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Contained Form Portlet
Wesleyan College
Athletic Camp Registration
*
Choose a Camp Session:
Basketball, March 15
Soccer, March 22
Volleyball, March 29
Athlete Information
*
Athlete Name
*
Athlete Date of Birth:
*
Year of high school graduation
*
Club/Travel team:
*
Position
*
T-shirt size
YS
YM
YL
S
M
L
XL
Allergies or dietary restrictions
Notes:
Guardian Information
*
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
*
Street Address:
*
City:
*
State/Province/District:
Armed Forces the Americas
Alberta
Armed Forces Europe
Alaska
Alabama
Armed Forces Pacific
Arkansas
American Samoa
Arizona
British Columbia
California
Canada
Colorado
Connecticut
Canal Zone
District of Columbia
Delaware
Foreign Country
Florida
Fed States of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Manitoba
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
New Brunswick
North Carolina
North Dakota
Nebraska
Newfoundland
New Hampshire
New Jersey
Newfoundland and Labrador
New Mexico
Nova Scotia
North West Territories
Nunavut
Nevada
New York
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Palau
Quebec
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Texas
U.S. Minor Outlying Isl.
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Yukon
*
Postal Code:
Home Phone
Cell Phone
*
Email:
Policies & Forms
*
I have printed the waiver of liability form, signed it, and will bring it to camp
(
Print from here
).
Yes