Fall M-W Sports Program

MultiSport Fall Camp 2024

Aug 12-Oct 7. 6-8pm. Cost: $125. 7yr-13yr. Soccer & Volleyball
Contact:
Coach Noe Guzman
(669) 800-5782 (call or text)
noe@healinggrove.org

Camp cost is ${costPer} per player per week for ages 6-13 years old.

Tamien Park, 1135 Lick Ave San Jose Ca 95110
Parent Name*

First NameLast Name
Parent Phone *
Please enter a valid phone number.
Parent Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address

Camp Cost

$125/Week/Player
Number of players you will register*
Player #1

Enter the information below for your child
#1: Player Name*

First NameLast Name
#1: Player Birthdate*

MonthDayYear
#1: Player Phone Number (optional)
{1Player}'s camp selections
Player 1 Sports Selection (only select one sport per week)

Soccer Volleyball

Aug 12-Oct 7
Player #1 Total Weeks
Player #2

Enter the information below for your child
#2: Player Name*

First NameLast Name
#2: Player Birthdate*

MonthDayYear
#2: Player Phone Number (optional)
{2Player}'s camp selections
Player 2 Sports Selection (only select one sport per week)

Soccer Volleyball

Aug 12-Oct 7
Player #2 Total Weeks
Player #3

Enter the information below for your child
#3: Player Name*

First NameLast Name
#3: Player Birthdate*

MonthDayYear
#3: Player Phone Number (optional)
{3Player}'s camp selections
Player 3 Sports Selection (only select one sport per week)

Soccer Volleyball

Aug 12-Oct 7
Player #3 Total Weeks
Cost per player per week
Total Fee
USD
Total Fee After Coupon
USD

	Soccer	Volleyball
Aug 12-Oct 7

	Soccer	Volleyball
Aug 12-Oct 7

	Soccer	Volleyball
Aug 12-Oct 7

Total Fee

USDTotal Fee

HEALING GROVE SPORTS WAIVER AND RELEASE OF LIABILITY

Healing Grove Sports RENUNCIA Y LIBERACIÓN DE RESPONSABILIDAD
I agree to the waiver as stated above. Additionally, I agree to electronic signature indicating my acceptance of above stated waiver and hold harmless.*

I accept and agree to waiver and hold harmless as stated above and to electronic signature
Should be Empty:

MultiSport Fall Camp 2024