Clinic / Camp Registration

Use the form below to register. Print out this page or download the form at the bottom and mail it to Patricia Klecha-Porter at address below. Someone from our office will get back to you by phone or email as soon as possible.

Cardinal Field Hockey Camp

SUMMER SESSION only

REGISTRATION FORM

Name_______________________________

Street______________________________

City _______________________________

State__________    Zip Code __________

Phone ______________________________
    (area code)

Email ______________________________

Years of playing experience:
__ 1-2 years __2-3 years _ 3-5 years

Position ________________________

Grade (Fall ‘10) _________________ (grades 7-12)

School _____________________________

Signature of
Parent/ Guardian _____________________

Return the completed application with a $165.00 enrollment fee to:
    Cardinal Field Hockey Camp / Clinic
    Patricia Klecha-Porter, Director
    Freeman Athletic Center
    Wesleyan University
    Middletown, CT 06459-0413

Please make checks payable to:
    Cardinal Field Hockey Camp / Clinic

Upon receipt of application, other pertinent information will be forwarded. For further information contact:

Patricia Klecha-Porter
860-685-2899 (W)
860-349-8473 (H)
pklechaporte@wesleyan.edu

Camp website: www.Cardinalfieldhockey.com/clinic

REFUND POLICY: No refunds will be issued after August 1st.

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