ROCHELLE HUBS ALUMNI

FOOTBALL GAME

WHEN: Camp will be JUNE 11 – 15 ~ 6:30 – 8:00 p.m. Game will be JUNE 16 @ 3pm. Receptions at Abraham’s following the game, ticket included

WHO: Any RTHS Alumnus

LINK: www.RochelleHubsSports.com

WHERE: Helms Stadium and Practice Fields at the New RTHS Campus

DONATION: $150, includes camp, practice jersey, personal game jersey

STAFF: Current and Former RTHS Football coaches

Fill out the following application and waiver and return it with your check to the R.T.H.S. Athletic Office, 1401 Flagg Road, Rochelle, Illinois 61068

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

2007 Alumni Football Game

NAME:

ADDRESS:

PHONE: EMAIL ADDRESS:

AGE: GRADUATION YEAR:

JERSEY NUMBER: T-SHIRT SIZE : S M L XL XXL XXXL (please circle)

I, the undersigned, hereby waive and release the camp and/or Rochelle Township High School from any and all liability for injuries incurred while at this camp.

Signature :

Date: