Neuqua Valley Summer Running Camp Registration (Cross Country and Track & Field)
Thank you for choosing to participate in one of our summer camps! Please complete this form and submit your payment in order to complete the registration process.
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I am registering my athlete for this camp: *
Please select one of the following options:
Student's First Name *
Student's Last Name *
Student's grade in school for the upcoming school year *
3rd through 12th
Street Address *
Town *
Zip Code *
Athlete's Date of Birth *
MM/DD/YYYY
Parent/Guardian Full Name *
Please include a first and last name
Home Phone Number *
(000) 000-0000
Cell Phone Number *
(000) 000-0000
Parent/Guardian Email Address *
Emergency Contact Name and Relationship to camper *
Emergency Contact Phone # *
(000) 000-0000
Please list any heath concerns or any other information that might be important for us to know.
T-Shirt Size *
USATF Membership Number (If Applicable)
If your membership is current, please provide your student's number.
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