Mercer County Community College
Summer Sports Camps

REGISTRATION FORM 2014

Print this form.  Mail the signed, completed form with full payment and a completed medical form to:
Athletics Department
Mercer County Community College
PO Box 17202
Trenton, NJ 08690

Camper Information
Last Name: First Name:
Street:
City/State/Zip:
Date of Birth: Age:
Home Phone: Male    Female
T-Shirt Size:     Small    Medium    Large Ball Size (Soccer Camp Only)    #4    #5
Ball Size (Basketball Camp Only)    Youth (27.5)    Girls (28.5)    Boys (30.0)

Mark your SELECTION(S) for the desired sport(s) and dates...
Sport Dates Section Cost SELECT
Baseball (ages 6-15) July 7-11 110749 $260
July 14-18 110750 $260
July 21-25 110997 $260
Basketball (ages 6-15) June 30 - July 3 110746 $210
July 7-11 110747 $260
August 4-8 110995 $260
August 11-15 110996 $260
Basketball (ages 6-15)  -- girls only July 14-18 110748 $260
Field Hockey (ages 6-15)  -- co-ed July 7-11 110745 $260
Golf (ages 6-15) June 30 - July 3 110751 $210
Mountain Biking (ages 6-15) July 28 - August 1 110993 $260
August 4-8 110994 $260
Soccer (ages 6-15) June 23-27 110737 $260
June 30 - July 3 110738 $210
Soccer (ages 6-15)  -- girls only July 21-25 110991 $260
Softball (ages 6-15) July 28 - August 1 110998 $260
Speed, Agility & Quickness (ages 6-15) June 23-27 110739 $260
July 14-18 110740 $260
Tennis (ages 6-15) June 23-27 110741 $260
June 30 - July 3 110742 $210
July 7-11 110743 $260
July 14-18 110744 $260
July 21-25 110992 $260
Total # of Camps Selected: Total $ Enlosed: $

Please Select Payment Method
Check or Money Order payable to MCCC Athletics
Please write Camper's Name on top of check. DO NOT SEND CASH.
Charge to: ____ Visa
____ Mastercard
____ American Express
____ Discover
Card Number:
 
 
Expiration Date
 
_____/_____/_____
Cardholder's Name
 
Cardholder's Signature
 
Charge Amount
 
$_____________

I am aware that locker facilities are available and that campers must bring their own locks or be prepared to carry all items. Participants of optional swimming from 3 to 3:30 p.m. daily are required to bring their own locks. Mercer County Community College is not responsible for any lost or stolen property. In addition, for Golf & Tennis Camp, and all other camps that incur inclement weather, I give Mercer County Community College permission to transport my child by bus to an indoor facility off campus property by a licensed school bus company, under the supervision of directors and counselors.
Print Name:
 
Date:
 
Signature of Parent or Guardian:
 
E-mail Address (For Registration Confirmation)
 

Questions? E-mail athlete@mccc.edu or call (609) 570-3779.