SEGKA CAMP + GK WARS REGISTRATION

1

Athlete Full Name* This field is required.

First Name

Last Name

2

Athlete Email* This field is required.

example@example.com

3

Athlete Phone Number* This field is required.

4

Athlete's Date of Birth

Date

5

Parent/Guardian Name* This field is required.

First Name

Last Name

6

Parent/Guardian Number

Please enter a valid phone number.

7

Parent/Guardian Email* This field is required.

example@example.com

8

Shirt Size* This field is required.All sizes in unisex adult sizing

9

Glove Size* This field is required.Gloves or discount code will be provided for GKs in attendance (details TBA)

10

Are you currently a BLGK or Full Stretch GK member?

YESNO

11

How did you hear about SEGKA Camp?

Instagram/Facebook

Website/Internet Search

Word of Mouth

Coach recommendation (high school or club)

CNY Family Sport Center (Email list, flyer at facility, etc.)

BLGK Member/Full Stretch GK Member

12

Choose your event* This field is required.

13

How would you like to pay?* This field is required.Payments accepted beginning July 20th

Venmo (to @mattmilograno)

Check (to BLGK Academy)

Cash