SPORTS CAMPS & CLINICS

Camp Registration

Elementary & Middle School Fundamental Camp

May 26-29, 2015

Coupon code:

Participant Information

First Name:
*
Last Name:
*
Email Address:
*
Phone:
Cell Phone:
School Name:
*
Grade (Fall 2015):
*
T-shirt Size:
*

Registration Information

Grade *

Option Availability Cost
First Grade: 4-6 p.m.
Available $80.00
Second Grade: 4-6 p.m.
Available $80.00
Third Grade: 4-6 p.m.
Available $80.00
Fourth Grade: 4-6 p.m.
Available $80.00
Fifth Grade: 7-9 p.m.
Available $80.00
Sixth Grade: 7-9 p.m.
Available $80.00
Seventh Grade: 7-9 p.m.
Full $80.00
Eigth Grade: 7-9 p.m.
Available $80.00

Total Price

Parent/Guardian Information

Full Name:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip/Postal Code:
*
Country:
*
Phone:
*
Email:
*

Credit Card Information

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.