Please complete all of the fields below. Once you submit the form, you will receive a confirmation letter within a few days. If you are paying via credit card, please be sure to complete the transaction upon submitting your registration form.
First Name:
Last Name:
Address:
City:
Zip Code:
(5 digits)
State:
AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Phone Number:
xxx-xxx-xxxx
Email:
** Confirmation letter will be sent to this address
High School Name:
Graduation Year:
(e.g. 2013)
Position:
FwdMidDefGoalie
123
Years of Experience: Junior Varsity
Years of Experience: High School
1234
Birthdate:
(mm/dd/yy)
Camper Status:
Overnight Camper Commuter Camper
Payment Method:
Check (mail in within 1 week of registering) Credit Card
Payment Amount: Check One
$200 deposit Full Payment $420 (Commuter) Full Payment $470 (Overnight)
Roommate:
Roommates will be chosen during registration on the first day of camp. Campers select their own roommate.
