Camp Registration Information

Please note that all printed registration and release forms MUST be mailed in or turned in on the first day, NO exceptions!

 

PDF Icon  Camp Registration Form

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You have 2 options to register for a camp session. You can download the PDF and fill it out and return it to the address on the form with your payment, or you can fill out the form below and submit your information and you will be redirected to a Thank You page where you can Pay Now by using the PayPal online payment process.

Personal Information

All Information is Required, Please read over our Privacy Policy for any concerns about your personal information.

 

   
Attendee First Name      
Attendee Middle Name      
Attendee Last Name      
Weight      
Address      
City      
State      
Zip      
Birthday      
Age      
Contact Number (Home)      
Cell Number (Txt/Call)     
Email      
Male or Female      
Current School Information
School      
Year in School      
Vault Coaches Name      
Best Vault in Meet      
T-Shirt Size      
Do you have Med. Insurance?     
Medical Information
Providers Name      
Policy Number      
Group Number      
CoPay      
Any Medical Conditions? (asthma, allergies, ect,)      
Emergency Contact Information
Full Name      
Contacts Number      
Relationship To You      
Session Information
Please take your time filling out the session information below, answer each question, those not attending please choose "No" for the option. thanks!
Elite Developmental ALL 4 weeks $600     choose Yes or No
Weekend Camp 3 Days $275 or $250     choose $275, $250 or none
2 Days a week for $100 or $350 for all     choose 2days $100, All $350, or none
June 14th and 16th     choose Yes or No
        June 14th Times 
        June 16th Times 
June 21st and 24th     choose Yes or No
        June 21st Times 
        June 24th Times 
June 28th - June 30th     choose Yes or No
        June 28th Times 
        June 29th Times 
        June 30th Times 
July 6th - July 7th     choose Yes or No
        July 6th Times 
        July 7th Times 
Weekend Camp 3 Day Overnight     3 Day Overnight
Electric Signature is Required
Electronic Sig      
 
 

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