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2014 Lifetime Sports Academy
To register a child for the Lifetime Sports Academy please fill out the form below.

Registration is NOT complete until check to MSSU Lifetime Sports Academy is received by Academy Director. The fee is $85.00 per entry.

Send check to:
Department of Kinesiology
Missouri Southern State University
3950 E. Newman Rd.
Joplin, MO 64801-1595


Form fields with an * are required. The form will not submit properly if the information in these fields is not provided.

NOTE: Groups will be established based upon age, years of attending, and number of campers. If your child must be with a specific person, you will need to indicate your request on your registration form in the "Comments" section below.

*Full Name: 
*Age: 
*Address: 
*City: 
*State:
*Zip Code: 
*Parent / Guardian: 
*Phone: 
*Email: 
*Shoe Size:  
*Shirt Size:
If you would like any other information, please indicate here: 
Registration is NOT complete until a check to MSSU Lifetime Sports Academy is received by Academy Director. The fee is $85.00 per entry.