6th, 7th 8th AND 9th Grade AM Session

2020 3rd thru 8th AND 9th AM Session Registration Form

10-12pm August 10th thru 14th @ Villa Victoria Academy,

Ewing

NJ

* Indicates required field

Player Name *

First

Last

Parent or Guardian Name *

First

Last

Parent or Guardian Email *

Player Grade for 2020-2021 Academic Year *

Any Allergies OR Concussions in the last 12 months? Please list date of last concussion as applicable. *

EMERGENCY Contact Phone Number *

DISCLAIMER & PHOTO CONSENT
We understand accidents occur and players may become, develop or irritate [previous] injury while
participating in camp. Council Rock School District/supplemental sites 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.

I have read, understand and agree to the Disclaimer & Photo Consent policy. *

yes!

2020 3rd thru 8th AND 9th AM Session Registration Form10-12pm August 10th thru 14th @ Villa Victoria Academy,​Ewing​NJ​

2020 3rd thru 8th AND 9th AM Session Registration Form

10-12pm August 10th thru 14th @ Villa Victoria Academy,

Ewing

NJ