Academics

2013 Speed Sports Camp

Name:  
Home Address:  
City, State, Zip:  
Cell Phone:  
Home Phone:  
Email Address:
School:  
Grade Entering Fall 2013:  
GPA:  
ACT Score:  
Position:  
Health Insurance Carrier:  
Policy Number:  
Camps:
Payment Method:

Legal disclaimer: I hereby release Wisconsin Lutheran College and its employees from all responsibilities for damages or injuries while participating at any WLC athletic camps, except injuries resulting from gross negligence or willful misconduct. I certify that the applicant is in good health and able to participate in this camp. I agree to allow the applicant to be treated by a licensed physician if necessary. I grant camp officials, Wisconsin Lutheran College and sponsors the exclusive right to use my name and photo in future promotional items for this event. For more information call 414.443.8808.