South Dakota State University Registration

Guardian First Name

Guardian Last Name

Guardian Cell Phone

Guardian Email Address

Street Address

City

State

Zip Code

Student's First Name

Student's Last Name

Student's Date of Birth

Guardian's Relationship to Student

Student's Grade as of FALL 2024

Does your student have any dietary restrictions?

Yes

No

Please list dietary restrictions below

Student's shirt size (adult unisex fit):

Emergency Contact Name

Emergency Contact Phone Number

Health Insurance Provider

Insurance Policy Number

I have read and agree to the terms presented in the above waiver.

Yes, I have read and agree

South Dakota State University Precision Camp Registration Form