2012 Girls Application Form
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Boys Application

School Name:  
Coach’s Name:   
School Address: 
City:       State:                 Zip: 
Home Address:
City:      State:                 Zip: 
Cell Phone:               
Home 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 20, 21, 22 (Wednesday–Friday)   9th   JV   Varsity
Session II June 27, 28, 29 (Wednesday–Friday)   9th   JV   Varsity
Session III July 15, 16, 17 (Sunday–Tuesday)   9th   JV   Varsity

School Colors:   
Golf    or   Attache Bag     or   Jacket    Jacket Size:
 
Deposit:                      Number of players:
PLEASE SELECT ONE: 
 Resident at Siena Heights University ($198)
Resident at Siena without reversible practice jersey ($187)
Resident at Motel ($163)
 Commuter without meals ($123)
Games Only ($92)
 
Make check payable to:
ADRIAN TEAM CAMP		 Send to:
Adrian Team Camp Inc.
795 Richlyn Drive, Adrian, MI 49221

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