Bandits Goalie School

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Please use the form below to enroll in any of our Winter Clinic, Spring Clinics and our Summer Camps. After completing the form, you will need to print out and mail in your registration, along with payment. Please take notice of our special discounts for enrolling in multiple camps.

All fields are required, so please have a parent handy while registering for the camp.

Please Note: You must PRINT OUT and MAIL in your registration and payment to complete your registration!

Student Name:

Address:

City:

State:

Zip:

Home Phone:

Parents Name:

Parents Cell Phone:

Parents Work Phone:

Parents Email Address:

Students Email Address:

Emergency Phone Contact:

Birth Year:

Level of Play: (House league, A, AA, AAA)

Are you a returning Bandits student?
No Yes

If you're a new student, how did you hear about Bandits:

Insurance Information

Carrier:

Policy Number:

Group: