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Star Camp 2012 Registration PLEASE STATE THE FOLLOWING WHEN SIGNING UP: 1a. I am: Boy Girl 1b. First and family name, day of birth (and year). ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 2. Postal address (billing address) and telephone numbers. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ CIRCLE - TICK IN YOUR OPTIONS 3. Your chosen week: 4a. Size: 140 160 w1 XS w2 S w3 M L w4 XL XXL 4b. Name on the jersey. Write clearly (only first or last name): ………………………………………………………………..…. 4c. Number on your jersey (one or two numbers): …….…… 5. Position: Goalie 6. Rent a bed? YES Defender NO Forward Center Price for one week: 2900 SEK without a bed. 3100 SEK with a bed. 7. Select one stick below by entering length and composure - if you are a goalie you choose a goalie mask (included in the camp fee:). Pictures on www.starcamp.se. 1. STICK ZONE SUPREME RS 100 Curve 1.5° 32 2. STICK ZONE SUPREME RS 100 Curve 1,5° 29 3. STICK UNIHOC PLAYER3 32 Neon green 4. STICK UNIHOC INFINITY Top Light 2 29 White 87 cm 95 cm 87 cm 96 cm 91 cm 102 cm 92 cm 100 cm Left Left Left Left Right Right Right Right 1. MASK UNIHOC SUMMIT 44 Silver metallic 2. MASK ZONE ICON 1,8 Black/neon orange 8. Who you'd like to be placed with in the annex. ____________________________________________________________________________________________________ 9. Additional information (allergies, diets etc.). ____________________________________________________________________________________________________ 10. Guardian's signature (with full name in capital letters), email and telephone numbers. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 11. Send this registration to: Star Camp/Pixbo Wallenstam, Mölnlycke Fabriker 9, 435 35 Mölnlycke, Sweden. Final day of entry is April 30, 2012. 12. Pay the invoice (payment slip), 900 SEK, that is sent to your home! In May, a final invoice will be sent to you on the remaining amount. What should I bring to camp? Read more: www.starcamp.se. Welcome to Star Camp!