2010 Privates / Mini-Camps / Clinics        Registration Form *print, complete & mail to address below

       1) List dates/times and location:

       Dates/Times ____________________________________________

       Location _______________________________________________________________________________________

                      _______________________________________________________________________________________

       2) FILL IN Registration Information:

       Team Name _____________________________________________________ Level _______________________________

       Coach’s Name _________________________________________________________________________

       Coach’s E-mail ___________________________________________________ Phone ______________________________

       Address _____________________________________________________________________________________________

       City, State, Zip _______________________________________________________________________________________

       Total Number of Participants______________________ 

       3) FILL IN Chart:

       Registration Form & 50% DEPOSIT due.  Send one (1) school/organization check or money order for your deposit.  Release Forms & 
       BALANCE due 2 weeks prior.  Registrations will be cancelled and not reinstated until balances are paid in full.  Please send one (1)
       school/organization check or money order for your balance.  All Changes/Cancellations must be confirmed prior to the start of your
       session.  You have 30 days after the end of your session to report any corrections.

       4) SEND Forms & Payment payable to:   SuperCDA   |  P.O. Box 957491   |   Hoffman Estates, Illinois  60195-7491