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Camp Application

Boy Girl
Field Player Goalkeeper

Date of Birth:
Player's Name:
Parent's name:
Day phone:
Evening:
Address:
City:
State:		Zip:
Emergency contact:
Emergency phone:

My Child is in good health and has my permission to participate in camp activities. If I cannot be reached in case of an emergency, I hereby give my permission to the physician selected by the camp staff to secure proper treatment for the above named individual. I understand that all pictures or video taken at the camp may be used at the discretion of the Arizona Sahuaros. Yes No

Payment:
check enclosed-payable to Arizona Sahuaros
charge my credit card $
Visa Mastercard Amex
Credit Card Number Expiration Date

Date of camp or camps attending:
June TBA June TBA July TBA August TBA

Level: intramural club travel

T-shirt size: YM YL S M L XL