2008
Camp Dates
Dec 21,22,23th
Camp Registration
(Complete Form and Click Button below)
Session I
Dec 21-23, 2008
9:00 am - 1:00 pm
$185
Spectrum Athletic Club
Session I
July 13-17th, 2009
9:00 am - 3:00 pm
$375
Spectrum Athletic Club
Session II
August 3-7th, 2009
9:00 am - 3:00 pm
$375
Spectrum Athletic Club
Camper's Name:
Age:
Birthdate:
Grade:
Address:
Address Line 2:
City:
State:
Zip:
Telephone:
Cell Phone:
Parent Email:
(More form below...)
T-Shirt Size: (click on box to select)
Youth:
Medium
Large
XL
Adult:
Small
Medium
Large
XL
I hereby authorize the MVP camp to act for me in their best judgement in any emergency requiring medical attention and I hereby waive and relase the camp from any and all liability concerning injuries or illnesses while at camp. I understand that the camp retains the right to use photographs of campers while at camp fo publicity and advertising purposes.
Insurance Company:
Policy Number:
Parents' or Legal Guardian Signature: _______________________________________________________________
Mail check and signed, completed application to:
Dave Miller
P.O. Box 1373
Manhattan Beach CA 90267-1373
Please make checks payable to Dave Miller
Copyright 2006 by Dave Miller
