Max Indoor Camp Registration

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Simply the Best Training There is

Camper # 1

at Volunteer Park

April 5th thru the 8th

Just north of 135th St and Rt 53 on Murphy Drive Behind Joliet Jr Campus

STP Romeoville Spring Break Camp Registration Form

Session AAll Skills Boys/ Girls U8 - U10 9:00 - 11:00am $ 80

Session BIntermediate Skills Boys/ GirlsU11 - U149:00 - 11:30 am$ 90

Session CHigh School Boys/ Girls U15 - U181:00 - 3:30 pm $ 95

Camper # 2

Emergency Contact If Parent / Guardian cannot be reached

Emergency Contact Name *

Home Phone *

Cell

Medical Conditions Required Na if none

Physician Name

Insurance Co.

Phone

Holders Name

Policy #

Group #

Click here to see Authorization Form

I acknowledge that I have read and accept the terms of the Authorization for Emergency Medical Treatment and Liability Wavier and I am a Parent and / or Legal Guardian for the Child or Children listed on this form

Select Session

First Name *

Last Name *

Age *

Current Team

Name

Home Phone *

Cell Phone

Email Address

Father

Physician Phone

Every Participant Receives a Free STP T-Shirt