800-660-7176

National Kicking Service Football Kicking Camps Director - Gene Muriaty since 1988

Home Summer Camps Why NKS? Staff Sign-up College Testing Camp Open Clinics Free Agent Tryout Camp Tip of the Month Resources Contact Us myNKS

National Kicking Service

Registration

Fill out the form below to register with NKS. After registering, you will have online access to your NKS account and have the ability to sign-up for camps and pay online using a credit card through your myNKS, your control panel for NKS. If paying by check, please make check payable to National Kicking Service.

* required field

Basic Info

Participant Type:

Participant First Name:

Participant Last Name:

Address:

City:

State/Province:

* Zip: *

Phone:

( ) - *

Participant Birthday:

Graduation year: *

Participant Position(s): *

Soccer Style Kicker
Punter

Straight on Kicker
Long Snapper

School/Team Info

Participant's School/Team Name:

City:

State/Province:

Medical Insurance

Participant's Insurance Company:

Insurance Account/Group #:

Insurance ID #:

My child has permission to attend the National Kicking Service kicking camp. I will notify NKS if my child is on medication or is restricted in any way from participating in all activities. In the event of any emergency in which my child requires medical care, I authorize the NKS staff to act for me and obtain whatever medical treatment the staff in its best judgement deems necessary and appropriate. I specifically consent to such treatment including but not limited to hospitalization and surgery and will be responsible for any medical or other charges in connection with attendance at camp.

I acknowledge that at NKS kicking camps my child will participate in a sport that may involve among other things, physical contact with the body with other persons or objects, including the ground, that at the NKS kicking camps my child may incur a risk of injury. I specifically waive and give up and release National Kicking Service, its owners and staff, the owners, trustees and staff of the premises on which the NKS kicking camp is held from liability for any claim for damages which I or my child may have for injuries or illness that may be sustained at the NKS kicking camp.

I authorize NKS to use any photographs or articles about my child for publicity purposes.

Parent/Legal Guardian/Participant (18 yrs or older) Signature

Type Name to agree to above terms.
*

Date:

03-10-2010

Login Info
Used to access your myNKS

Email:

Password:

Subscribe to NKS Email Newsletter

Image Verification: *