GAME ON! 2022
Athlete's Name
First Name
Last Name
Athlete's Nickname
Nickname
Athlete's Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Athlete's Gender
Male
Female
Grade of Child
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name(s)
Full Name #1
Full Name #2
Parent/Guardian Phone Number
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Parent/Guardian Email
example@example.com
Additional Emergency Contact Name
First Name
Last Name
Relationship to Athlete
Emergency Contact Phone Number
Does the athlete have any allergies, chronic illnesses, or medical conditions? If so, please describe:
Is the athlete prescribed an inhaler? If yes, please describe the instructions:
Check which camp your child is registering for
Session #1 June 6 - 30
Session #2 July 11- Aug 4
Submit
Should be Empty: