Registration Form
Player Information:
Full Name  _____________________________________________________________

Address  _______________________________________________________________

City/State/Zip  _________________________________________________________

Birthdate  _________   Sex  _____  Home Phone  ________________________

School Attending  _______________________________________________

Parent/Guardian Information:

Parent/Guardian  _____________________  Alt. Phone  _____________

Parent/Guardian  _____________________  Alt. Phone  _____________

Preferred Email(s)  ______________________________________________

Emergency Contact Information
Alternate Contact  ___________________  Phone  __________________

Doctor  _______________________________  Phone  __________________

Dentist  _______________________________  Phone  __________________

Insurance Carrier  _____________________  ID #  ___________________


Camp Registering For  ___________________________________________