Summer Camp Registration – Cassandra Brown – CB Elite Training Academy

Athlete's Information

Athlete's Name *

First

Last

Date of Birth *

Grade in Fall 2024

Name of School *

Medical Number *

Select Camp for Athlete (Grade in Fall 2024) *

T-Shirt Size *

Parent/Guardian Information

Name *

First

Last

Email *

Username *

Password *

Password

Confirm Password

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Emergency Contact

Name *

First

Last

Phone *

Coupon