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| Travel Team: |
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| Gender: |
Male
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| Classof: |
2010
2011
Unsigned Seniors
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| Insurance Information: |
| Carrier: |
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| Policy#: |
Group#:
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I, the undersigned, submit that
my son is physically fit and able to participate in strenuous
activity and hereby waive Phenom Elite Camp of all responsibility
for illness or injury sustained. I hereby authorize camp directors
to act on my behalf in their best judgment in any emergency medical
situation. I understand I am solely responsible for payment of
any such medical expenses and must provide Phenom Elite Camp with
proof of medical and accident insurance. I understand that my
payment and deposit is non-refundable, non-transferable under
any circumstances, including injuries sustained, conflict of schedules,
or illness. I understand that Phenom products can not be given
in lieu of any refunds. I also understand that any camper who
does not abide by camp facility rules or regulations is subject
to dismissal without refund or recourse.
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Parent/Guardian Signature: Date: |
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| Camp Fees: |
-- $450 |
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-- $150 non-refundable
deposit submitted with application secures your spot |
| Items You Provide in the registration
packet: |
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º Proof of grade (report card, letter from school
or progress report) |
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º 3 x 5 photo (no computer printouts) |
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º Completed Biography |
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º Registration form |
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º Registration fees or deposit |
| Send Registration to: Phenom Elite
Camp, 26563 Rhone Ct., Moreno Valley, CA, 92555 |
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Approval Code: |
| Player's Name: |
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| Address: |
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| City, St, Zip: |
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| Contact Info: |
Phone:
email:
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| School Team: |
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| Travel Team: |
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| Allergies: |
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| Medications: |
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| Emergency Contact |
(name & telephone)
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| Position: |
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| Height: |
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| Weight: |
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| Class: |
2010
2011
Unsigned Seniors |
| Shoe Size: |
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| Uniform Size: |
adult size:
Uniform comes in a set
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| Hobbies: |
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| Fav Athelete: |
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| Nickname: |
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Registration Checklist: |
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Registration Form |
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Biography Form |
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Proof of Grade |
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Registration Deposit/Fees |
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Photo for Camp Program |
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* These items must be submitted
in full for registration to be accepted. Please check items before
submitting.* |
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