SPORTS CAMPS & CLINICS

Camp Registration

Super 75 High School Elite Camp

June 22-24, 2015

Participant Information

First Name:
*
Last Name:
*
Email Address:
*
Phone:
Cell Phone:
School Name:
*
Grade Entering this Fall:
*
T-shirt Size:
*
Height (ft):
*
Height (in):
*
Position:
*

Registration Information

Camp Options *

Option Availability Cost
Super 75 Elite Camp (Commuting Camper included)
Available $200.00
Resident Camper upgrade
Available $15.00
Roommate:

Total Price

Payment Information

Name on Card:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip/Postal Code:
*
Country:
*
Phone:
*
Email:
*
Credit Cards
Card Type:
*
Card Number:
*
CVV/CVC:
*
Expiration Date:
*

* I give permission to Dordt College to take and use photos, videos, and audio recordings of the participant(s) for educational, advertising and promotional materials unless I contact the public relations office at public-relations@dordt.edu to specifically opt out.

* I agree to abide by the rules set forth in the Sports Camp Manual.

* I understand I need to bring a filled-out Medical Form with the participant to registration.

* I understand I will need to sign the Release of Liability, Waiver, and Indemnification at registration.