Use the form below to register. Print out this page or download the form at the bottom and mail it to Patricia
Klecha-Porter at address below. Someone from our office will get back to you by phone or email as soon as possible.
Cardinal
Field Hockey Camp
REGISTRATION FORM
Name_______________________________
Street______________________________
City _______________________________
State__________ Zip Code __________
Phone
______________________________
(area code)
Email ______________________________
Years of playing experience:
__ 1-2 years __2-3 years _ 3-5 years
Position ________________________
Grade (Fall ‘10) _________________
School _____________________________
Signature
of
Parent/ Guardian _____________________
Return the completed application with a $165.00 enrollment fee to:
Cardinal Field Hockey Camp / Clinic
Patricia Klecha-Porter, Director
Freeman Athletic Center
Wesleyan University
Middletown, CT 06459-0413
Please make checks payable to:
Cardinal Field Hockey Camp / Clinic
Upon
receipt of application, other pertinent information will be forwarded. For further information contact:
Patricia
Klecha-Porter
860-685-2899 (W)
860-349-8473 (H)
pklechaporte@wesleyan.edu
Camp
website: www.Cardinalfieldhockey.com
REFUND POLICY: No refunds will be issued after August 1st.
DOWNLOAD FORM BELOW:
click here to download registration form
