2026 Summer Intensive Registration Form

2026 SUMMER INTENSIVE REGISTRATION FORM

PLAYER INFORMATION

All fields are required

First Name *

Last Name *

Player date of birth *

Gender *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country

PARENTS INFORMATION

PARENT 1 Select Relationship

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Phone *

Parent 1 Email Address *

PARENT 2 Select Relationship

Parent 2 Name

Parent 2 Phone

Parent 2 Email Address

HEALTH INFORMATION

Please upload in pdf of jpeg format these two documents

Insurance Card *

No file chosen

Immunizations Record *

No file chosen

Own Health Insurance (Required) *I have my own health insurance and I am responsible for any medical expenses not covered by the insurance in-state, out-of-state or abroad.

SESSIONS REGISTRATION

I am interested in registering for the following sessions

Select Session(s)Week 7: August 3 - 7Week 8: August 10 - 14

Sessions Info

HEAD SHOT

Head Shot *Please upload a head shot in a image format using this example as a guideline

No file chosen

PAYMENT INFORMATION

Credit Card Number *

Expiration Month *

Expiration Year *

CVV *

Charges *I authorize charges for a $300 non-refundable deposit per week at time of registration, $300 per week on May 15, 2026 and the remaining balance the week before the start of each week.I agree and understand the cancellation policy of 50% of the cost of any session by June 1. No refunds will be provided once a session has started.

DISCLAIMER OF LIABILITY

Agreement *I Agree with the disclaimer of liability