Camp-Bine Registration

Parent/Sponsor Name

First NameLast Name

Athletes Name (If you are sponsoring an athlete put "sponsor" in both fields)

First NameLast Name

Name

First NameLast Name

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What position does your athlete play?

(if you are sponsoring an athlete put "any" in the field above)

What school does your athlete attend?

(if you are sponsoring an athlete put "any" in the field above)

Grade

Twitter Handle

IG Handle

Facebook Handle

(1) Athlete Fee

Combine/Competition Camp for Middle School and High School

$60.00

(2) Athletes Fee

Combine/Competition Camp for Middle School and High School

$100.00

(3) Athletes Fee

Combine/Competition Camp for Middle School and High School

$150.00

SPONSOR AN ATHLETE

Sponsor an athlete to give them an opportunity for more exposure and better their athletic future. KEEPS KIDS ACTIVE & OFF THE STREETS.

Free Quantity
Item subtotal:

Enter coupon

Subtotal

Tax

Total

Credit Card

Cash App Pay

2022 Nebraska Camp-Bine