Registration for Girls Soccer Collegiate Identification Camp

Please fill out the form below to register for Lees-McRae's 2015 Girls' Soccer Collegiate Identification Camp, scheduled for April 26.  The camp is a one-day session for current high school players.  This camp will feature a practice session, lunch in Banner Elk, a campus tour, and an NCAA seminar. The camp will run from 9:30 a.m. until 5 p.m. 


Personal Information

Covered under Medical Insurance? *
If yes, please specify your provider and policy information in the fields below


Enter N/A if not applicable
Enter N/A if not applicable
Enter N/A if not applicable


Custodial Parent/Guardian Information

Registrant is in the custody of
If provided options do not apply, complete the next field




Medical Information


Emergency Contact Information (other than guardian)

Waiver of Responsibility

I agree Lees-McRae College and its athletic department is released from liability in connection with medical treatment and unavoidable accidents.  Lees-McRae College Girls' Soccer Collegiate Identification Camp also has my permission to use necessary medical measures in the event of an emergency, for which I will be financially responsible.

I fully understand the inherent risks involved in the activities my child will be participating in for this soccer camp. I accept all risks including those activities preliminary and subsequent to the activity.  

Also, I give the Lees-McRae College women’s soccer program permission to utilize my child's photograph or likeness in camp promotional materials.

PLEASE MAKE CHECKS PAYABLE TO:

Lees-McRae Athletic Camps

PLEASE MAIL TO
OR BRING TO FIRST DAY OF CAMP CHECK IN:

Lees-McRae College Girls Soccer Collegiate ID Camp
Attn: Nick Whiting
PO Box 128
Banner Elk, NC 28604

 
* = required field