CBU Water Polo Team Summer Camp
Camper Information - PLEASE FILL OUT THIS FORM BEFORE THE START OF CAMP.
Camper First & Last Name *
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Camp Attending *
Camper Grade/Year *
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Camper Age *
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Please list any teams and/or clubs that the camper is associated with. *
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Parent/Guardian First and Last Name *
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Parent/Guardian Phone Number *
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Parent/Guardian Email Address *
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Parent/Guardian Home Address *
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Camper Health Notes-Please list any allergies, medications, and/or injuries that we should be aware of. *
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Payment Options: Please make check out to CBU. Mail to: CBU Water Polo Camp Attn: Coach Greenawalt 8432 Magnolia Ave. Riverside Ca 92504. For Credit Card/Debit payment, please call the Lancers Ticket Box Office at 877-456-Lancer (5262) *
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