College/University Information

Name:

Address:

City:

State/Province:

Zip Code:

Office Phone:

Location where you will hold your camp:

Advisor/Coach Information

Advisor's / Coach's Name:
(Contact Person)

Street Address Only:(No P.O. Box)

City:

State/Province:

Zip Code:

Please list at least two (2) phone numbers

Home Phone:

Work Phone:

Cell Phone or alternate number:

FAX Number
MUST have for processing

E-Mail Address:
MUST have for processing

Shipping Information

Shipping Address:
(No P.O. Box - where your supplies will be sent)

City:

State:

Zip:

Select the type of Home Camp:
Click here for details on camp types

Basic Training Traditional Elite Level

Select dates you would like to hold your camp:
Be sure to select your first, second & third choices

First Choice

Second Choice

Third Choice

Please indicate what type of team is attending
and the number of participants on each team
(or estimated number of participants):

All Girl	Coed

Female Participants
Male Participants

Very Important!
Please recommend a hotel nearby for the staff to stay in.
Your application will not be processed without this information.

Hotel Name:
Hotel Phone:
Hotel City:

Additional Comments