INTERMEDIATE Player Registration
2019 SUMMER CAMP
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Nickname or Preferred Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Zip Code *
Your answer
Parent's Name (May have more than 1) *
Your answer
Parent's Email (May have more than 1) *
Your answer
Parent's Phone (May have more than 1) *
Your answer
Player Experience *
If player has played previously, provide name of organizations that she has played on
Your answer
School Affiliation *
Your answer
Grade *
Is athlete available all dates of the camp? (Thursday/Friday 7:30-9 PM, July 18-19, 25-56 and August 1-2, 8-9) *
Select most skilled position *
Select 2nd most skilled position *
Other notes on skills (check all that apply)
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