Staff Registration | USA Camp

Please complete the form as an invited staff member for DENG Camp USA [2019]

* indicates required

First Name *

Last Name *

Email Address *

Address *

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

Contact Number

Date of Birth *

/
/

( mm / dd / yyyy )

Polo/T-Shirt Size *

Shorts Size *

Emergency Contact Name & Number *

Allergies (if any)

Any relevant health information

Airport I will need to fly from & 3 LETTER CODE *

Permission for photo/video consent during camp?

Agree to criminal background check before camp?

Agree to pay own tax contributions for camp pay?