2026 Firebird Soccer Camp

2026 Firebird Girls Soccer Camp

Grades 1st-9th June 15-18, 8:30am-10:30/11:30am
Athlete Information
Paid
Athlete's Name

First NameLast Name
Fall 2026 Grade
School
T-Shirt Size
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Number

Area CodePhone Number
Graduation year
Student ID Number (Lakota Students only)
Guardian Name
Guardian Name
Club Team
Notes
Please read the LAKOTA RELEASE OF LIABILITY/ INFORMED CONSENT/ ASSUMPTION OF RISK WAIVER which is listed on the following link. http://s3.amazonaws.com/vnn-aws-sites/172/files/2017/03/d4c3bcd07ea3b63f-Release-of-Liability-.pdf

The following questions refer to this form.
Player: By typing your name, you are agreeing to the terms of the Lakota Release of Liability Form.
Parent: By typing your name, you are agreeing to the terms of the Lakota Release of Liability Form.
Is the student covered by a medical insurance policy?
If yes, please list insurance company name and policy number.
West HS Girls Soccer Camp Grades 1st-9th $100

*Correct t-shirt Size cannot be guaranteed on registration after May 8th, but we will do our best!

PAYMENT CHANGES:

**Please pay via Hometown Ticketing or by check/cash to Lakota West HS, ATTN: Lakota West Girls Soccer**

Lakota West Girls Soccer c/o

Lakota West HS

8940 Union Centre Blvd.

West Chester, OH 45069

Questions?

Please contact Brigit Reder Wilder at brigitreder12@gmail.com
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2026 Firebird Girls Soccer Camp