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Camp Registration

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Username *
Password *
(at least 6 characters)
Retype Password *
Contact Information
Name *
Email Address *
Phone Number
Address
City
State/Zip
Member Information
Spouse/Partner's Name
Email #2
Phone #2
Cell Phone
Camp
Camp *
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Details
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Location
Select a Camp above
Player
Player's Name *
DOB *
Current Team
Position
Shoots *
Payment
Amount
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Payment Method
     
Name on Card *
Card Number *
Expiration Date *
Keep Credit Card on File
   
Promo Code
   
Billing Address 
Address *
City *
State/Zip *
Optional
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