August 14-17 2008
** All fields are required! Staff reserves right to refuse camper's registration if form is missing data.
Camper's Name:  
State:
Camp. Location: San Diego
Travel Team:
   
       
Insurance Information:
Policy#:
       
I, the undersigned, submit that my son is physically fit and able to participate in strenuous activity and hereby waive adidas Phenom BootCamp 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 adidas Phenom BootCamp 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.
Parent/Guardian Signature:Date:
       
   
       
-- $395 (You take care of your own housing)
  -- $150 non-refundable deposit secures your spot
Items You Provide in the registration packet:
  º Proof of grade (report card, letter from school or progress report)
  º 3 x 5 photo (no computer printouts)
  º Completed Biography
  º Registration form
  º Registration fees or deposit
Send Registration to: Phenom Boot Camp, 26563 Rhone Ct., Moreno Valley, CA, 92555
   
       
       
       
       
Player's Name:
Address:
City, St, Zip:
Contact Info:
School Team:
Travel Team:
Allergies:
Medications:
Emergency Contact (name & telephone)
Position:
Height:
Weight:
Class:
Uniform Size:  
Hobbies:
Fav Athelete:
Nickname:
  Registration Checklist:    
  Registration Form  
  Biography Form  
  Proof of Grade  
  Registration Deposit/Fees  
  Photo for Camp Program  
  * These items must be submitted in full for registration to be accepted. Please check items before submitting.*