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Camp Registration
GROUP AND SIBLING DISCOUNTS CAN NOT BE APPLIED AFTER COMPLETING THE REGISTRATION. PLEASE CONTACT COACH MILLER AT
mmiller@messiah.edu
FOR YOUR DISCOUNT CODE PRIOR TO COMPLETING THE REGISTRATION.
Camp Session: *
*
First Name: *
*
Last Name: *
*
Street: *
*
City: *
*
State: *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip: *
*
Email: *
*
*
School: *
*
School District: *
*
Coach:
Club Team:
DOB: *
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
*
*
*
Grade Entering Next Fall: *
3th
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
Parent/Guardian Name: *
*
Parent/Guardian Phone 1: *
*
Parent/Guardian Phone 2:
Gender: *
Female
Male
*
Years Played: *
0 yrs
1 yr
2 yr
3 yr
4 yr
5 yr
6 yr
7 yr
8 yr
9 yr
10+ yr
*
Shirt Size: *
youth-large
small
medium
large
x-large
xx-large
*
Roommate Pref 1:
Roommate Pref 2:
Roommate Pref 3:
Comment:
(What skills would you like to work on at camp)
Messiah Admissions:
I would like to receive more information about Messiah College from the Admissions Office
I would like to sign-up for a campus tour in conjunction with my camp experience (entering grades 9-12) The Admissions Office will contact you to set-up the specific time of this tour. It will either be prior to, or immediately after camp
I would like to sign-up for an Admissions info session in conjunction with my camp experience (entering grades 10-12) The Admissions Office will contact you to set-up the specific time of this tour. It will either be prior to, or immediately after camp
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