All-Star Football Classic Registration Packet DETAILSCongratulations on your selection to the GACA/BSN All-Star Football Game. Please complete this form and submit ASAP. All forms must be submitted online. CLICK HERE TO ACCESS MORE EVENT INFORMATIONPaymentThe GACA/BSN All-Star Football Game. provides Food, Hotel Lodging, Athletic Gear, Video Exposure for recruiting, Awards, Entertainment, Transportation, and Insurance for the participating athlete. There is a $395.00 participation fee to help cover the cost of the event which may be paid by the school, booster club, parent/guardian, and/or combination of those mentioned. Please click the submit button once. You will be directed to S2Pass for payment. How will you be paying?*Select OnePlayer/FamilySchoolBooster ClubAll-Star Commitment Fee* Price: Total $0.00 MEDICAL / PHYSICALPlease upload your child's physical here. It is required This can be done by scanning the physical to your computer and uploading here. A parent can take a picture of their child's physical and upload it below...either from their computer or phone (it must be in .pdf or .jpeg format--no movies).Player Physical*Please upload your child's physical here. It is required This can be done by scanning the physical to your computer and uploading here.Max. file size: 12 MB.PLAYER INFORMATIONPlayer Name* First Last Email* Address*This is the address where your picture will be sent. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player Cell Phone*Class*Select Your Class2027 (Sophomore)2026 (Junior)Date of Birth* MM slash DD slash YYYY High School*City of High School*Weight*Height*Shirt Size*Select OneMediumLargeExtra Large2X3X4XShort Size*Select OneMediumLargeExtra Large2X3X4XAre you currently committed to any academic institutions?*Will you attend college if you do not have a scholarship?*Select OneYesNoWhere will you attend?*Do you have asthma or allergies?*Select OneYesNoPlease explain*Do you have diabetes?*Select OneYesNoCoach's Name* First Last Coach's Email* Coach's Cell Phone*PARENT/GUARDIAN INFORMATIONParent/Guardian Name* First Last Email* Parent/Guardian Cell Phone*Parent/Guardian #2 Name First Last Parent/Guardian #2 Email Parent/Guardian #2 Cell PhoneAre you covered by insurance?*Select OneYesNoInsurance Company*Group Number*Policy Number or Branch of Service*Is your child allergic to any medicine?*Select OneYesNoPlease list*Is your child taking any medications?*Select OneYesNoPlease list*Please list any serious injuries, illness or circumstances we should be aware of before administering care:*Enter N/A is this does not apply to youEMERGENCY CONTACTEvery attempt will be made to contact you in case of injury. Should this not be possible or practical, please list the name of a relative who can authorize treatment.Name* First Last Relation*Phone*SIGNATURES/ATTESTATIONSPlayer Attestation* I hereby accept the Georgia Athletic Coaches Association's invitation to play in the GACA All-Star Football Game sponsored by BSN being held at Harry B. Thompson complex, 1210 Shurling Drive, Macon, GA 31223. I agree to abide by the rules and disciplines set forth by the officials of the Georgia Athletic Coaches Association. I understand that I am to report on December 27, 2024 at 2:00-4:00pm to Macon Marriott City Center, 240 Coliseum Dr, Macon, GA 31217. The GACA All-Star Football Games sponsored by BSN will be played on December 29, 2024. Parent Attestation*Please check all: I verify that the above information to be true and accurate to the best of my knowledge. I do hereby approve emergency treatment, as deemed necessary, by the hospital and/or medical staff (physician, athletic trainer) on site for my son/daughter listed above. I give this consent with full knowledge and assumption on my part for any and all financial responsibilities incurred as a result of participation in the GACA All-Star Football Classic and practices. My insurance company will serve as the primary coverage for my child. The Georgia Athletic Coaches Association's insurance will be secondary insurance. I hereby give my consent for the student named above to engage in approved sports activities, related to the GACA All-Star Football Games sponsored by BSN. It is my clear understanding that participation in athletics activities (e.g. football, basketball, baseball and softball) creates a risk normally associated with such activity. I agree not to hold the Georgia Athletic Coaches Association or anyone acting on its behalf responsible for any injury occurring to my son/daughter in the proper course of such athletic activities or travel. I further give my permission for the appropriate all-star association staff members or their designees (physicians, athletic trainers, student trainers, coaches) to render emergency treatment or authorize medical treatment by a hospital and/or physician or medical staff. Player Signature*Parent/Guardian Signature*
