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Summer 2008 Binghamton Ultimate Tennis Camp Registration
* - Denotes Optional Field
First Name:
Last Name:
Age:
8
9
10
11
12
13
14
15
16
17
Grade:
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Address:
City:
State:
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 Code:
Parent/Guardian Name:
Home Phone:
Cell Phone:
*
Date of Birth:
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
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
T-Shirt Size: (Adult Sizes)
Small
Medium
Large
Extra Large
Emergency Contact:
Emergency Phone #:
Date of Last Physical:
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
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
Insurance Provider:
Insurance Policy #:
Email Address:
Gender:
Male
Female
Camp(s):
July 7-10 ($175)
SOLD OUT
July 14-17 ($175)
July 28-30 (Tournament Tough, $75)
Skill Level:
Beginner
Adv. Beginner
Intermediate
Advanced
True Blue
Official Team Merchandise:
Visor (Green) $15
*
Hat (Green) $15
*
Medical Conditions: (if any)
None
Total Price:
Please Select At Least 1 Week