Football Norse Developmental Football Camp Registration

* = required field

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NOTE: Campers MUST have proof of health insurance (photocopy of insurance card) provided to Luther College BEFORE check-in in order to participate in our camps.
First Name*
Last Name*
Grade next fall*
Age*
Birth date (MM/DD/YYYY)*
Parent's Name*
Home address*
City*
State*
Zip code*
Home phone
Parent's cell phone
Parent's e-mail*
T-shirt Size*
Refund Policy: Written or emailed cancellation notice that is received five or more business days prior to the first day of camp will result in a full refund, less a $20 cancellation fee.
Payment Amount*

Payment Information

Name as it appears on card*
Billing Street Address*
City*
State/Province*
Zip/Postal Code*
Country*
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