Mercer County Community College
Summer Sports Camps

REGISTRATION FORM 2015

PRINT this form.  After completing and signing it, mail
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 6-12) July 6-10   $265
July 13-17   $265
July 20-24   $265
Basketball (ages 6-14)  -- co-ed June 29 - July 3   $215
July 6-10   $265
August 3-7   $265
August 10-14   $265
Basketball (ages 6-15)  -- girls only July 13-17   $265
Field Hockey (ages 6-14)  -- co-ed July 6-10   $265
Golf (ages 6-14)  -- co-ed June 29 - July 3   $215
Mountain Biking (ages 6-14) July 27-31   $265
August 3-7   $265
Soccer (ages 6-12) June 22-26   $265
June 29 - July 3   $215
Soccer (ages 6-12)  -- girls only July 20-24   $265
Softball (ages 6-12) July 29-31   $265
Speed, Agility & Quickness (ages 6-14)  -- co-ed June 22-26   $265
July 13-17   $265
Tennis (ages 6-14) June 22-26   $265
June 29 - July 3   $215
July 6-10   $265
July 13-17   $265
July 20-24   $265
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.