Registration Form - Yellow Jacket Sports Camp 2015: Pole Vault Camp

June 29- July 2
Registration Deadline: June 22, 2015

This event requires a registration fee. Your registration cannot be confirmed until your bill is paid in FULL on your credit card. To enable us to care for the medical needs that arise during Sports Camps, each student must bring a medical release form signed by a parent or guardian when they come to campus. For more detailed information about this camp, please visit the camp website.


Cancel Registration and return to the Pole Vault Camp Webpage.

Cancel Registration and Return to Pole Vault Camp

Note: Red * text indicates required fields

Registrant Information

First Name, Last Name *
Parent/Guardian's Name *
Address Line 1 *
Address Line 2
City, State, Postal Code *
Country
Grade This Fall *
Date of Birth *
Phone Number
[999-999-9999 x999]
*
Secondary Phone Number
Email Address *
Second Email Address
School Name *
School City and State *
Years of Experience *
Personal Best *
Pole Type *
List of Poles Used *
T-shirt size *
Food Allergies

Registration/Housing Information

Preferred Roommate (resident campers only, total of two people per room)
First Choice:
Second Choice:

Discounts

There is no prorated discount for camp.
Name of sibling:
Name of Alumni:
Name of Sibling:
Name of Cedarville Faculty/Staff Member

Payment Information

Total Amount: $