CIU Women's Soccer Prospect Camp Registration
Dates: July 21 - July 23
Cost: $250
Grades: 9th - 12th
Contact: Kara Farnsworth | kfarnsworth@ciu.edu
Parent Name (first and last):
Email:
Phone Number:
Alternate Phone Number:
BLS or CIU Faculty or Staff?
Mailing Address
Address:
City:
State:
Zip:
Campers
Camper Name (first and last):
Age:
Gender:
T-Shirt Size:
Please list any allergies or medications:
Address (if different from above):
The following campers will be registered:
Insurance Company and Policy Number:
Camp Release/Waiver:
Click here to print and sign the waiver. Every camper must have a signed waiver prior to participating in camp.
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