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:

Phone:

E-mail:

ZIP:

Emergency Contact Phone #_____________________________________________________________________

Name of Card Holder:__________________________________________________________________________
Billing Address:___________________________

City:

Payment Method: Money-Order Check MC Discover VISA #
V-code:

Amount: $

Please mail to:
DAASH Athletic Enterprises, Inc.
23609 Sutton Dr. Suite 1452
Southfield, MI 48033

State:

ZIP:__________
Exp:

Online Pay: Y or N_______________________

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