UHL CAMP REGISTRATION

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Name

First Last

Sports Camp:*

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Soccer Camp

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Camp Number

Please reference http://www.robbyglantz.com/ to locate your camp number, location, and date. Camp must be highlighted in a blue box to be included with United Heroes League.

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Camp Name and/or Number

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Location (city & state)

Camp Number and Location of Camp: City and State:

Which AKA Sports Camp are you applying for:

Which Rink Rat 19 Hockey Camp are you applying for:

Which Gretzky Hockey School are you applying for:

Which Planet Hockey Camp are you applying for:

Which Carroll Goalie School Camp are you applying for:

Which Thomas Greiss Camp are you applying for:

Child’s Name:*

First Last

Child’s Age:*

Child's Date of Birth:*

Child’s Gender :*

Female
Male

Parent/Guardian Name:*

First Last

Parent/Guardian Civilian Email :*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Phone:*

Parent Service Member’s Name:*

Parent Service Member’s Email:*

Military Branch:*

Status:*

Rank:*

Canadian Forces Rank:

Unit POC Name (Veterans please enter N/A):*

Unit POC .mil Email (Veterans please enter civilian email address):*

Comments:

Camps