Eric Steele High School Full-Day Option (es-sp-4-full-240624-MO)
Please enable JavaScript in your browser to complete this form.
Paid

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 be directed to our payment portal. Payments are only refunded if the camp is canceled.  No other refunds will be given.

Please enter the child's name during checkout.
Thank you!

Registration is not complete until payment has been received.