Fill-out and submit the form below.

You will receive a confirmation (review) page upon submission of this form. Your registration is not complete until you have paid online via PayPal or offline by submitting a cashier's check or money order.

Player

First Name:

Last Name:

Birthdate:

   , 

Sex:

Player Residence & Contact Info

Address:

City:

State:

Zip:

Phone:

e-Mail:

Player Team Info & Experience

Coach Name:

Coach Phone:

Coach e-Mail:

Travel Team:

Position:

Player School Info

School Name:

School City:

Grade (Fall 2007):

Player Physical Profile

Height:

 in.

Weight:

 lbs.

Jersey Size:

 S/M/L/XL

Shorts Size:

 S/M/L/XL

Shoe Size:

Other Player Info

Hobbies:

Favorite Athlete:

Nickname:

Insurance Info

Insurance Carrier:

Policy #:

Group #:

By submitting this registration, I claim that my daughter is physically fit and able to participate in strenuous activity and hereby waive Total Package Sports and any member, associate or staff members of all responsibility for illness or injury sustained. I hereby authorize camp directors to act on my behalf in their best judgements in any emergency medical situation. I understand I am solely responsible for payment of any such medical expense and must provide the camp director (Brian Gaither) with proof of medical and accident insurance. I also understand that my payment to the camp is non-refundable and if my child does not abide by camp facility rules and regulations is subject to dismissal without refund or recourse.