Register Please enable JavaScript in your browser to complete this form.Name *FirstLastAge *Participant Email *Phone/ Cell *Home Address (Street) *City *State *Zip Code *School *Graduating Class *Camp Selection *SPRING-Chicago- April 27th, 2025 – St. Francis HSSPRING-Chicago- April 27th, 2025 – St. Francis HSSPRING-Milwaukee – May 3rd, 2025 – Whitefish Bay HSSPRING-Green Bay – May 18th, 2025 – DePere HSSPRING-Madison -May 26th, 2025 – Waunakee HSPSP-Milwaukee – July 6th, 2025 -Whitefish Bay HSPSP-Green Bay – July 13th, 2025 – DePere HSPSP-Madison – July 19th, 2025 – Edgewood HSPSP-Chicago – July 20th, 2025 – College of DuPageFALL-Madison – September 2025FALL-Chicago – October 20252025 UNLIMITED CAMP PASSPosition (Select All That Apply) *KickerPunterSnapperT-Shirt Size *MediumLargeX-LargeHow did you hear about us? *Emergency Contact *FirstLastContact/ Parent Email *Contact/ Parent Phone *Taylor Mehlhaff Kicking Waiver *Check here that you understand, acknowledge, and agree to terms for our Taylor Mehlhaff Kicking Waiver for our Specialist Camps.Terms and Conditions MANDATORY WAIVER, RELEASE AND INDEMNITY AGREEMENT For and in consideration of Taylor Mehlhaff Kicking LLC and any and all sponsors, coaches, volunteers, affiliates and other individuals or groups associated with Taylor Mehlhaff Kicking LLC including the Board of Regents of the facility the camp is held at, its officers, employees and agents permitting Participant to participate in the selected Kicking Camp. Participant, by agreeing to these terms, hereby voluntarily indemnifies, releases from liability and holds harmless all Camp Sponsors for any accident, injury, illness, death, loss, damage to person or property, or other consequences suffered by Participant or any other person arising or resulting directly or indirectly from Participant’s participation in the Taylor Mehlhaff Kicking Camp. In the event that Participant is injured, Participant agrees to assume any financial obligation, either through Participant’s personal health insurance, or through some other means, for any medical costs which Participant incurs. Camp Sponsors assume no responsibility for any medical expenses, injury, or damage suffered by Participant in connection with Participant’s participation in the Taylor Mehlhaff Kicking Camp. Participant further agrees to conform to all rules and regulations adopted by Camp Sponsors relating to the Taylor Mehlhaff Kicking Camp. IT IS THE INTENTION OF PARTICIPANT BY AGREEING TO THESE TERMS TO EXPRESSLY ASSUME ALL RISK OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE UPON HIM/HERSELF, TO THE EXCLUSION OF CAMP SPONSORS, AND TO EXEMPT AND RELIEVE ALL CAMP SPONSORS FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH. Participant further agrees that Participant, his/her parents, assignees, heirs, guardians, and legal representatives will not make any claim against, sue or attach the property of Camp Sponsors for any loss or damage resulting from Participant’s participation in the Taylor Mehlhaff Kicking Camp. PARTICIPANT IS AWARE OF THE POTENTIAL DANGERS INCIDENTAL TO ENGAGING IN THIS ACTIVITY, THAT THIS IS A RELEASE OF LIABILITY, A WAIVER OF THE PARTICIPANT’S LEGAL RIGHT TO COLLECT DAMAGES IN THE EVENT OF INJURY, DEATH OR PROPERTY DAMAGE AND A CONTRACT BETWEEN PARTICIPANT AND CAMP SPONSORS, AND PARTICIPANT SIGNS IT OF HIS/HER OWN FREE WILL. PROMOTIONAL VIDEO AGREEMENT By agreeing to these terms, Participant gives full permission for the use of his/her name, picture, likeness, actions, voice, or other personally identifiable information, in whole or in part, individually or in conjunction with other images, as part of a video promoting Taylor Mehlhaff Kicking Camps. Participant waives all rights of privacy or compensation, which may have in connection with such use of his/her name, picture, image, likeness, actions, voice or other personally identifiable information. He/she grants Taylor Mehlhaff Kicking Camp and its officials, employees, representatives, agents, licensees, successors and assignees the irrevocable and unrestricted right us use his/her name, picture, image, likeness, actions, voice or other personally identifiable information associated with such video submission in all formats, media and in all manners, including composite or altered representations, for advertising, trade or any other lawful purposes. Participant waives any right to inspect or approve the finished version(s), including written copy that may be created in connection with the video production, editing and promotion therewith. By checking ‘Agree’, Participant (18 years or older) or guardian agrees that he/she has read this release and is fully familiar with its contents.Camp Selection *SPRING- Chicago- April 27th, 2025 – St. Francis HS – $280.00SPRING-Milwaukee – May 3rd, 2025 – Whitefish Bay HS – $280.00SPRING-Green Bay – May 18th, 2025 – DePere HS – $280.00SPRING-Madison -May 26th, 2025 – Waunakee HS – $280.00PSP-Milwaukee – July 6th, 2025 -Whitefish Bay HS – $280.00PSP-Green Bay – July 13th, 2025 – DePere HS – $280.00PSP-Madison – July 19th, 2025 – Edgewood HS – $280.00PSP-Chicago – July 20th, 2025 – College of DuPage – $280.00FALL- Madison – September 2025 – $280.00FALL – Chicago – October 2025 – $280.002025 UNLIMITED CAMP PASS – $850.00Taxes, Credit Card, & Processing Fees *SPRING, PSP, & FALL Camp Fees – $20.00Unlimited Camp Pass Fees – $50.00Total Order Summary Item Quantity Qty Total There are no products selected. Camp Selection – SPRING- Chicago- April 27th, 2025 – St. Francis HS1$280.00Camp Selection – SPRING-Milwaukee – May 3rd, 2025 – Whitefish Bay HS1$280.00Camp Selection – SPRING-Green Bay – May 18th, 2025 – DePere HS1$280.00Camp Selection – SPRING-Madison -May 26th, 2025 – Waunakee HS1$280.00Camp Selection – PSP-Milwaukee – July 6th, 2025 -Whitefish Bay HS1$280.00Camp Selection – PSP-Green Bay – July 13th, 2025 – DePere HS1$280.00Camp Selection – PSP-Madison – July 19th, 2025 – Edgewood HS1$280.00Camp Selection – PSP-Chicago – July 20th, 2025 – College of DuPage1$280.00Camp Selection – FALL- Madison – September 20251$280.00Camp Selection – FALL – Chicago – October 20251$280.00Camp Selection – 2025 UNLIMITED CAMP PASS1$850.00Taxes, Credit Card, & Processing Fees – SPRING, PSP, & FALL Camp Fees1$20.00Taxes, Credit Card, & Processing Fees – Unlimited Camp Pass Fees1$50.00Total$0.00 $0.00Credit Card Payment *Submit