Clinic or Camp Registering For:

2023 Molokai Football Skills Camp
QBFG Boot Camp
QBFG Jr. Boot Camp
QBFG I.C.T
QBFG A.F.T
QBFG OC-6
Leadership Alliance
T.O.P Sports Training
Student1-Athlete2
Mayhem 7's
HUFS Tackle Clinic
HUFS Tackle Mom's Clinic

First Name

Last Name

Email Address

Phone Number

Age

Grade (2022-2023 school year)

Offensive Position

QB
RB
WR
OL

Defensive Position

DB
LB
DL

T-Shirt Size

YS
YM
YL
YXL
AS
AM
AL
AXL
A2XL
A3XL

Any physical limitations? If yes, please explain

Any food allergies? If yes, please explain

Currently taking medication that we need to be aware of? If yes, please explain

User Agreement

WAIVER OF LIABILITY: By checking this box, you assume full responsibility and hold harmless all coaches and staff members belonging to AKANA ATHLETICS, LLC of any personal injury, including but not limited to, loss of life, by participating in any training, workouts or physical activity under AKANA ATHLETICS, LLC.  It is recommended that you have a current medical physical within the last 12 months, and have been cleared by a licensed medical professional to participate in strenuous physical activity.