Bucks County Elite
2021 BUCKS COUNTY ELITE REGISTRATION- 10TH, 11TH & 12TH GRADE SESSION
8-10am August 9th thru 13th @ Villa Victoria Academy, Ewing NJ
Indicates required field
Please enter the name of your player.
Please enter the name of parent or guardian.
Select PLAYER Grade for 2021-2022
List ALL Known Allergies and/or Current Injuries (including concussions in the last 12 months)
Please list all known allergies and/or current injuries. If none, please put N/A.
Please enter the email address for parent/guardian listed.
Please provide the phone number of Parent/Guardian listed.
EMERGENCY CONTACT Phone Number
Please provide the phone number for emergency contact listed.
DISCLAIMER & PHOTO CONSENT
We understand accidents occur and players may become, develop or irritate [previous] injury while
participating in camp. NAC/Villa Victoria Academy are not held liable for these athletic incidentals
and your player is participating at their own risk. We will address any injuries brought to our
attention promptly and advise where possible. Over the course of camp, we may photograph and publish marketing materials containing our players, coaches and facilities.
Disclaimer & Photo Consent for Bucks County Elite VB Camp
I understand and accept
Before completing registration, you must accept the terms and conditions of our camp. If you do not and have questions, please contact Playbuckselite@gmail.com
REGISTER & PAY
PLEASE NOTE IF PAYMENT IS NOT PROCESSED ON THE NEXT SCREEN THIS REGISTRATION IS
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