Camp Check In

Participant Name *

Parent/Guardian Name *

Parent/Guardian Email *

Is the Child Registered? *YesNo

Participant Age *

Participant Gender *

Jersey Size *

Player Position *

Current School/Coach *

Parent/Guardian Phone *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Additional Emergency Contact

Emergency Contact Email

Emergency Contact Phone

Additional Payment Required? *NoYes

Payment Options *Fee + Registration ($375)Full Registration ($350)Half Registration ($175)Other

Fee + Registration Amount

$

Full Registration Amount

$

Half Registration Amount

$

Other Payment Amount

Subtotal

Tax

$

Check-In Total

$

Payment Method? *CardCash/Check

PFL Camp Check In