Camper Information
Last Name:	First Name:
Street:
City/State/Zip:
Date of Birth:	Age:
Home Phone:	Male    Female
T-Shirt Size:     Small    Medium    Large	Ball Size (Soccer Camp Only)    #4    #5
Ball Size (Basketball Camp Only)    Youth (27.5)    Girls (28.5)    Boys (30.0)

Mark your SELECTION(S) for the desired sport(s) and dates...
Sport	Dates	Section	Cost	SELECT
Baseball (ages 6-15)	July 8-12	107901	$250
	July 15-19	108658	$250
	July 22-26	108156	$250
Basketball (ages 6-15)	July 1,2,3,5	107898	$200
	July 8-12	107899	$250
	August 5-9	108152	$250
	August 12-16	108153	$250
Basketball (ages 6-15)  -- girls only	July 15-19	107900	$250
Field Hockey (ages 6-15)  -- co-ed	July 8-12	107897	$250
Golf (ages 6-15)	July 1,2,3,5	107902	$200
Mountain Biking (ages 6-15)	July 29 - August 2	108150	$250
	August 5-9	108660	$250
Soccer (ages 6-15)	June 24-28	107890	$250
	July 1,2,3,5	107891	$200
Soccer (ages 6-15)  -- girls only	July 22-26	108147	$250
Softball (ages 6-15)	July 29 - August 2	108157	$250
Speed, Agility & Quickness (ages 6-15)	June 24-28	107892	$250
	July 15-19	108659	$250
Tennis (ages 6-15)	June 24-28	107893	$250
	July 1,2,3,5	107894	$200
	July 8-12	107895	$250
	July 15-19	108661	$250
	July 22-26	108149	$250
Total # of Camps Selected:	Total $ Enlosed:		$

Please Select Payment Method Check or Money Order payable to Mercer County Community College Please write Camper's Name on top of check. DO NOT SEND CASH.
Charge to: ____ Visa ____ Mastercard ____ American Express ____ Discover	Card Number:	Expiration Date   _____/_____/_____
Cardholder's Name	Cardholder's Signature	Charge Amount   $_____________

I am aware that locker facilities are available and that campers must bring their own locks or be prepared to carry all items. Participants of optional swimming from 3 to 3:30 p.m. daily are required to bring their own locks. Mercer County Community College is not responsible for any lost or stolen property. In addition, for Golf & Tennis Camp, and all other camps that incur inclement weather, I give Mercer County Community College permission to transport my child by bus to an indoor facility off campus property by a licensed school bus company, under the supervision of directors and counselors.
Print Name:	Date:
Signature of Parent or Guardian:	E-mail Address (For Registration Confirmation)

Questions? E-mail athlete@mccc.edu or call (609) 570-3779.