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camp registration
FOR TEAM TRYOUTS,
please use the Tryout Form.


If you have any questions about the form or the registration process, please email the webmaster

Please complete this form for a 2010 Century United Camp Registration.
After hitting the submit button, you will be redirected to the Century United home page.  A confirming email will be sent to your email address.

Please wait at least a week for camp detailed information to be sent to you.  If you have any questions, please email mblatzy@verizon.net.

First Name: *
Last Name: *
Date of Birth: *
Street Address: *
City: *
State: *
Postal Code: *
Phone Number: *
Cell Number:
E-mail Address: *
Gender: *
T shirt size *
Short size *
Fathers Name *
Mothers Name *
This form is being submitted for: *
Comments / Questions:
* Required
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