2026 Boy's Soccer Camp Registration

2026 Boy's Soccer Camp Registration

Kindergarten through 4th Grade Boys: Friday, May 29th 6-8 p.m. 5th through 8th grade Saturday, May 30th 9-11 a.m. $25 per athlete. Any questions feel free to email us at: acsoccerbooster@gmail.com Thank you!
Athlete Information
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Informed Consent and Acknowledgement

I hereby provide my consent for my child's participation in all activities organized by the soccer camp during the chosen camp session. By accepting my child's participation, I acknowledge and accept all the potential risks and hazards associated with these activities. I release, exempt, and indemnify the soccer camp and all its officials, representatives, and agents from any responsibility for injuries that may occur to my child during the camp sessions.
How would you like to make payment? Payment needs to be made prior to the camp. Paypal and Venmo options are below. If you need cash app our acct is listed below., If you need a different payment option please email us.

Other
Should be Empty: