Midas Football Academy Summer Camp Enrollment Form

Midas Football Academy Summer Camp Enrollment Form

July 14–30, 2026. Tuesday, Wednesday & Thursday | 10AM–1PM, Ages 5–15, Includes 2 Camp Jerseys
What's Included: Soccer Development | Mentorship & Life Skills | Confidence, Character & Leadership.

Spots are LIMITED. Registration is only confirmed after payment is completed. Secure your child's spot today!
Athlete's Information
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age as of July 1st, 2026
Gender
Jersey Size
(Parent/Guardian) Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Name
School/Grade Level
Child's Photo (Optional)

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Parent/Guardian Information
- The parents/guardian listed below will be the authorized person to pick-up the child after the camp.
- The parents/guardian listed below will also be the primary emergency contact person.
Name

First NameLast Name
Relation
Phone Number

Area CodePhone Number
Picture upload

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Name

First NameLast Name
Relation
Phone Number

Area CodePhone Number
Picture upload

Browse Files

Cancelof
Medical Information
Does the child have any allergies? If yes, please list them below:
Important: Your child's spot is NOT reserved until payment is completed. Limited spots available — don't wait!
Does the child have any previous injuries? If yes, please explain them below:
Payment Details
Method of Payment

All 3 Weeks$150.00

Limited Spots – First Come, First Served

Total $0.00

Payment Methods

Debit or Credit Card

ACH Bank Transfer

Parent/Guardian Signature
Authorization
- I understand and agree that Midas Football Academy, its coaches, and volunteers are not liable for any injury or loss that may occur during participation in the Summer Camp.
- I give permission for my child’s image or video to be used in camp photos, promotional materials, and social media.
- I confirm that all information given in this form is true, complete, and accurate.
Should be Empty:

Athlete's Information