JR Sports Spring Break Camp 2021
Registration Form
Player First Name *
Player Last Name *
Parent First Name *
Parent Last Name *
Parent Phone Number *
Parent Email Address *
Player Grade *
Shirt Size *
Preferred Day of Attendance
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I qualify for a $25 discount.
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Payment must be made by March 12th. Please indicate how you will be paying. PLEASE INCLUDE YOUR PLAYER'S NAME IN THE MEMO LINE OF YOUR PAYMENT.
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Emergency Contact #1: Please enter First and Last Name *
Emergency Contact #1: Please enter phone number *
Emergency Contact #2: Please enter First and Last Name *
Emergency Contact #2: Please enter phone number *
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I hereby certify that I am the parent or guardian of the player named above in this form. I do hereby give my consent without reservation to the foregoing on behalf of this individual. I understand that by typing my name below, this is a binding agreement. PLEASE ENTER YOUR FIRST AND LAST NAME BELOW.
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