Middle School Registration Form 2019
Camper Info
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's E-mail *
Your answer
Gender *
Address
Street *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian E-mail *
Your answer
Home Phone # *
Your answer
Parent Cell Phone # *
Your answer
Parent Work Phone # *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
School Info
Coach Name
Your answer
Coach E-mail
Your answer
Grade Entering *
School *
Your answer
Training Info
Estimated Average Summer Running *
Please estimate the number of miles or amount of time you spend running each week during the summer.
Your answer
Running Bio *
Below please describe your experience with running. Please include (if applicable) personal bests, number of years run, and anythings else you believe is pertinent.
Your answer
Roommate Request (We will do our best to accommodate your request)
Your answer
How did you learn about us? *
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