Souled Out Summer Registration Form

Souled Out Summer Registration Form

Please fill out the information on this form.
Student Name:

First NameLast Name
Student Cell Number:
Please enter a valid phone number.
Grade Completed
Address

Street Address

Street Address Line 2

CityState

Zip Code
T-Shirt Size

SMLXL2XL3XL4XL
Parent(s) Name

First NameLast Name
Parent Cell #1:
Emergency Contact Information
Emergency Contact Name:

First NameLast Name
Phone:
The $50 deposit is due by Sunday, February 26th. By paying this amount of $50 you are committing to pay the remaining balance of $320. All fees are non-refundable. We understand that things happen, and if anything happens to where your student is unable to go please contact Tony or Todd.
By signing this form, you are acknowledging that these fees are not refundable except under specific conditions listed and you are agreeing to pay the full amount of $370 ($320 after deposit)
Signature of Parent/Guardian:
Date*

MonthDayYear
Date
Should be Empty:

Emergency Contact Information