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Little Norse Youth Football Camp 2018 Registration

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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*

Youth T-shirt Size*

	Small
	Medium
	Large

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*

$60