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Register Online

Player's Name
Address
City
State
Zip
Phone Number
Age
Grade
Shirt Size (adult sizes)
Medical Insurance Company
Policy #
Parent's email address:

Please sign this form by typing your name and the date in the spaces provided below. Your signature validates this registration form.
Signature of parent
Date


Disclaimer
This camp does not assume responsibility for accidents, or other expenses, incurred as the result of accidents sustained during, or as a result of any normal course of instruction given the applicant by the camp staff. With your signature you are certifying your child is healthy and can participate. You also relieve the camp of any responsibility should any accidents occur.