2019 Spring Camp Registration 2019 Langley Rams Spring Camp Registration Form All players attending the Langley Rams Spring Training Camp, veterans included, must submit this form to be eligible for our annual Spring Training Camp, May 3,4,5 at McLeod Athletic Park Stadium. New players must pay the $75. camp fee before they will be added to camp attendee list. Name* First Last Player Email* Phone*Birthdate* MM DD YYYY Identification Required* I will bring required ID to camp IN ORDER TO PARTICIPATE IN CAMP YOU MUST PAY CAMP FEE, MUST ALSO PROVIDE HEALTH CARE CARD AND EITHER BIRTH CERTIFICATE, GOVT PHOTO ID, DRIVERS LICENCE OR PASSPORTAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Medical History Heart (arrhythmia, murmur, high blood pressure, cholesterol etc. Lungs (asthma, pneumonia, etc.) Other Please indicate if you have been diagnosed with any of the above conditions, if yes please leave details in next sectionHistory and MedicationsPlease describe medical condition and list any medications that you may currently be taking, including if you use an inhaler for asthma.InjuriesPlease list and describe any current or past injuries that you would like our training staff to be made aware of.EMERGENCY CONTACT* First Last Relation to Emergency Contact*EMERGENCY CONTACT PHONE*Parent 1 Name First Last Parent 1 Email Parent 2 Name First Last Parent 2 Email Payment Method*$75. E-Transfer$75. Cash - Required prior to participation$75. Credit Card$0. Returning Veteran$75 Camp Registration Fee for NEW players only, no charge for returning veterans. Please send E-Transfer to Beth Thomas email firstname.lastname@example.org or to arrange for credit card payment prior to camp.Primary Position*Secondary PositionHeight*Weight*Equipment* Personal Equipment Borrowed from High School Borrowed from Minor Borrowed from University or College Returning Player All new players will be required to bring full strip for camp, unless previously arranged with Coach Howie. Equipment issue dates for veterans will be posted soon. Please indicate where you are getting equipment from.CommentsCommentsThis field is for validation purposes and should be left unchanged.