Camp Registration Form

Camp Registration Form
Player Name

First NameLast Name
Age
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Grade Level
Cannot be currently enrolled in 8th grade
Shirt Size
Specify Youth or Adult
Parent/Guardian's Information
Parent/Guardian's Name - Primary

First NameLast Name
Phone Number
Please enter a valid phone number.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.
Health History
If the student have any allergies, please list them down below:
Does the player have any medical conditions that you would like to declare?
Date Signed

MonthDayYear
Date
Should be Empty: