First Down Program request

About You

First Name

Last Name

Phone Number

What Organization are you representing?

Is your Organization a member of a parent/umbrella organization (e.g. league, conference, district, etc.)? If so, please name it below

About the Host Venue

Venue Name

Street Address

City

State

Zip Code

The Shipping Address for this event is the same as the Venue Address?

YesNo

Shipping Street

Shipping City

Shipping State

Shipping Zip Code

What is the maximum number of attendees you can accommodate at this event?

Additional Event Details

Event Date (1st choice)

The requested event date must be at least four week from today's date

Event Date (2nd choice)

Remember, requested event date must be at least four week from today's date

What is the number of attendees you expect to attend this event?

Are there any other details about the Event you are requesting you would like to share? (Not required)

What type of space are you able to provide?

Event Details Cont.

Will you be the main point of contact on site? If not, who is?

Yes
No

Main Point of Contact Name

USA Football will provide participant registration for the clinic(s). Are there additional details that should be included with registration? (I.e., Parking info, preferred entrances, room numbers)

What information and resources would you like USA Football to provide? (Check all that apply)

EquipmentSignageFlyerLogoVideoPress ReleaseStaffingT-shirtsOther

Other

Is there an overall waiver for participants at this event?

YesNo

Will USA Football be mentioned and able to review?

YesNo

Would you like USA Football to provide a waiver for participants?

YesNo

Contact Information