Max Indoor Camp Registration

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Simply the Best Training There is

Camper # 1

2 Choices Pick One

July 6 - 9 LakeView/ Praire View Downers Grove

July 12 -15 Frankfort Commisioners Pk 80th Ave and Laraway Rd

STP Summer Camp Registration Form

Session AAll Skills Boys/ Girls U8 - U10 9:00 - 11:00am $ 100

Session BIntermediate Skills Boys/ GirlsU11 - U149:00 - 11:30 am$ 120

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 Print Authorization Form Please Mail in or Bring to 1st Day of Camp

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 *

*Birthdate

Current Team

mm/dd/yy

or Club

Name

Home Phone *

Cell Phone

Email Address

Father

Physician Phone

Every Participant Receives a Free STP T-Shirt