WSU Athletics

Track and Field Camp

 

Parent/Guardian With Residential Placement And/Or Decision-Making Authority In The Event Of Illness Or Injury

Note: fields with an * must be filled out.

*First Name: *Last Name:

*Relationship to Participant:

*Preferred Phone:( ) - Secondary Phone:( ) -

*Email:

*Address: *City:

*State: *Zip:

Second Parent/Guardian With Legal Responsibility/Authority  To Be Contacted In Case Of Illness Or Injury

*First Name: *Last Name:

*Relationship to Participant:

*Preferred Phone:( ) - Secondary Phone:( ) -

Email:

Additional Parent/Guardian To Be Contacted In Case Of Illness Or Injury

First Name: Last Name:

Relationship to Participant:

Preferred Phone:( ) - Secondary Phone:( ) -

Email:

Camper Information

*First Name: *Last Name:

*Date of Birth: , *Gender: Male Female

*School you will attend in Fall of 2013: *Grade in Fall of 2013:

If you have a roommate preference, please enter their name:

Note: Your roommate must list your name in order for this assignment to be made.

*Events:

Cancellation Policy

Your full tuition, less a $100 administration fee, will be refunded if you cancel your enrollment. Should the camper leave during the week for medical reasons, the refund will be prorated. No refunds will be made to campers who voluntarily leave camp during the week.

*By clicking this box I acknowledge that I have read and agree to the above cancellation policy:

To complete this registration, I will...
make a $450 payment at this time with a credit card.

 

 

Washington State University Athletics, PO Box 641602, Washington State University, Pullman WA 99164-1602, 509-335-0230, Contact Us