Summer Camp 2020

SUMMER CAMP 2020

REGISTRATION

Player's Name

Jersey Size

Date of Birth

Please select one

Please list up to 3 roommates(This does not guarantee the placement. We will do our best to accommodate all requests).

Parent's Name

Phone Number

Address

City, State and ZIP Code

How did you hear about the Summer Camp?

Emergency Contact and Medical Information

Does your child have any medical condition?

In case of emergency, notify:

Phone Number

Insurance Company

Policy Number

Policy Holder

Policy Holder Date of Birth

Registration Options