Thanksgiving Sports Camp

November 19th- 21st | Ages 4-16

Name*

Age on November 1st 2018*

Address*

Parents Name*

Primary Phone Number*

Emergency Contact*

Emergency Phone Number*

Email*

Are there any medical issues we should be aware of?*

Did you attend a CD sports camp last year?*

Are You A John Newcombe Country Club Member*

Registration Fee

$1.50

Total

$1.50