2014 THOMAS DALE
YOUTH FOOTBALL CAMP
Kevin Tucker
- Head Football Coach
Dennis Jones ? Camp Coordinator
Former Thomas Dale Knights:
William
Henderson ? University of North Carolina/Green Bay Packers. Ken Oxendine ?
Virginia Tech/Atlanta Falcons. Rudi Johnson ?
Auburn/ Cincinatti Bengals. Darius Swinton ?
Hampton University/Special Teams Coach: Denver Broncos.
Coaches:
The Thomas Dale
Football Staff (JV and Varsity Coaches).
Present and former Knights. Various CQL
coaches.
Speakers:
Ken Oxendine ?
Virginia Tech/Atlanta Falcons. Shane Beamer ?
Virginia Tech: Associate Head Coach/RB coach.
Date and
Times:
June 2nd - 4th
5:00 pm ? 8:00 p.m. (Registration begins at 4 p.m.)
Ages:
Open to all youth football players (6 to 14 years old) and coaches.
Location:
Thomas Dale High School (Ed Karpus
Field) and Practice Fields.
Cost:
$50 per player (includes Camp T-Shirt and bag).
What to Bring:
Football Cleats, Gym Shoes (needed if we have to go in gym), and Water Bottle.
Contact:
Dennis Jones ? (804)536-6894 or
dennis_jones@ccpsnet.net
mailto:dennis_jones@ccpsnet.net
psnet.net
Thomas Dale Knights Football Youth Football Camp Registration Form
Player Name:
_______________________________________ Age: ______
T-Shirt Size
(Circle one)- Youth S Youth M Youth L
Adult S Adult M Adult L
Adult XL Adult XXL Adult
XXXL
Address:
_______________________________________________________________
City: ________________________________________________ State
_____________
Zip _______________________
Parent's Phone- Home:
___________________________________________________
Parent's Phone- Cell:
_____________________________________________________
Parent/Guardian's Name:
______________________________________________________________________
Insurance/Liability
Waiver
The Thomas Dale Knights Youth Football Camp and Thomas Dale
High School do not
provide medical insurance for players. Each player's parent/guardian must sign
the waiver form and state their insurance coverage.
Our insurance coverage is with:
_____________________________________________________________________
Policy Number:
_____________________________________________________________________
I will accept responsibility for all financial liability incurred
by __________________________ (player's name) as a result of an accident or
injury while he is a participant in the Thomas Dale Knights Youth Football
Camp.
Parent/Guardian Signature:
X________________________________________ Date: ________________
Mail registration form along with your check (made payable to
Thomas Dale High School) to:
Thomas Dale High School West Campus
c/o Dennis Jones
3900 West Hundred Rd.
Chester, VA 23831
YOUTH FOOTBALL CAMP
Kevin Tucker
- Head Football Coach
Dennis Jones ? Camp Coordinator
Former Thomas Dale Knights:
William
Henderson ? University of North Carolina/Green Bay Packers. Ken Oxendine ?
Virginia Tech/Atlanta Falcons. Rudi Johnson ?
Auburn/ Cincinatti Bengals. Darius Swinton ?
Hampton University/Special Teams Coach: Denver Broncos.
Coaches:
The Thomas Dale
Football Staff (JV and Varsity Coaches).
Present and former Knights. Various CQL
coaches.
Speakers:
Ken Oxendine ?
Virginia Tech/Atlanta Falcons. Shane Beamer ?
Virginia Tech: Associate Head Coach/RB coach.
Date and
Times:
June 2nd - 4th
5:00 pm ? 8:00 p.m. (Registration begins at 4 p.m.)
Ages:
Open to all youth football players (6 to 14 years old) and coaches.
Location:
Thomas Dale High School (Ed Karpus
Field) and Practice Fields.
Cost:
$50 per player (includes Camp T-Shirt and bag).
What to Bring:
Football Cleats, Gym Shoes (needed if we have to go in gym), and Water Bottle.
Contact:
Dennis Jones ? (804)536-6894 or
dennis_jones@ccpsnet.net
mailto:dennis_jones@ccpsnet.net
psnet.net
Thomas Dale Knights Football Youth Football Camp Registration Form
Player Name:
_______________________________________ Age: ______
T-Shirt Size
(Circle one)- Youth S Youth M Youth L
Adult S Adult M Adult L
Adult XL Adult XXL Adult
XXXL
Address:
_______________________________________________________________
City: ________________________________________________ State
_____________
Zip _______________________
Parent's Phone- Home:
___________________________________________________
Parent's Phone- Cell:
_____________________________________________________
Parent/Guardian's Name:
______________________________________________________________________
Insurance/Liability
Waiver
The Thomas Dale Knights Youth Football Camp and Thomas Dale
High School do not
provide medical insurance for players. Each player's parent/guardian must sign
the waiver form and state their insurance coverage.
Our insurance coverage is with:
_____________________________________________________________________
Policy Number:
_____________________________________________________________________
I will accept responsibility for all financial liability incurred
by __________________________ (player's name) as a result of an accident or
injury while he is a participant in the Thomas Dale Knights Youth Football
Camp.
Parent/Guardian Signature:
X________________________________________ Date: ________________
Mail registration form along with your check (made payable to
Thomas Dale High School) to:
Thomas Dale High School West Campus
c/o Dennis Jones
3900 West Hundred Rd.
Chester, VA 23831
