Contact information
Camp with Coach Bernie - June 19th - 21st, 2019. Camp will be held at the CSO Sports Complex 1301 E 47th St.
Email *
Name (First & Last) *
Cell Phone Number *
Address *
Preferred Method of Communication *
Parent Name *
Parent Cell Number *
Parent Email Address *
Player's Date of Birth? *
Player's Upcoming Grade *
Which Camp Level are you attending? *
Did you play for your school last season? *
If yes, which team?
Clear selection
If No, what school or club did you play? If at all. *
When you played, where did you play? *
What type of player are you? *
Do you have any medical restrictions or issues? If yes, please describe. *
How did you hear about the camp? *
Tell me a fun fact about you? *
Please make all payments in advance through Zelle, QuickPay or CashApp *
Never submit passwords through Google Forms.
This form was created inside of 360 Sports Academy. Report Abuse