Camp Registration Form

Camp Registration Form

Please fill out the form to register for the camp.
Participant's Full Name*

First NameLast Name
Participant's Date of Birth*

MonthDayYear
Date
Grade Level*
Which Camp?*

Jackson Camp
Sport of Participation*

SoccerFootballTrack and FieldBaseballSoftball
Camp Fee*
prevnext( X )
Camp Fee
$125.00 Quantity



Club Rate 10+This lowers the price to $75 per child
$750.00 Quantity



SPONSORED
$ Free Quantity



Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

Security Code

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

Should be Empty: