Please ensure your deposit for the camp is paid before submitting this form.
More Information


Please fill out one form for each person attending.

Email Reference *
Please enter the email address used during payment.
First Name *
Last Name *
Date of Birth *
Height (approx.)
Weight (approx.)
Position *
Alternate Position
Highest Level Played or Coached
Significant Injuries / Medical History
Email *
Emergency Contact Name *
Emergency Contact Address *
Emergency Contact Phone Number *
Emergency Contact Relationship *
Any other health conditions and/or dietary requirements
Declaration *