International Player Registration Form -

International Player Week

July 5 - 9, 2010

1,250.00

International Player Week

July 26 - 28, 2010

1,250.00

International Player Form

Name *

First

Last

Player Age *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Mother's Name *

First

Last

Mother's Email *

Mother's Cell or Work # *

Father's Name *

First

Last

Father's Email *

Father's Cell or Work # *

Camp Options *

July 5 - 9 July 26 - 30

Policy Company *

Name of Policy Holder *

Policy Number *

Health and Special Activity Restrictions *