Gateway Camp Application 2008

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Directions:  COMPLETELY AND NEATLY fill out the form below and print when completed. 
Send registration form along with payment.

Name:
Address:
City:
State:
Zip:
Home Phone:
Emergency Phone:
Email:
School:
Grade (Fall 2008): Birthdate (Month, day, year)  Age:(1/08)
   
Position: Goalie              Field Player
Experience: Beginner Intermediate C Team JR. Varsity VarsityCollegeAdult
T-Shirt: (adult) Small Medium Large X-Large              Large (youth)
   
   

Camp Sites

Summer Camps   JR. Camps (St. Louis only)
Kansas City Day     CBC
Kansas City Overnight    Lafayette
Louisville   Leagues (St. Louis only)
Cincinnati   Spring
Pittsburgh   Summer 
St. Louis AM (9am-12pm)    Club (St. Louis)    
St. Louis PM (1:30-4:30pm)   U-14    
Brookfield  U-16    
Lake Forest U-19
Oklahoma City $10 if you have Gateway jersey from last year
Fort Worth   $15 if you do not have a  jersey from last year
Houston   $10 Gateway Elite Team tryout fee at all camps but St. Louis
 

Fees
(Camp Fee Includes T-shirt, Awards and Camp Sessions.)
(All Camps are the Same Fee.  2nd Camp is $75.00.)

$150  (EARLY REGISTRATION CAMP FEE for all sites prior to March 15)
$165  (Registration fee for all camps after March 15 and prior to walk ups)
$175  (Registration fee for walk-up participants registering day of camp)
$145 Kansas City overnight additional fee for meals/dorm
$85.00  (Junior camp $100 walk up fee)
$100.00  (Spring  league - $120 after April 1 & walk up fee)
$100.00 (Summer League - $120 walk up fee)
$75.00 (Additional Gateway camp - example: St. Louis AM & PM, Houston, and Fort Worth,
                     St. Louis and Kansas City)
$50.00 5 lunches/drinks at Anheuser Busch (St. Louis week, July 10-14)
$10.00 St. Louis Club tryout or Gateway Elite tryout
 

 

Total   Date
 
I hereby authorize the director, site director and trainer of Gateway Field Hockey Camps to act for me according to their best judgment in an emergency requiring medical attention.  I understand that all applicants are required to have accident insurance while attending Gateway Camps.

________________________________________________
Signature of Parent or Guardian

 
I hereby authorize the director, site director, and trainer of Gateway Field Hockey Camps to act for me according to their best judgement in an emergency requiring medical attention. I understand that all applicants are required to have accident insurance while attending Gateway Camps.
► All applications must be sent by mail with a check, payable to (no credit cards): Gateway Field Hockey
► Address: Kelly Yates; c/o Gateway Field Hockey; 2406 Forest Leaf Parkway; St Louis, Mo 63011-1835
The Camp fees are non-refundable. Fees can be transferred to another player, another site, or applied to 2009 registration.
► For more information call 636-458-6354 or email gatewayfh@mindspring.com


**
Mail to:

Kelly Yates/Gateway Camps
2406 Forest Leaf Parkway
St. Louis, MO 63011


FOR ADDITIONAL APPLICATIONS OR QUESTIONS CALL:
PHONE:  (636) 458-6354 * FAX: (636) 458-6221
E-MAIL: gatewayfh@mindspring.com
www.gatewayfieldhockey.com

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