Registration

Athlete Information

First Name*

Last Name*

Hospitalization #*

Birthdate*

Address*

City/Town*

Email*

School*

Position(s) Played*

Select your Grade*

Parent/Guardian Name*

Parent/Guardian Address*

Parent/Guardian City/Town*

Parent/Guardian Home Number

Parent/Guardian Mobile Number*

Parent and/or Guardian Email*

Emergency Contact Name*

Emergency Contact Number*

2nd Emergency Number

I Agree*

I have read, understand and I Agree

Camp Cost*

Select a payment method^*

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