Player Registration

2017 MO Western Girls College ID Clinic - Winter

Option:  

Required  Price: 
Description: 
 = Required Field

 Player Information

 
 
 
 
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  AGE GROUP ('17-'18) 
 
                    
 
 
 
 School ('17-'18): 
 Grade ('17-'18): 
 Player Type: 
 GPA: 
 ACT: 
 SAT: 
 Grad. Date: 
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 Player Email: 

 Soccer References

       
       
 Emergency Contact 
 Emergency # 
Comments 

 Approvals

I approve of my daughter's attendance at the Missouri Western State University ID Camp and certify that she is in good health and able to participate in program activities. I hereby authorize the directors of the Missouri Western State University and their employees and/or volunteers to act for me according to their best judgment in any emergency requiring medical attention, including treatment by a physician. I hereby release Missouri Western State University/GSI Sports and it's staff from responsibility or liability for injury while participating in the camp.

 CONTACT INFORMATION

GUARDIAN #1

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
GUARDIAN #2

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

GSI CANCELLATIONS & REFUND POLICY

Only a participant and his or her parents have authority to request a refund. There is a 25% non-refundable cancellation fee for ALL cancellations made at least two weeks prior to the first day of camp. Within 10 days prior to the camp, the camp becomes nonrefundable. No refunds will be given after the start of camp. Full refunds, due to injury/illness will be honored with a doctor’s note or hospital record of the injury/illness.

The simplest way to cancel a camp registration is to email 
mcleary@exploregci.com  with the participant name, camp enrolled in and registration confirmation number. If a program is canceled, a full refund will be given. GSI Sports cannot be held responsible for any change or cancellation charges required by airlines, travel agencies or other institutions.

 

 Contact Info