Pro-Life Boot Camp Youth Registration

**This is a registration for the WAITING LIST for PRO-LIFE BOOT CAMP.

If you are accepted for BOOT CAMP we will notify you.

PLEASE DO NOT PAY FOR BOOT CAMP UNTIL WE HAVE NOTIFIED YOU IF YOU ARE ACCEPTED.

Please have your medical form completed, notarized and ready in case you are accepted.

No new registration (normal or waiting list) will be accepted after July 21st.**

Campers must be ages 14-17 and be entering grades 9-12 for the '17/'18 school year. Students graduating from high school this spring must apply to be Jr. Staff.

Early registration ends June 15. Online payments must be received by midnight on June 15th and mailed check must be received by the CPLC at the address listed below by June 20th. Otherwise, you amount due will increase to the late registration price.

Catholic Pro-Life Committee
            Pro-Life Boot Camp
            PO Box 803541
            Dallas, TX 75380

No registration will be accepted after July 21.

Registrations packets (packing lists, location info, etc.) will be mailed 2-3 weeks prior to camp, and all info will be available online at that time.

Notarized youth release form is due 1 week prior to camp. There will be a $10 late fee for release forms received after July 21.

First Name*
Last Name*
Sex*
Participant cell or best phone Number*
Participant Address*
City*
State*
Zip Code*
Best E-Mail to reach participant*
School*
Grade for '17-'18 School Year*

Birthday*
Parish or Church you attend*
Diocese*
Parent's Names*
Parent's Phone*
Parent's E-Mail*
I'd like to room with
T-Shirt size*
Have you attended Boot Camp in the past?*
This year we are doing a special project. Each participant must submit 1 baby photo (age 12 months or younger) and 1 current photo. Please scan and attach your photos now or e-mail to by July 21st.
Upload Baby Photo Here
Upload Current Photo Here
Comments/Notes

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Pro-Life Boot Camp Youth Registration

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Catholic Pro-Life Committee • RESPECT LIFE MINISTRY OF THE DIOCESE OF DALLAS