Hilltop Sports Camp Registration

*Required Fields

ALL 2011 CAMP SESSIONS ARE FULL.

Child Information

Child's First Name*
Child's Last Name*
Age*
Shirt Size*
Gender*
Please list any allergies:
 

Please list any special needs or accommodations:
 

Parent & Emergency Contact Information

Parent 1
Name (First, Last)*   
Address*
City, State, Zip* ,      
Phone (w)*
Phone (h)*
Email Address*
Preferred Contact Method*

Parent 2
Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address
Preferred Contact Method

Additional Emergency Contact
Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address
Preferred Contact Method

Who To Contact

In case of emergency, contact:*
  Parent 1 Parent 2 Additional Emergency Contact

Authorized Pick-Up

Authorized Pick-Up #1
Name (First, Last)*   
Address*
City, State, Zip* ,      
Phone (w)*
Phone (h)*
Email Address*

Authorized Pick-Up #2
Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address

Authorized Pick-Up #3
Name (First, Last)   
Address
City, State, Zip ,      
Phone (w)
Phone (h)
Email Address

Session Enrollment Options & Selection

Session I: June 4-8, 2012

This camp is at full capacity.

Session II: June 11-15, 2012

This camp is at full capacity.

Session III: June 18-22, 2012

This camp is at full capacity.

Session IV: June 25-29, 2012

This camp is at full capacity.

Grand Total
Total Fees Due: $

For additional information, please contact Ty McDonald, tymcdonald@smu.edu, 214-768-8816.

 

 
Recreational Sports is a department in the Division of Student Affairs.