Summer Camp Registration Form – Athletic Performance Ranch

Join us this summer at the Ranch for active fun and hard work, pairing the world-class athletic training you expect with training in practical life, leadership, and academic skills. Students entering grades 6-12th are welcome to participate. Each camp will run for two weeks, Mon-Thu from 8:30am-3:30pm.

Space is limited for the summer programs. Please submit your application as soon as possible. You will be notified quickly of admissions and provided with a link to submit payment. The cost for each 2 week session is $300. If you wish to request a scholarship, please contact Maggie Philpot at maggie@apranch.org.

Camp Selection

Session 1: June 7 - 17Session 2: June 28 - July 8 (no camp on July 5th)Session 3: July 19 - 26

Student/Participant Information

First Name (required)

Middle Name

Last Name (required)

Preferred Name

Date of Birth (required; example: 2000-04-28)

Male or Female? (required)

Grade (required)

Email (required)

Phone Number (required)

I agree to allow APRanch to use this number for text notifications (standard rates may apply).

Address (required)

City (required)

State (required)

County (required)

Zip Code (required)

Parent/Guardian Contact Information

First Name (required)

Last Name (required)

Relationship (required)

Home Phone

Mobile Phone

Email (required)

Occupation

Work Phone

Emergency Contact Information*

* Must be different from parent/guardian above

First Name (required)

Last Name (required)

Relationship (required)

Home Phone

Mobile Phone

Doctor/Pediatrician Contact Information

First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

County (required)

Zip Code (required)

Phone (required)

Athlete Information

Primary Sport (required)

Primary Sport

Secondary Sport

Other Secondary Sport

Shirt Size (required)