Registration Form  

Camp___________________________________________________________  

Level____________________________________________________________

Location_________________________________________________________  

Start Date________________________________________________________

Participant’s Name_________________________________________________

Parent’s Name____________________________________________________

Complete Address_________________________________________________

Email____________________________________________________________
*Please be aware that we communicate almost exclusively via email.

Phone___________________________________________________________

Grade ___________________________________________________________

School___________________________________________________________

Emergency Contact ________________________________________________

Emergency Contact Phone___________________________________________

Parent’s Name_____________________________________________________

I hereby grant permission for my son/daughter to attend Next Level Athletes Camp/Clinic.
  My child has no medical condition that would interfere with his/her participation.
 I release Next Level Athletes and the coaching staff from any liability or from any injuries that may occur.

_______________________________________________
Parent/Guardian Signature                                          Date

Amount Paid_____________

Check No._______________
*No refunds will be given without extraordinary circumstances.

www.nextlevelathletesinc.com
Mail Form and Payment to:
Bonnie Pettigrew
14013 S. Lakeridge Drive
Plainfield , IL 60544