• PUSH Training Registration

    PUSH Training Registration

    Pushing yoUr Skills Higher
  • Player's Information

  • Neylon's Gym: 4917 Lancaster Pike, Wilmington DE 
     

    Contact Info: Ty Perry pushtraining3@gmail.com

     

  • Gender*
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  • Emergency Contact Info

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  • Health Information

    A health officer is on site at all times.
  • Player's Photo Release

  • I agree that photos of my child can be taken on used on for camp social media purposes*
  • Release of Liability

  • Payment

  • By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18.  In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel.  The camp carries secondary insurance.  I understand that the above named camper will only be released to the names listed above, an update may be done at registration.  I certify that my child has my permission to attend camp and participate in all activites. 

  • When will you attend?
  • My Products*

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    Total $0.00$0.00
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