Standard Camp Registration Form

**FORM MUST BE COMPLETED AND MAILED IN ORDER TO PARTICIPATE**

Name of the camp your son or daughter will be attending:_____________________________________________

Name: Age: Date of Birth:
Name: Age: Date of Birth:
Name: Age: Date of Birth:
Name: Age: Date of Birth:
Name: Age: Date of Birth:
Name: Age: Date of Birth:
Name: Age: Date of Birth:
Name: Age: Date of Birth:
Name: Age: Date of Birth:
Address:
City: State: ZIP:
Phone: E-mail:
Emergency Contact Phone #_____________________________________________________________________

Name of Card Holder:__________________________________________________________________________

Billing Address:___________________________ City: State: ZIP:__________
Payment Method: Money-Order Check MC Discover VISA # Exp:
V-code: Amount: $ Online Pay: Y or N_______________________

Please mail to:

DAASH Athletic Enterprises, Inc.
23609 Sutton Dr. Suite 1452
Southfield, MI 48033