9th Grade Session

2019 BUCKS COUNTY ELITE REGISTRATION- 9TH GRADE SESSION ONLY

COUNCIL ROCK NORTH HIGH SCHOOL GYM FROM 12:30PM to 3:30PM AUGUST 5TH TO AUGUST 8TH

* Indicates required field

PLAYER Name *

First

Last

PLAYER Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Select PLAYER Grade for 2019-2020 *

PLAYER Email (if applicable) *

List ALL Known Allergies and/or Current Injuries (including concussions in the last 12 months) *

Preferred Position to Focus on at Camp *

PARENT/GUARDIAN Name *

First

Last

EMERGENCY CONTACT Name *

First

Last

PARENT/GUARDIAN Email *

Phone Number *

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/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

2019 BUCKS COUNTY ELITE REGISTRATION- 9TH GRADE SESSION ONLY

​PLEASE NOTE IF PAYMENT IS NOT PROCESSED ON THE NEXT SCREEN THIS REGISTRATION IS​NOT VALID.

PLEASE NOTE IF PAYMENT IS NOT PROCESSED ON THE NEXT SCREEN THIS REGISTRATION IS

NOT VALID.