Registration

Football

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Legal First Name:*

Last Name:*

Preferred Name (for nametag):*

Date of Birth (dd/mm/yyyy):*

Home Street Address:*

City:*

State:*

ZIP:*

Home Phone:*

Student's Cell Phone:

Parent's Cell Phone:

Email Address:*

T-Shirt Size:*

What school are you currently attending?*

GPA:*

ACT Score:

SAT Score:

I heard about this camp from:

I play the following positions:*

I want to work on the following during the 1-day camp (please choose one):

Offensive Position:*

Defensive Position:*

Attendees:*

	I am attending the camp by myself
	I am coming with the people listed below

Please list the names of the people accompanying you (up to four), and their relationship to you.

Guest 1:

Guest 2:

Guest 3:

Guest 4:

Payment Amount:

$50

Pay by Credit Card

Name as it appears on card:

Billing Street Address:

City:

State/Province:

Zip/Postal Code:

Country:

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