Hilltop Sports Camp Registration

*Required Fields

Child Information
Child's First Name*
Child's Last Name*
Age*
Shirt Size*
Gender*
Please list any allergies:
 
Siblings at Camp:
 

Please list any special needs or accommodations:
 

Parent & Emergency Contact Information

Parent 1

Name (First, Last)*   
Address*
City, State, Zip* ,      
Phone (w)*
Phone (h)*
Email Address*
Preferred Contact Method*

Parent 2

Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address
Preferred Contact Method

Additional Emergency Contact

Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address
Preferred Contact Method

Who To Contact

In case of emergency, contact:*
  Parent 1 Parent 2 Additional Emergency Contact

Authorized Pick-Up

Authorized Pick-Up #1

Name (First, Last)*   
Address*
City, State, Zip* ,      
Phone (w)*
Phone (h)*
Email Address*

Authorized Pick-Up #2

Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address

Authorized Pick-Up #3

Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address
Session Enrollment Options & Selection

Session I: June 2-6, 2008

This camp is at full capacity.

Session II: June 9-13, 2007

This camp is at full capacity.

Session III: June 16-20, 2008

This camp is at full capacity.

Session IV: June 23-27, 2008

This camp is at full capacity.

Grand Total

Total Fees Due: $

If you experience technical difficulties, please contact hilltopsportscamp@smu.edu.