PRIDE ATHLETIC CLUB
SUMMER SPORTS CAMPS
Child's First Name
Child's Last Name
Shirt Size
<Select Shirt Size>
Youth - Medium
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Age
<Select Age>
6
7
8
9
10
11
12
13
14
15
School
Parent/Guardian Names
Address
City
State
Zip
Home Phone
(
)
Email
Alt Contact Type
Alt Contact Phone
(
)
ext.
Doctor Name
Doctor Phone
(
)
ext.
Insurance Company
Does your child play either position?
Goal Keeper
No
Yes
Pitcher
No
Yes