Carthage College Athletics
Attn: Leanne Ulmer - Volleyball Coach
2001 Alford Park Dr.
Kenosha, WI 53140

Carthage College Girls Volleyball Camp Registration Form


Please fill out the following fields.

Choose Program: Please select an item.
Will you pay by Check or Credit Card?   
Please make a selection.
Girls Camp: (Choose your Grade)
 
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 2012 Yr./School Name *Required
Position:
Please make a selection.
Roommate Request:
Reside in Dorm
Near Friends?
Please make a selection.
If yes, indicate
friend’s name
T-Shirt Size: Please select a size.
Do you need a volleyball? ($40.00)  
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.
security code
Enter Security Code: