2014 Girls Application Form
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Boys Application

School Name:  
Coach’s Name:   
School Address: 
City:       State:                 Zip: 
Home Address:
City:      State:                 Zip: 
Home Phone:               
Cell Phone:  
School Phone:  
Email Address:
Which level of competition would you like to play:                  Level 1 (Gold):        or       Level 2 (Silver):          or      Level 3 (Bronze):

Check Session and indicate team (9th, JV, Varsity)

Session I June 15, 16, 17 (Sunday–Tuesday)   9th   JV   Varsity
Session II June 18, 19, 20 (Wednesday–Friday)   9th   JV   Varsity
Session III June 25, 26, 27 (Wednesday–Friday)   9th   JV   Varsity
Session IV July 16, 17, 18 (Wednesday–Friday)   9th   JV   Varsity

School Colors:   
Golf    or   Attaché Bag     or   Jacket    Jacket Size:
Deposit:                      Number of players:                                    Jersey Sizes:
Resident at Siena Heights University ($199) - Session I, II, and III
Resident at Adrian College ($207) - Session IV
Resident at Siena without reversible practice jersey ($190) - Session I, II  & III
Resident at Adrian College without reversible practice jersey ($198) - Session IV
Resident at Motel-with lunch and dinner ($164-if camp is at Siena; $172-if camp is at Adrian College)
Commuter without meals ($123)
Games ONLY ($93)
Make check payable to:
Send to:
Adrian Team Camp Inc.
795 Richlyn Drive, Adrian, MI 49221

For further information  Contact Pat at (517) 264-6148 or email.