Miracle On Ice Fantasy Camp New Camper Registration

New Camper Registration Form

At this time, we are only accepting full payment for the 2018 Miracle on Ice Fantasy Camp. Please complete the following form to begin the registration process. Please note: Due to the limited number of remaining spaces in the camp, your spot is not guaranteed.

We will be in contact shortly upon receipt of your form.

1. Please fill out the following contact information *This question is required.

First Name

Last Name

Street Address

Apt/Suite/Office

City

State

Zip

Country

Email Address

Phone Number

2. Please choose one of the following positions: *This question is required.

3. Age: *This question is required.

4. Birthdate: *This question is required. This question requires a valid date format of MM/DD/YYYY.

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5. How did you hear about Miracle On Ice Fantasy Camp?

Website
Email
Facebook / Social
Posters / Fliers
Word of mouth
I was referred by Please enter an 'other' value for this selection.