HOME
REGISTRATION
CONTACT
ELITE STAFF
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
Please enter the name of your player.
PLAYER Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Please provide the mailing address of the player listed.
Select PLAYER Grade for 2019-2020
*
Select
9th Grade
PLAYER Email (if applicable)
*
Please enter the email address of the player listed, if applicable.
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.
Preferred Position to Focus on at Camp
*
Please provide one or more positions your player would like to focus on at camp.
PARENT/GUARDIAN Name
*
First
Last
Please enter the name of parent or guardian.
EMERGENCY CONTACT Name
*
First
Last
Please provide the name of emergency contact.
PARENT/GUARDIAN Email
*
Please enter the email address for parent/guardian listed.
Phone Number
*
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. 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
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
NOT VALID.
HOME
REGISTRATION
CONTACT
ELITE STAFF
