LaunchTrack

Session I: Monday, July 8 - Thursday, July 11 - $200.00

Session II: Monday, July 22- Thursday, July 25 - $200.00 Sold out. Add yourself to the waitlist

First name:

Last name:

Camper Age:

Address:

Address2:

City:

Province / State:

Postal / Zip Code:

Parent or Guardian Name:

Home Phone:

Work Phone:

Cell Phone:

Email:

Height:

Weight:

School Grade 2023-24:

School Attended:

Shirt Size:

Physician’s Name:

Physician’s Phone Number:

Health History: Please list ANY allergies, disease(s), medications, special needs, restrictions and/or limitations.:

Position 1:

Position 2: