UT Southern Fall ID Camp Registration Form

UT Southern Men's Soccer Fall ID Camp
Camp Details

Date: 10/18/2025

Time: 9 AM-12 PM

Location: East Campus Soccer Complex

Address: 1238 E College St, Pulaski, TN 38478

Price: 80$ (CASH OR CHECK ONLY paid the day of camp) (Checks made out to UT Southern Soccer)
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date

MonthDayYear
High School Graduation Year *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name*

First NameLast Name
Home Number
Cell Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Is the athlete prescribed an inhaler? If yes, please explain any instructions.*
Medical Paperwork PDF

Attached below is a 6-page medical PDF. Please print, fill out, and bring the day of camp. Thank you!
Should be Empty:

UT Southern Men's Soccer Fall ID Camp