Youth Camp 2018 Player Registration

Michigan Burn Youth Camp 2018 Registration

Please complete all fields to register a player for the Showcase. Questions? Call 586-949-6266.
Parent or Guardian Name *

First Name Last Name
Player's Name *

First Name Last Name
Player's Age *
Tshirt Size *

Address *

Primary Phone Number *

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
Email *
example@example.com
Select Program

Soccer Youth Camp 2018 $ 150.00

Total $ 0.00
Method of Payment *

Check Cash Credit Card
Comments
I hereby give permission and certify that player is in good health and able to participate in all Michigan Burn activities. By selecting the SUBMIT button, I release coaches, staff, and all others associated with Michigan Burn activities of all Liability for any injury or illness incurred by team members at Michigan Burn activities.
Date *

Month Day Year
Date Date Picker Icon
Should be Empty:

Michigan Burn Youth Camp 2018 Registration