GO THE DISTANCE Sports Camp Registration

We invite you to register your child online for this year's GO THE DISTANCE SPORTS CAMP that will be held from 9:00am to 12:15pm each day, June 14 thru 18, 2010. Boys and girls, ages 6-12, can choose from Basketball, Soccer, Cheerleading, or Tennis. Team 45 is available for children ages 4 & 5 years old to learn fundamentals of motion.

Child's Name: *

Child's Age: * years old

Child's Last Grade Completed : * Grade

Child's Birthdate: *

Child's T-Shirt Size: *

Child's Gender: *

Male

Female

Sport Selection: *

Please select the sport that your child would like to participate.

Home Phone #: * Home Phone #

Please provide a phone number for us to contact you.

Home Address:

Parent's Name: *

Cell or Daytime Phone #: * Cell # or Daytime Phone #

Please provide us with a phone number where you can be reached while camp is in session.

Emergency Contact Person:

Please provide us with the name of someone else we can call in an emergency if we are not able to reach you.

Emergency Contact Phone #:

Please provide the phone # of your emergency contact in the event that we are unable to reach you.

Child's Allergies:

Please provide us with information about any allergies your child may have.

Child's Health Issues:

Please provide us with information about any health issues your child may have.

GO THE DISTANCE Sports Camp Registration

Navigation

User login