Camp Registration Form

*Required Fields

Participant Information

*First Name:

*Last Name:

*Date Of Birth:

Email Address:

Home Phone Number:

*Address:

Address Line 2:

*City:

*State:

*Zip/Postal Code:

*Country:

School:

*T-Shirt Size (Youth: YS,YM,YL | Adult: S,M,L,XL,XXL):

Roomate Request:

Parent/Guardian Information

Primary Parent/Guardian

*First name:

*Last name:

Position:
Goalie
Attack
Midfield
Defender

Date Of Birth:

*Email Address:

*Phone Number:

I have read and agree to the G.O. Elite Camp Medical Release & Waiver: Yes