ID Camps for Puerto Rico National Team
Player's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Does the applicant have a valid passport?
Yes
No
Club Team
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Player Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Player First Position
Player Second Position
Have you ever played for any Puerto Rico Youth National Team before?
Yes
No
Have you experienced any injuries within the past year?
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's Email Address
example@example.com
How did you hear about the ID Camps?
Facebook
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Website
Recommendations
Other
Signature
Select the corresponding payment:
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ID Camp Registration – Girls 2009
$125.00
$
125.00
ID Camp Registration – Girls 2010
$125.00
$
125.00
ID Camp Registration – Girls 2011
$125.00
$
125.00
ID Camp Registration – Girls 2012
$125.00
$
125.00
ID Camp Registration – Girls 2013
$125.00
$
125.00
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