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Mega Sports Camp

Registration Form


Child's Information
First Name:
Last Name:
Address
City

State Zip Code
Date of Birth
Last School Grade Completed
Male    Female


Sports Information
Sports Choice
Soccer (bring a soccer ball and shin guards labeled with your name)
Basketball (bring a basketball labeled with your name)
Cheerleading (wear comfortable shoes)

T-shirt Size
YS YM YL S M L


Parent/Guardian Information
Name of Guardian(s)
Home Phone
Work Phone
In case of emergency, contact
Phone Number
Special concerns (allergies, medications, medical concerns, etc.)


Electronic Signature
By checking this box, you are acknowledging that you have read the Legal Statement and agree to all terms and conditions that apply.