Elite Goalies Registration

2022 ELITE GOALIES REGISTRATION

Fill out the form carefully for registration.
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Kansas City Elite 12 Camp - July 25th - 29th - Cost: $1250
Player Name*

First Name Middle Name Last Name
Birth Date*

Month Day Year
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Player E-mail*
example@example.com
Player Mobile Number*
Parent/Guardian Name*

First Name Last Name
Parent/Guardian E-mail*
example@example.com
Parent/Guardian Mobile Number*
Cancellations are accepted outside of a 30 day window prior to the camp date. Students that cancel inside of the 30 day window will receive a future camp credit. There is a $150 administrative fee to ALL refunds.*

I understand & Agree to the Elite Goalies Refund Policy
Todays Date*

MonthDay Year
Date
Signature*

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Please complete payment to the camp you would like to attend.
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Kansas City Elite 12 Camp July 25th - 29th
$1,250.00

Florida High Performance Camp August 1st - 4th
$599.00

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

2022 ELITE GOALIES REGISTRATION