Youth Camp

$150.00

Camp:

Camp option:

Birth Date: *

City: *

I have read, understand and accept the Consent & Waiver Agreement: *

YES

Email Address:

First Name: *

Grade Level: *

Height:

High School Graduation Year:

Home Phone: *

Last Name: *

Local Newspaper:

Parent's Name: *

Participant's Insurance Company:

Phone:

Player Type: *

Positions: *

Restrictions, medical problems, allergies, and medications:

School Name:

Size:

Size: *

Add Skill Technique Video Option:

Skill Technique Video Only

Fee applied per session.

Sports Editor:

State: *

Street Address:

Varsity Coach:

Weight:

Work Phone:

Zip Code: *

Price: $150.00

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