Coach/Staff Registration

Personal Information

First Name *

Last Name *

Street Address *

City *

State *

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip *

Phone (Cell) *

Phone (Home)

Email *

Camp Information

Camp Selection *

2025 Florida Camp — June 20–22

Will you have kids at camp?

Yes No

T-shirt size

XS S M L XL XXL XXXL

Which days will you be in attendance?

Both First Second Partial

Please explain your partial availability

Select two you'd be interested in helping with.

QB RB WR TE OL DB LB DL Ultimate Registration Medical Water Food Photography/Videography Time Coordinator Speaker Setup Cleanup Warmup

Newsletter Updates

I would like to receive updates from HPI about Champ Camp in the future.

Terms and conditions *

I agree to the following By completing this form, and signing below, I certify that I am not legally or otherwise prohibited from working with children/minors, and that I have never been convicted of any crime involving misconduct toward children/minors. I agree that while participating as a coach/staff member of the C.H.A.M.P. Camp, the health, safety, and well-being of camp participants will be my highest priority.

Your form has some missing required fields, please scroll up to complete them.

What is 4 plus seven? *