Lady Zizzer Soccer Camp

Lady Zizzer Soccer Camp

Registration Form June 8-11
Athlete Information
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Session signup
Tshirt Size
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.
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
I understand I will pay $30 on the first day of camp. I also understand I will have to be present the first day of camp to sign a waiver. Cash or check payable to Lady Zizzer Soccer
Should be Empty: