Personal/Contact Information
Which session are you registering for?
PLAYER'S NAME
STREET ADDRESS
TOWN
STATE
ZIP
EMAIL ADDRESS
HOME PHONE
CELL PHONE
Previous Experience
Parent or Guardian
DATE OF BIRTH
NAME
STREET ADDRESS
CITY OR TOWN
STATE
ZIP
EMAIL ADDRESS
HOME PHONE
CELL
GRADE
DATE OF BIRTH
Registration Agreement
I hereby give the above named applicant permission to attend the Brian CareyShooters School. I verify to the best of my knowledge that the child is physically able to participate in the activities of the clinic. I agree to allow my child to be treated, if necessary, by a physician and/or trainer while attending. I understand that if this application is accepted, there will be no refund of any registration fee should I cancel. I waive and forever discharge the Brian Carey Shooters School and Suffolk County Community College, their staffs, officers, agents, representatives, employees and successors from any and all rights and claims or damages to person, property and/or activities while at the clinic. I agree to allow the Brian Carey Shooters School to use any photographs or videos taken at camps for purposes of publicity.
INITIALSAfter clicking the red button above to submit your registration, proceed to step 2 below: Payment
Payment
