Mini Camp Registration

Contact Info

Participant Name*

First Last

Age*

Parent #1 Name*

First Last

Parent #2 Name

First Last

Cell Phone Number*

Email Address*

Address*

Street Address Address Line 2 City State ZIP Code

TShirt Size*

Sessions*

Choose which Session(s) you wish to attend*

How Many Days? *

Price: $30.00

Please list which days you wish to go*

I have read and agree to the Higher Goals COVID-19 Waiver.

I agree

I have read and agree to the Higher Goals General Waiver.*

I agree

Credit Card

Card Details

Cardholder Name

Total

$0.00