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Carthage College Girls Volleyball Camp Registration Form

Please fill out the following fields.

Choose Program:	Commuter Overnight Please select an item.
Will you pay by Check or Credit Card?	Check    Credit Card Please make a selection.
Girls Camp: (Choose your Grade)
	7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Grad Please make a selection.
Campers Name:	*Required
Address:	*Required
City:	*Required
State: (ie IL)	2 characters required
Zip Code: (5 digits)	*RequiredInvalid format.
Camper Email Address:	*RequiredInvalid format.
Birth Date: (mm/dd/yy)	*RequiredInvalid format.
Fall 2009 Yr./School Name	*Required
Position:	S OH MH DS Please make a selection.
Roommate Request:
Reside in Dorm Near Friends?	Yes No Please make a selection.
If yes, indicate friend’s name
T-Shirt Size:	T-Shirt Size --Please select a size-- Adult Small Adult Medium Adult Large Adult XL Youth Small Youth Medium Youth Large Youth XL Please select a size.
Do you need a volleyball? ($40.00)	Yes   No Please make a selection.
Parent’s Name:	*Required
Parent’s Phone:
Home:	A value is required.Invalid format.
Cell:	Invalid format.
Parent’s Email:	*RequiredInvalid format.
Emergency Name:	*Required
Emergency Phone:	*RequiredInvalid format.
Enter Security Code: