Camp Registration Form
Please fill out the form to register for the camp.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Which Camp?
*
Jackson Camp
Sport of Participation
*
Soccer
Football
Track and Field
Baseball
Softball
Camp Fee
*
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( X )
Camp Fee
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Club Rate 10+
This lowers the price to $75 per child
$
750.00
Quantity
1
2
3
4
5
6
7
8
9
10
SPONSORED
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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