B1 World Camp Registration Form
Select Your Camp Option
*
Full Day (9AM-4PM, lunch included)
Commuter (9AM-8PM, no overnight, lunch & dinner included)
Residential (All Meals + Dorms)
Player Name
First Name
Last Name
Player's Birth Year
-
Month
-
Day
Year
Date
Gender
Male
Female
T-Shirt Size?
Please Select
YXS
YS
YM
YL
Adult S
Adult M
Adult L
Parent/Guardian Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Any health conditions that we should be aware of? If yes, please elaborate.
Any food allergies? If yes, please elaborate.
Roomate Request? (Optional)
Select Your Camp Option + Add-Ons
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Full Day Camp
9am-4pm Camp
$519.00
$
519.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commuter Camp
9am-8pm Camp
$679.00
$
679.00
Quantity
1
2
3
4
5
6
7
8
9
10
Residential Camp
Overnight Camp
$975.00
$
975.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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