Participant Information
First Name
Last Name
Date of Birth (00/00/00)
Age
10 (Jr)
11 (Jr)
12 (Jr)
13 (Jr)
14 (Jr)
15 (Sr)
16 (Sr)
17 (Sr)
18 (Sr)
Camp Session Date
June 30th thru July 2nd - $200 USD
Camp Session Time
Juniors (Ages 10-14) AM Camp (8 a.m. to 12 p.m.) All American / Pop Warner
Seniors (Ages 15-18) PM Camp (3 p.m. to 7 p.m.) High School Players
Desired Position for Training:
Defensive Back
Offensive Line
Defensive Line
Linebackers
Quarterback
Receiver
Running Back
Tight End
Kicker (Only 5 spots in each session)
Home Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Adult Primary Contact
Relationship to Participants:
Mother
Father
Guardian
Other
Email Address
Phone Number
Alternate Phone
Payment Information
Registration is securely processed by PayPal. Once your form has been submitted you will be forwarded to PayPal where you will then enter in your payment information.
Gut Check INC. 541 N Main St. Ste# 104 Corona, CA 92880
PLEASE DOWNLOAD RELEASE FORM (CLICK HERE) - Bring this to the first day of camp
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