Please fill out the form completely. All camps include a camp t-shirt. Register early to avoid a late registration fee.
10th - 12th Grade Summer Camp Registration
Returning Players
Student's First Name
*
Student's Last Name
*
Grade?
Grade?
10
11
12
Home Phone
Cell Phone
*
Emergency Phone
List Any Health Concerns
Street Address
*
Town
*
Zip Code
*
Parent's Full Name
*
Parent Email
*
Name & Relationship of Emergency Contact
Payment can be made by using a credit card or PayPal. A PayPal account is not required. Your registration will be complete and submitted after the payment has been processed. You will recieve an email to confirm your student's registration. Thank you for supporting the Neuqua Valley Summer Camp Program.