Summer Camp Detailed Registration Form

Players Registration
Player Information
Player's Name

First NameLast Name
Birth Date

MonthDayYear
Player's Position
Gender

MaleFemale
Photo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name

First NameLast Name
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
My Products*
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Registrations fee$75.00

Total $0.00
Should be Empty: