Stars Camp Registration Register here for our 2017 Stars Camp held in Halifax, NS. Looking for the Stars Academy registration? Find it here. Registrant InformationGenderMaleFemaleStudent First Name*Student Last Name*Date of Birth (mm/dd/yyyy) Date Format: MM slash DD slash YYYY Parent/Guardian First Name*Parent/Guardian Last Name*Email* Home TelephoneCell PhoneMailing/Credit Card Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Medical InformationHealth Card NumberHealth ConcernsYesNoIf there are any health concerns, learning disabilities, or allergies, please describe:PermissionsFrom time to time the Atlantic Stars Academy uses photographs of players and teams for publicity in brochures, newspapers and website. Please sign and circle below which media, if any, you consent to your child’s appearance in.NewspaperYesNoWeb SiteYesNoBrochureYesNoTelevisionYesNoWho referred you to us?Submit Your RegistrationYou may be required to provide a copy of your child's most recent report card.Confirmation I'd like to receive a copy of this registration form. I agree to the Policies of Atlantic Stars Camp Dates*July 3-7, 2017 - Halifax, NST-Shirt SizeYouth XSYouth SMYouth MDYouth LGYouth XLTotal $ 0.00 CAD CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.