Vaultdogs 2008 Summer Camp Registration

*All Fields Are Required.           
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email Address:
School:
Last Completed Grade Level:
Personal Best Vault:
Body Weight:
ie.. 135
Body Height:
ie.. 5'2"
Which Camp:
Camp Fee:
Parent Name(1):
Parent Name(1) Phone:
Parent Name(2):
Parent Name(2) Phone:

Proof of insurance must be provided upon check in at the camp before the athlete can participate.

Upon the submission of this form I authorize Jason Berry with Vaultdogs.com to email me a pay-pal payment request. Also you acknowledge that an athlete's registration is not complete until payment is made.