2015 FOOTBALL CAMP REGISTRATION(Fill out separate form for each participant).

Name: _______________________________________________________

Address: _____________________________________________________

City: _________________________ State: ______ Zip: __________

Home Phone: ( ______ ) _________________________________________

Email (for initial confirmation): _____________________________________

Parent/Guardian Name: __________________________________________

Parent/Guardian Phone: ( ______ ) ________________________________

School: _______________________________________________________

Date of Birth: ______/______/________ Graduation Year: ____________

Circle Grade (as of Fall 2015): 5 6 7 8 9 10 11 12

Age: _____________ Height: ____________ Weight: ____________

Adult Shirt Size (circle one): S M L XL XXL XXXL

Youth Shirt Size (circle one): YS YM YL

Circle Preferred Position: OL DL WR DB LB TE QB RB K LS*CHOOSE ONE POSITION* You may change upon arrival at camp

Roommate Preferences: 1. _____________________________________

FOR OHIO STATE USE ONLYDate Received ___________ Amount $ __________ CA/CH/MO ________

Please check all appropriate areas and fill in payment amount.

SPECIALISTS & SPECIAL TEAMS CAMP June 8 (Day Camp Only)Day: $100 (grades 5-12)

YOUTH CAMP June 8 - 9Day: $200 (grades 5-8)

THREE-DAY POSITION CAMP June 10 - 12Day: $325 (grades 9-12) Overnight: $425 (grades 9-12)

ONE-DAY POSITION CAMP June 13, 16 and 19 (grades 9-12)Sat. June 13: $75 *nonrefundable Tues. June 16: $75 *nonrefundableFri. June 19: $75 *nonrefundable

OPTION 1: Check or Money Order Make checks payable to:

The Ohio State University

Mail applications to:

Football CampFawcett Center, 7th Floor 2400 Olentangy River Rd.Columbus, OH 43210

OPTION 2: Online Registration To register online please visit OhioStateBuckeyes.com/camps

Camp fee

Total enclosed

Balance due

$

$

$

A $75 NON-REFUNDABLE deposit must accompany your registration. A refund less the $75 non-refundable deposit will be issued for any written cancellation received at least 7 days prior to the start of each camp. The $75 deposit is not refundable for ANY reason. The remaining balance of the registration fee is during the camp’s check-in. The deposit is applied to the total amount due and is not an additional fee. Registrations postmarked after May 29th for the Specialists/Special Teams, Youth and Three-Day Camps will be charged a $25 late registration fee. Walk up registrants for the One-Day Position Camps will be charged a $25 late registration fee.

We encourage campers to attend our camps from start to finish. Certain football camps, however, offer pro-rated fees to any camper who is not able to attend the entire camp. Pro-rated registration fees are not available through online registration. Please contact the Camps Office at 614-247-2267 to inquire about pro-rated fees.

Enrollment is open to any and all campers meeting the grade requirements listed for each camp.

*Roommate assignments will be released at check-in. Each camper has the opportunity to request one roommate on their camp application. Such roommate requests will only be approved if BOTH persons request each other as roommates. While we do our best to accommodate each camper’s request, we do not guarantee that roommate requests will be granted. Please note that both roommates must be formally enrolled in the camp in order for such roommate requests to be considered. There will be two campers in a room.