Camp Registration Please use the form below to register. After registering, you will be directed to Google Checkout for the payment. The information on the camp program is here. * Required Fields PLAYER INFORMATION Player Name* First Mid Initial Last Date of Birth (MM/DD/YY)* ---JanFebMarAprMayJuneJulyAugSeptOctNovDec//---20102009200820072006200520042003200220012000 Current Age* Gender* ---BoyGirl School Grade List medical conditions that could affect participation: Emergency Contact* Relationship to the Player Emergency Phone(s)*: Mother's Date of Birth (mm/dd, no year required)* / (Used for a player registration code) GUARDIAN INFORMATION Guardian Type* ---FatherMotherOther/Legal Guardian Name* First Mid Initial Last Home Address* Home Phone* Cell Phone Email* We will be using email to contact about the program. Add other email contacts: Email Name Email Name VOLUNTEERING* We rely on volunteers to help with the program. We will provide coaching training, so no experience is needed, just desire. There is a $20 non-volunteer fee per combined family registration. Coach/Assistant Coach Setup and other help I am not able to volunteer**Name of Volunteer **If you are not volunteering, add $20 to the registration fees.