Lock Haven University
Wrestling Camp Online Registration

*NOTE: Payment MUST be made with a credit card to use the online registration*

IF REGISTERING BEFORE JUNE 1, REMEMBER TO TAKE YOUR $20 EARLY BIRD DISCOUNT FROM THE COST OF THE CAMP.

 

 

Name:

Street Address:

City: State: Zip:

Email:

Home Phone (area code included):

Parent/Guardian Work Phone:
Extension (if needed):

Parent/Guardian Cell Phone:
Camper's Cell Phone:
Coach's Cell or Home Phone:

Gender:
Age:
Grade in September 2013:
Weight:

Camper Status: Student Coach Parent

School:
Coach's Name:

Camp Attending:

(To select multiple camps, press the CTRL-key while clicking on appropriate camps)

Housing Status: Commuter Resident Coach

Preferred Roommate:
Alternate Roommate 1:
Alternate Roommate 2:

Costs:
Intensive Camp Resident: $600
Intensive Camp Commuter: $400
Team Camp Resident: $365
Team Camp Commuter: $225
Team Coach/Parent: $200
Technique Camp Resident:  $345
Technique Camp Commuter:  $245
Kids Camp Resident: $325
Kids Camp Commuter: $195
Kids Camp Parent/Sibling: $225

Special Instructions:

REMINDER:
Payment MUST be made with a credit card to use this online registration
Click the "Submit" button and follow further instructions for making credit card payment.