Spike Sport Day Camp " Registration Form
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Day Camp's date: Day Camp's Cost:

first name:

 last name:
 DOB: 
Cell :  Home #: player's cell :

E-mail: Player's E-mail:
address: city: state: zip:

height: weight: grade: school: coach's Name:

year of playing? what Position: have you ever taken any of our camps: year ?

what sport you do like play? year ? would you intersted to play in our Club Program?
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Special Medical Conditions player, if any!


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Emergency Contacts:and: Phone#s
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In signing this form, I hereby waive release and forever discharge any and all claims which I or my child, may have or which hereafter accrue to me against the sponsors of this event, the organizers and any promoting organization, property owners, law enforcement agencies of public entities, special districts and properties and their respected agents, officials, and employees through by which the events will be held for any and all injuries which may be sustained by me directly or indirectly in connection with or arising out of my participation in or association with the event or travel to or return from the event. I further certify that I am or my child is physically able to participate in this event and have no physical or medical condition which would endanger me or others in this event.
Parent / Guardian, Print:
Signature:   ____________________________________________________Date:

* Mail this registration form along with your check payable to:
Spike Sport Club
10914 S Gessner
Houston, Texas 77071
Phnoe (713)777-7453 / E-mail: spikesport@sbcglobal.net

Check #:Check Amount:Camp's Date:

Registration