Clone of YOUTH LINEMAN CAMP

CAMP REGISTRATION

CORONADO HIGH SCHOOL, SCOTTSDALE, AZ
JANUARY 31, 2026

5TH-8TH GRADE: 11AM - 1PM
Athlete's Name*

First NameLast Name
Desired Name Tag
Age*
Birth Date*

MonthDayYear
School*
Grade*
DID YOU PLAY TACKLE FALL 2025

YESNO
Fall Season Age Groop - Age Cutoff: 7/1/2026

12U13U14U
DO YOU NEED A HELMET

YESNO
ATHLETE'S CHOICE

PLEASE SELECT OFFENSE OR DEFENSE.
POSITION*

OFFENSIVE LINEDEFENSIVE LINE
Please provide any medical or dietary restrictions you have*

Parent/Guardian Name*

First NameLast Name
Mobile Number*
Email Address*
example@example.com
How did you hear about Camp?*

Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Relationship to Student*

My Products

CLINIC

$25.00

Enter coupon

Total

$0.00

Payment Methods

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