Online Registration for the Benswic® Youth Experience

Welcome to the online registration for the Benswic® Youth Experience. If you are ready to register, please complete the following form. If you are looking for more details about the program, you can always Contact Us.

Registration Form

Participant Name:*

First

Last

Middle

Participant Name:(Sibling)

First

Last

Middle

Participant Name:(Siblings)

First

Last

Middle

Parent Name*

First

Last

Parent(s) Name

First

Last

Address:*

Street AddressApt #CityState / Province / RegionPostal / Zip CodeCountry

Main Phone:*

Area Code

Phone Number

E-mail:*

Participant Date of Birth*

day

month

year

Participant Date of Birth(1)

day

month

year

Participant Date of Birth(2)

day

month

year

Age*

Age(1)

Age(2)

Gender*

Gender(1)

Gender(2)

School Your Child(ren) Attends?

UPLOAD HERE. DO NOT MAIL OR BRING IN PERSON .

This is REQUIRED for each camper to have before the start of camp. You have an option to scan or photograph .pdf files to Upload.

Upload Your Child's Medical Forms/Parental Release Form:

Online Registration for the Benswic® Youth Experience

Registration Form

UPLOAD HERE. DO NOT MAIL OR BRING IN PERSON .

Do you want a FUN, ATHLETIC BASE TRAINING & CHALLENGING workout?

Get in touch