Durango Camps - Volleyball camps for adults, coaches and youth.

Youth Application
Durango Colorado
July 18 - July 23, 2010

To register for this camp, complete the following registration form and click the "submit" button at the bottom of this screen. Upon receipt of this application, DURANGO CAMPS will send to you, via e-mail, a complete camp information packet.

Camper's name: *
Camper's e-mail: *
Session: *	July 18 - 23, 2010
Grade just completed: *
Name of School:
Name of Club Team:
Address: *
City: *
State: *	Zip: *
Home Phone: *
Cell Phone:
Business Phone :
Birthdate: *	Age: *
T-Shirt Size: *
I Would like to room with: (2 campers per room)
Medical insurance policy, number and any information:
Note any medical conditions we should be made aware of:
List any medications taken normally:
Emergency contact name and phone: *
Registration: *	Resident Camper - $745.00 Day Camper - $695.00