Athletes Full Name *
Street Address
City
State
Zip Code
County
Date Of Birth
Parent(s)/Guardian(s) Full Name
Phone number where you can be contacted *
Emergency phone number where you can be contacted
E-mail address to send information *
Best time to reach you
   
Fast Camp  

June 7-11, 2004 9-10:30 AM

Yes

 

July 12-16, 2004 9-10:30 AM

Yes

 

August 2-6, 2004 9-10:30 AM

Yes

 
Soccer Speed Camps  

June 21-25, 2004 2-3:30 PM

Yes

 

July 5-9, 2004 9-10:30 AM

Yes

 
Any medical conditions..please explain.
Check your prefered method of payment. Credit Card Check  

If you pay by check, you will need to pay prior to starting the camp.

Check credit card type.

Visa Mastercard Discover (You will be contacted by us for the information)

 

How you attended other camps?

Yes No

 
If so, which ones?
Comments or Questions

Waiver
I understand that the performance camp that I am participating in is being offered solely by Rebound Sports Performance. I am participating in this program voluntarily and have no known physical limitation or impair-ment mat may limit my ability to engage in various sports, coordination events, or fitness testing/training. I assume all risks of injury and agree to waive any claim or rights that I might otherwise have to hold liable Sports Performance Inc employees, owners, officers or any agents. It is always advisable to consult your physician prior to undertaking any physical exercise program.

By clicking the "Submit Button" you aggree with the above waver.

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