2014 THOMAS DALE KNIGHTS
YOUTH FOOTBALL CAMP
Kevin Tucker- Head Football Coach
Dennis Jones – Defensive Coordinator/Camp Coordinator
tdknightsfootball.com
YOUTH FOOTBALL CAMP
Kevin Tucker - Head Football Coach
Dennis Jones – Camp Coordinator
Former Thomas Dale Knights:
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William Henderson – University of North Carolina/Green Bay Packers.
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Ken Oxendine – Virginia Tech/Atlanta Falcons.
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Rudi Johnson – Auburn/ Cincinatti Bengals.
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Darius Swinton – Hampton University/Special Teams Coach: Denver Broncos.
Coaches:
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The Thomas Dale Football Staff (JV and Varsity Coaches).
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Present and former Knights.
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Various CQL coaches.
Speakers:
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Ken Oxendine – Virginia Tech/Atlanta Falcons.
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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
psnet.net
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
Contact: Dennis Jones at (804)536-6894 Dennis_jones@ccpsnet.net
or
Kevin Tucker at (804)691-4785 Kevin_tucker@ccpsnet.net
You may also get this form on the Thomas Dale Football website:
Tdknightsfootball.com
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