2010 LOCK HAVEN UNIVERSITY WRESTLING CAMP
Online Application
First Name:   Last Name:
Street Address:
City:
State:
Zip Code:  
Country:
Email Address:  
Phone Numbers: (Please only type in numbers, including your area code first.  Do not type spaces, dashes, or any other punctuation.)
Home Phone:      
Parent's Work Phone:   Extension (if any):
Parent's Cell Phone:      
Coach Home or Cell Phone:      
Sex:
Age:  
Grade in Sept. 2010:
Weight:
Camper Status:
School:
Coach's Name:
Housing Status: Resident campers are those that require overnight housing.  Commuters do not.
All of the housing on the Lock Haven campus are set up for two to a room.  With that in mind, please indicate your preferred roommate(s) below.  While all attempts will be made to accommodate roommate requests, we cannot guarantee all such requests will be fulfilled.
Preferred Roommate(s): First Choice:    
  Alternate Choice 1:    
  Alternate Choice 2:    
Please select which camp you wish to attend:
Special Instructions:
*Use this space to submit any special needs or concerns, etc.

PAYMENT INSTRUCTIONS

Payment with a credit card must be in full.  Click the "Submit" button to proceed to the payment page.

If you have any questions... Please follow this link to submit camp questions.