Juniata | Camp Registration

Softball Prospect Camp

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Prospect Camp($75)

** $25 Non-Refundable Fee Included **

*First Name:

*Last Name:

*Address:

*City:

*State:

*Zip:

*Telephone:

*Emergency Phone Number:

*E-Mail:

*Age:

*School:

*Graduation Year:

*Position:

Medical/ Dietary Restrictions:

*Medical Insurance Carrier:

*Name on Policy:

*Policy Number:

*Payment Options (there is a 2.75% service fee for credit card payments):

Credit

By clicking on the submit button below, you certify that you have read and agree to the Participant Agreement.

*Please click this option to agree to the Participant Agreement:

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