CAMP REGISTRATION – RAUSCH KICKING

Which Camp Are You Signing Up For?(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

(for emergency contact & updates)

Name(Required)

First Last

Email(Required)

Phone(Required)

Birthdate

Gender(Required)

Class Year(Required)

(Anticipated HS Graduation Year)

School Name(Required)

Phone

Position(Required)

T-Shirt Size

Permission(Required)

Yes

During our camps we will have photographers and videographers onsite. Do we have your permission to post your image/likeness online?