** All fields are required! Staff reserves right to refuse camper's registration if form is missing data.
Camper's Name (Girls):  
State:
       
Travel Team:
   
       
Insurance Information:
Policy#:
       
I, the undersigned, submit that my daughter is physically fit and able to participate in strenuous activity and hereby waive adidas Jr Phenom Camp of all responsibility for illness or injury sustained. I hereby authorize camp directors to act on my behalf in their best judgment in any emergency medical situation. I understand I am solely responsible for payment of any such medical expenses and must provide adidas Jr Phenom Camp with proof of medical and accident insurance. I understand that my payment and deposit is non-refundable, non-transferable under any circumstances, including injuries sustained, conflict of schedules, or illness. I understand that Phenom products can not be given in lieu of any refunds. I also understand that any camper who does not abide by camp facility rules or regulations is subject to dismissal without refund or recourse.
Parent/Guardian Signature:Date:
       
Are you staying in the Dormatory? (circle)
       
-- $425 (You take care of your own housing)
  -- $495 (Housing in the dormatory--2 night's stay; Fri/Sat night)
  -- $150 non-refundable deposit secures your spot
Items You Provide in the registration packet:
  º Proof of grade (report card, letter from school or progress report)
  º 3 x 5 photo (no computer printouts)
  º Completed Biography
  º Registration form
  º Registration fees or deposit
Send Registration to: Adidas Jr Phenom Camp, 26563 Rhone Ct., Moreno Valley, CA, 92555
   
       
       
       
       
Player's Name:
Address:
City, St, Zip:
Contact Info:
School:
Travel Team:
Position:
Height:
Weight:
Class:
Uniform Size:  
Hobbies:
Fav Athelete:
Nickname:
  Registration Checklist:    
  Registration Form  
  Biography Form  
  Proof of Grade  
  Registration Deposit/Fees  
  Photo for Camp Program  
  * These items must be submitted in full for registration to be accepted. Please check items before submitting.*