LB March 23 - April 10th Camps & Clinics

LB March 2026 CAMPS & CLINICS
Parent/Guardian Information

Please fill out all the required information.
Parent/Guardian's Name*
First Name Last Name
Parent's Email*
example@example.com
Phone Number (WhatsApp preferred)
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
First Name Last Name
Emergency Contact Phone Number
Please enter a valid phone number that can be reached in the event the parent/guardian does not answer.Format: (000) 000-0000.
Player Information

Please fill out all that is applicable.
Player's Full Name*
First Name Last Name
Player's Date of Birth*

MonthDayYear
Date
20092010201120122013201420152016201720182019
MaleFemale
LB Football Academy PlayerBHS PlayerNon-Academy Player
Program Selection

Please fill out all that is applicable.
LB March Training Camp – Week 1 (BHS March 23 - March 27)LB March Training Camp – Week 2 (BHS March 30 - April 2)LB March Training Camp – Week 3 (BHS April 6 - April 10)LB Goalkeeper Clinic – Week 1 (BHS March 23–27)LB Goalkeeper Clinic – Week 2 (BHS March 30-April 2)LB Peewee Camp - Week 1 (BHS March 23 - 27)LB Peewee Camp - Week 2 (BHS March 30 - April 2)LB Elite Player Clinic - Week 1 ( BHS March 23 - 27)LB Elite Player Clinic - Week 2 (BHS March 30 - April 2)
Attendance Type

Please fill out all that is applicable.
Full WeekSelected DaysHalf DayFull Day
Day Selection

If you’ve selected the “Selected Day” option in the previous section please share what days you will be attending.
MondayTuesdayWednesdayThursdayFridayFull Week
Time Block / Session Selection

Please fill out all that is applicable.
2009–2013 8:00 AM – 10:00 AM2014–2017 10:30 AM – 12:30 PM
Full Day Camp Add-Ons

Please fill out all that is applicable.
Yes (Goalkeeper Clinic + Full Day Camp + $175 add-on)No
Sibling Information

Please fill out all that is applicable.
YesNo
Sibling Information (See below directions)
Indicate the following: 1. Name 2. Birth Year, 3. Which Camp or Clinic will the sibling be attending? 4. Attendance Type: Full Week, Selected Days, Half-Day, or Full Day 5. Time Block / Session Selection 6. Aftercare Option and Selected Days for Aftercare
Aftercare Option

(Full Day Camps Only)
No AftercareYes – $15 per hour
MondayTuesdayWednesdayThursdayFriday
PAYMENT INFORMATION
Online Card PaymentBank Transfer
Banking Information for Direct Deposit:

Account Name: LB Peak Performance
Bank: Clarien Bank
Account Number: 6000248351
MEDICAL INFORMATION
Medical conditions, allergies, or injuries:*
Write “N/A” if none
AUTHORIZATIONS & CONSENTS
CONFIRMATION
Parent / Guardian Name (Digital Signature)*

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FORM SUBMISSION MESSAGE

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LB March 2026 CAMPS & CLINICS

Parent/Guardian Information

Player Information

Program Selection

Attendance Type

Day Selection

Time Block / Session Selection

Full Day Camp Add-Ons

Sibling Information

Aftercare Option

PAYMENT INFORMATION

Banking Information for Direct Deposit:

MEDICAL INFORMATION

AUTHORIZATIONS & CONSENTS

CONFIRMATION

FORM SUBMISSION MESSAGE