Register by September 7, 2018
T-shirts cannot be guaranteed to those who register after the original 09/07/18 deadline.
Parent/Guardian Information
Parent/Guardian's Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Suffix
E-mail Address
*
Confirmation Email
*You will receive important camp updates via email.
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Parent/Guardian's Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How many students are you registering today?
*
1
2
3
4
Student Information
Student's Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Suffix
E-mail
Confirmation Email
*You will receive important camp updates via email.
Primary Phone Number
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Student's Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Student's Date of Birth
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Female
Male
Tshirt Size
*
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult X-Small
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
Adult 3X
Unisex Sizes
Affiliated Performing Unit
*
Type N/A if not currently affiliated.
Student's School District
*
Type N/A if not currently enrolled.
Liability Release
*
I/We, individually and as parent(s) and guardian(s) of the enrolled student/minor, acknowledge that I understand the nature of the event and ask that he/she be admitted to participate in this Legacy Twirling Camp sponsored by The Glendale Jr/Sr. High School Indoor Twirlers. In consideration of such admission, I do hereby agree to waive, release, discharge, agree not to sue and hold harmless The Glendale School District, its officers, agents, and employees and the Pennsylvania State University, the Pennsylvania State Twirling Club, its officers, agents, employees and members, of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the Legacy Twirling Camp, or in the course of activities held in connection with the Legacy Twirling Camp.
Personal Release
*
Additionally, I/we authorize Conferences of The Glendale School District and The Pennsylvania State Elegance Twirling Club to photograph, videotape, and/or audiotape my/our child in promotion of this camp.
Student Information
Additional Student's Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Suffix
E-mail
*
Confirmation Email
*You will receive important camp updates via email.
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Student's Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Student's Birthdate
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Female
Male
Tshirt Size
*
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult X-Small
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
Adult 3X
Affiliated Performing Unit
*
Type N/A if not currently affiliated.
Student's School District
Liability Release
*
I/We, individually and as parent(s) and guardian(s) of the enrolled student/minor, ask that he/she be admitted to participate in this Legacy Twirling Camp sponsored by The Glendale Jr/Sr. High School Indoor Twirlers. In consideration of such admission, I do hereby agree to release, discharge, and hold harmless The Glendale School District, its officers, agents, and employees and the Pennsylvania State University, the Pennsylvania State Twirling Club, its officers, agents, employees and members, of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the Legacy Twirling Camp, or in the course of activities held in connection with the Legacy Twirling Camp.
Personal Release
*
Additionally, I/we authorize Conferences of The Glendale School District and The Pennsylvania State Elegance Twirling Club to photograph, videotape, and/or audiotape my/our child in promotion of this camp.
Student Information
Additional Student's Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Suffix
E-mail
*
Confirmation Email
*You will receive important camp updates via email.
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Student's Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Student's Birthdate
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Female
Male
Tshirt Size
*
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult X-Small
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
Adult 3X
Affiliated Performing Unit
*
Type N/A if not currently affiliated.
Student's School District
Liability Release
*
I/We, individually and as parent(s) and guardian(s) of the enrolled student/minor, ask that he/she be admitted to participate in this Legacy Twirling Camp sponsored by The Glendale Jr/Sr. High School Indoor Twirlers. In consideration of such admission, I do hereby agree to release, discharge, and hold harmless The Glendale School District, its officers, agents, and employees and the Pennsylvania State University, the Pennsylvania State Twirling Club, its officers, agents, employees and members, of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the Legacy Twirling Camp, or in the course of activities held in connection with the Legacy Twirling Camp.
Personal Release
*
Additionally, I/we authorize Conferences of The Glendale School District and The Pennsylvania State Elegance Twirling Club to photograph, videotape, and/or audiotape my/our child in promotion of this camp.
Student Information
Additional Student's Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Suffix
E-mail
*
Confirmation Email
*You will receive important camp updates via email.
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number
-
Area Code
Phone Number
Student's Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Student's Birthdate
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Female
Male
Tshirt Size
*
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult X-Small
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
Adult 3X
Affiliated Performing Unit
*
Type N/A if not currently affiliated.
Student's School District
Liability Release
*
I/We, individually and as parent(s) and guardian(s) of the enrolled student/minor, ask that he/she be admitted to participate in this Legacy Twirling Camp sponsored by The Glendale Jr/Sr. High School Indoor Twirlers. In consideration of such admission, I do hereby agree to release, discharge, and hold harmless The Glendale School District, its officers, agents, and employees and the Pennsylvania State University, the Pennsylvania State Twirling Club, its officers, agents, employees and members, of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the Legacy Twirling Camp, or in the course of activities held in connection with the Legacy Twirling Camp.
Personal Release
*
Additionally, I/we authorize Conferences of The Glendale School District and The Pennsylvania State Elegance Twirling Club to photograph, videotape, and/or audiotape my/our child in promotion of this camp.
Payment
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Cost per Student Registration
$
40.00
Number of Students on this Registration
0
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