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Paid

LV5-GKA Disclaimer to Families

Families and players can complete this form to be considered for admission to the June 2025 Eric Steele Camp in conjunction with LV5-GKA. Completion of this form does not guarantee acceptance to the program. Once the form has been evaluated by LV5-GKA personnel, if accepted, the fee to participate is $300, which will be billed to families.

Player Information

Name
Birth Date

Medical Information

Does child have any medical condition that affect performance, or in which we should be aware?
Player/Child Address

Parent Information (Parent #1)

Name
Is Primary Phone
Is SecondaryPhone
Email
Do you want to include Parent #2 Contact Information?
Information for parent #2 is not required, but is helpful for communications and in event on emergencies.

Emergency Contacts

Name Emergency Contact #1
Name Emergency Contact #2

Policies

Accept Release of Liability

Please read and agree to our Release of Liability agreement. You must accept the agreement before your child can participate in our programs.

Accept Photo Policy

Please read and agree to our Photo Policy. You must accept our photo policy before your child can participate in our programs.

Photo Policy

Level 5 Athletics takes photos at many clinics, camps and sessions. Unless expressly cited in writing to exclude my child, I understand that the images may be used in Level 5 publications and marketing materials.

Submission & Registration Fee

Registration Fee

When you submit this form, you will receive a confirmation message indicating that LV5-GKA has received your information.

Once the form has been reviewed, an LV5-GKA staff member will be in touch regarding further details and information.

Registration is not complete until payment has been received. The $300 camp fee will be billed separately and must be paid prior to the first day of camp. 

Thank you!