Soccer Camp July 22nd

Soccer Camp Registration
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
MEDICAL INFORMATION
Medical concerns or additional info we may need to know about your child - please include any allergies. *
Camp Date: July 22nd - 25th, 90e

1.30 - 4pm

Ages 5 - 8
Payment will be taken on first day of the camp.

We accept cash or card.
Should be Empty:

Soccer Camp Registration