2019 Pirate ID Clinic & Camp Registration
Please upload all player information below
Camp Description *
I have read the Refund, Medical Release & Photo Release policies as detailed on the registration webpage and as a legal guardian to the participant agree to all policies as written. By adding my name below I confirm that I am a legal guardian of the participant and agree to all policies as written. *
Your answer
Camp Start Date *
MM
/
DD
/
YYYY
Player Name *
Your answer
Date of Birth *
Your answer
Gender *
Graduation Year *
Your answer
Current Club Team *
Your answer
Current High School Team *
Your answer
Position Preference *
Shirt Size *
Parent or Guardian Name *
Your answer
Email Address (Parent or Guardian) *
Your answer
Home Address (Parent or Guardian) *
Your answer
Cell Number (Parent or Guardian) *
Your answer
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