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SDSU Youth Football Clinic 2012
The Jackrabbit football coaches and team invite anyone in grades K-8 to join them for a free clinic on Saturday, Sept. 29 from 1:30-3 p.m. on the practice field next to Coughlin-Alumni Stadium. Each participant receives: • A free general admission ticket to that night’s game vs. Missouri State at 6 p.m. • Instruction from SDSU football coaches and players • An SDSU football poster For questions, please contact the Jackrabbit Ticket Office at 1-866-GO JACKS.

Required Fields in Bold

First Name of Clinic Participant
Last Name of Clinic Participant
Grade in School
Birthdate (mm/dd/yy)
Name of Parent/Guardian
Street Address
City, State Zip
Home Phone
E-mail Address
Emergency Contact Number (for day of clinic)
Medical Insurance Company
Policy Number
I would like to receive information regarding Junior Jacks, tickets, and athletic events at South Dakota State University.
In consideration of the acceptance of this application by clicking the submit button, I, intending to be legally bound hereby for myself, my heirs, executors, administrators, waive and release any and all rights and claims for damages against South Dakota State University, or its representatives and/or assignees for any and all damages which may be sustained and suffered out of my traveling to, participation in and returning from camp. Please note that medical insurance information will be used only in emergency situations and will not be provided to any third party.
I agree to these considerations