CAMPS_CLINICS

							                                    CAMPS/CLINICS
North Country Region has an area in the Junior section of our website (www.ncrusav.org) called
Camps/Clinics. This area will be specifically for players and coaches looking for camps and clinics. We
have had a great number of people who contact us constantly regarding information for camps and
clinics. Organizations/Colleges can list their website link for player camps/clinics and/or coaches clinics
for $25 annually (MAXIMUM OF 4 CAMPS FOR $25). See below.
Registration form:
Organization
First Name                                                           Last Name
Address
City                                                                                   State                               Zip
E-mail                                                               Phone #

Date of Camp (or Month)
Camp Description (Advanced, Team, Grade level, etc)
Camp Name
Times
Website link
Host organization

Player Camp/Clinic and/or Coaches Clinics website link                         $25
                                                                               Total

Charge my:            Visa              MasterCard                     American Express                                         Discover
 Card #                                                                            Expiration date
 Cardholder’s Name
                                                      Card Verification Code (MasterCard, Visa and Discover-3-digit, non-
 Cardholder’s                                         embossed number printed on the signature panel on the back of the card,
 Zip Code                                             AmericanExpress-4-digit, non-embossed number printed on the front of
                                                      the card, above the card number)

 Signature

Mail orders to:           North Country Region
                          Attn: Judy Praska, 4100 Poplar Bridge Road, Bloomington, MN 55437
Fax orders:               952- 942-5584
Questions:                800-657-6967 or 952- 831-9150 x1 or judy@ncrusav.org




3/11/2010