Youth Sports Camp Registration

Phone: the Date

Youth Sports Camp Registration: *

2025 Summer Youth Sports Camp Session 1 (Aug 4 – 7) – $300.00
2025 Summer Youth Sports Camp Session 2 (Aug 11 – 14) – $300.00

Participant Information

Participant's Name: *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Participant's Cell (if applicable):

Participant's Email (if applicable):

Participant's Date of Birth: *

Participant's Age (as of today) *

Participant's Current Grade (as of today): *

T-Shirt Size: *

Shorts Size: *

Parent / Emergency Contact Info

Parent #1 *

First

Last

Parent #1 Email: *

Parent #1 Cell Phone: *

Parent #2:

First

Last

Parent #2 Email:

Parent #2 Cell Phone:

List any medical issues the staff should be aware of:

Parent / Legal Guardian Signature *

Clear Signature

The signature above certifies that you understand & accept all Legacy 716 LLC policy & procedures including but not limited to: liability waiver, consent to participate, consent for medical treatment, and refund policy.

Purchase Summary & Payment

Total

Item Quantity Qty Total

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Youth Sports Camp Registration: – 2025 Summer Youth Sports Camp Session 1 (Aug 4 – 7) 1 $300.00

Youth Sports Camp Registration: – 2025 Summer Youth Sports Camp Session 2 (Aug 11 – 14) 1 $300.00

Total $0.00

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