TENNIS AND LIFE CAMPS
2008 INFORMATION FORM
Return this form and your payment at least three weeks before your camp begins to : Tennis and Life Camps, Gustavus Adolphus College, 800 West College Ave., St. Peter, MN 56082
Name ________________________
Birthdate ___________
Address_______________________
City__________________
Zip_________ State_____
Parent's Names(for minors)_________________________________
Office Telephone (___) _________________
Home Telephone (___) ____________

E-mail_________________________
Cell Phone (___)_______________

Person to contact in emergency:
Name_______________Relation________
Telephone (___) ________________________
MEDICAL INFORMATION
(Medical exam by physician not required)
Age_________ Sex__________
Height __________ Weight____________
Insurance Center ___________________
Policy #________________________________
Serious illnesses in the last two years _____
If so, what and when?______________________
____________________________________________________________________________________
Medical conditions of which we should be aware ___________________________________
List ALL allergies___________________________________________________________
Medications you will bring to camp____________________________________________
Are you a diabetic? _______ Date of last tetanus shot _____ Date of last physical exam_____
Your Physician: Name______________________ Phone (___)______________
Your dentist: Name________________________ Phone (___)______________

YOUTH ONLY
1. Present School __________________
2. High school graduation year__________

PREVIOUS ATTENDANCE-
How many previous summers have you attended Tennis and Life Camps?_________
When? '77 '78 '79 '80 '81 '82 '83 '84 '85 '86 '87 '88 '89 '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07(Circle years of attendance)

CONSENT -
I certify that the above information (regarding myself or my child) is correct, to the best of my knowledge. I have read the Terms for Enrollment Form (located here), and I understand the terms and accept them as stated.
Signature (parent or guardian of minor)_____________________________ Date _________

ROOM PREFERENCE (All rooms have two beds.)
______ Roommate's name (if known) ___________________________________________
______ People I want to room near  ____________________________________________
______ Single room preference ($30 extra charge)