Bucks County Elite
2021 6th thru 9th Session Registration Form
10-12pm August 9th thru 13th @ Villa Victoria Academy,
Indicates required field
Parent or Guardian Name
Parent or Guardian Email
Select PLAYER Grade for 2021-2022
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.
REGISTER & PAY NOW
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