Lifetime Sports Academy

To register a child for the Lifetime Sports Academy please fill out the form below then select the Send form to Missouri Southern button. Registration is NOT complete until check to MSSU Lifetime Sports Academy is received by Academy Director. Send 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:
*Parent/Guardian:
*Phone:
*Email:
*Shoe size:
*Shirt Size:
Total Cost ($75 per child): Registration is NOT complete until check to MSSU Lifetime Sports Academy is received by Academy Director	$ .00

If you would like any other information, please indicate here: