academy
June 23- 27th (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.

(Parent/Guardian First and Lase Name):

(Parent/Guardian Address):

City/Town

State/Province

ZIP/Postal Code

(Parent/Guardian Email Address):

(Parent/Guardian Phone Number):

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* 2. Who will participate (Student-Individual Application) in the Dallas Champions Academy (in Person) on June 23rd—27th?

Student (example: John Smith):

Student DOB (example: 06/03/2013):

Student Age (example: 12 years old):

School Student Attending (example: A+ Academy):

Student Grade (example 7th):

Student Gender (Female/Male)

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

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

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* 3. What are your friends'/teammates' names and cell phone numbers for the Football/Fast Pitch Camp?

(Example: John Paul 405-123-4567):

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

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

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

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* 7. Emergency Contact Name

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* 8. Emergency Contact Phone Number

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* 9. 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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* 10. 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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* 11. 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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* 12. Are you 18 years or older for a guardian's e-signature?

Yes

Dallas Champions AcademyJune 23- 27th (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 23rd—27th?

Question Title

* 3. What are your friends'/teammates' names and cell phone numbers for the Football/Fast Pitch Camp?

Question Title

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

Question Title

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

Question Title

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

Question Title

* 7. Emergency Contact Name

Question Title

* 8. Emergency Contact Phone Number

Question Title

Question Title

* 10. 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

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

Dallas Champions Academy
June 23- 27th (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

* 10. 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.