Camp Registration

Camp Registration

Player's Information
First Name	Last Name
Date of Birth (dd/mm/yyyy)	Boy Girl
Position most-often played		example: forward, midfielder, don't know, etc.
Current Team	Age Group of Current Team
T-Shirt Size
Parent/Guardian/Emergency Contact Information
Full Name			Relationship to Player
Address

City Zip Code
Home Phone			10 Digit phone numbers please! example: 000-000-0000 Be sure to include the area code
Work Phone
Cell Phone
Email

We will be making a DVD slide show of pictures we take throughout the week. Would you like to order a copy of the DVD?			No Yes, add $20

I hereby give permission for any and all medical attention to be administered to my child in the event of accident, injury, sickness, etc., until such time as I may be contacted. I assume the responsibility for the payment of any such treatment. This release is effective for July 19-23, 2010.
Agree	Do Not Agree

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REGISTER NOW	Clear Form and start over