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Registration
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parent's Phone Number
*
Camp Requested
*
Parent's Email
*
School
*
Club Team
*
Primary Position
*
Parent/Guardian
*
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Medical Treatment Authorization
List any medical conditions that camp personal should be aware of
*
List any medications currently taking
*
List any allergies
*
In Case of Emergency, Please Contac
t:
Medical Insurance Policy Number
*
First
Last
Phone Number
*
Daytime Contact Phone Number
*
Medical Insurance Provider
*
Medical Insurance Policy Number
*
Participant Name
*
As parent or legal guardian of the participant named above, authorizes DBSS to seek medical and/or surgical treatment which is reasonably necessary to take care of the participant. I further authorize the medical facility that treats the participant to release all the information needed to complete the insurance claims. I acknowledge my responsibility to pay all costs associated with the participant’s medical care and authorize all insurance payments, if any, to be made directly to the medical facility.
Parent/Guardian Signature
*
Submit
Home
DBSS STING
Coaching Staff 2020/21
Programs
Performing Arts
Summer 2020
>
DBSS SUNSHINE TOURNAMENT
DBSS Summer Camp Series
DBSS HOMESCHOOL
DBSS LEADS
Winter Training 2019/20
>
Winter Player Development Programs
DBSS IN THE COMMUNITY
Individual and Group Sessions
DBSS High School Academy
Registration
WAIVERS AND FORMS
Coaches
Dan Bulley
>
Dan Bulley Master's Degree
Dan Bulley Philosophy
Dan Bulley Master's Degree-Video
Adam Wright
Tom Bulley
About
Mission Statement
Philosophy
DBSS MEDIA COVERAGE
Videos and Education
>
Coach and Parent Education
Player Expectations
Parent Expectations
Levels of Engagement
Contact
What's New