Camp - Registration
Camp Registration:
Sport 4 Peace Camp
Knoxville - July 14 - 18, 2008
Open to boys and girls
You are eligible to apply for Sport 4 Peace - Knoxville camp if you are between the ages of 8 and 13 and can speak English. To apply, please complete all fields (on the application below) and submit by July 1, 2008. Sport 4 Peace will notify you of your child's acceptance into the Sport 4 Peace program no later than 5 days after we receive your application. Applications received after July 1st will be given consideration and you will be notified of your child's acceptance by no later than 5 days after you apply. There are only 100 open spots, so please apply early.
Reminder: Applicants accepted by the July 1 deadline will receive a $25.00 early registration discount ($125.00). Applicants accepted after the July 1 deadline will be responsible for the full amount of $150.00.
Personal Information:
Child's First Name:
Child's Last Name:
Date of Birth (mm/dd/yyyy):
Address 1:
Address 2:
City:
State:
Select a State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington D.C.
Delaware
Florida
Georgia
Hawaii
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Idaho
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Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missourri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip:
Home Phone:
Cell Phone:
Work Phone:
Email:
Name of School:
Gender:
- Select -
Female
Male
Religion:
Race / Ethnicity:
Shirt Size (adult sizes):
- Select -
XS
S
M
L
XL
XXL
Emergency Contact 1 information:
First Name:
Last Name:
Address:
City:
State:
Select a State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington D.C.
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missourri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip:
Phone:
Relationship to
Child:
Emergency Contact 2 information:
First Name:
Last Name:
Address:
City:
State:
Select a State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington D.C.
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missourri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip:
Phone:
Relationship to
Child:
Sport Experience:
Please rate the following sports based on your level of experience. (1=Very little experience; 5=Very Experienced)
Basketball
- Select -
1
2
3
4
5
Volleyball
- Select -
1
2
3
4
5
Ultimate Frisbee
- Select -
1
2
3
4
5
Soccer
- Select -
1
2
3
4
5
General Questions:
How did you hear about the Sport 4 Peace Camp?
- Select -
Friend
Family
Place of Worship
School
Advertisement
Other
If other - please explain
Briefly explain why you want to attend this camp:
Liability Statement and Agreement to terms:
The University of Tennessee and Sport 4 Peace will not be held liable for any injuries to participating athletes during the Sport 4 Peace Camp. Sport 4 Peace will provide the necessary "Event Insurance".
By checking the box below, you are agreeing to the terms stated above.
I have read and agree to the terms and conditions
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