Registration
The Arena Leadership Camp is a camp that will allow your child to be truly challenged through individual and team dynamics. Each day focuses on growing physical, mental and emotional competence and strength.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does your child have an allergies or medical issues we should be aware of?*
Is there anything else you need us to know about your child?
 
Additional Information:
 
Liability Waiver and Permission to Treat
  (Show-Hide Details)
I've read the above and agree.
 
Photo Consent
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I've read the above and agree.
 
Video Release
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I've read the above and agree.
 
Electronic Signatures
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*