2026 LHS Soccer Camp Registration Form
This is the registration form for those planning to attend the soccer camp. The camp has been postponed to July 27th - 30th. We are planning to have the camp at Luray Middle School from 5:00 - 8:00 PM.
Youth's Name
*
First Name
Last Name
Grade (Upcoming 2026-2027 School Year)
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Sex
*
Male
Female
Other
Shirt Size (Youth)
*
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Parent/Guardian Contact
*
First Name
Last Name
Email
*
example@example.com
Phone Number (Cell preferred)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any physical limitations (asthma, diabetes, allergies, heart condition, contacts, etc). If none, please leave blank.
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Waiver and Release of Liability
By agreeing to the terms & conditions below, you agree to the Player & Parent Agreement Statement as follows. "I, the participant, or my child named above agree to participate in the Page County Recreation Leagues or Activities. I hereby release any and all rights and claims for damages I may have against anyone associated with the Page County Recreation Leagues or Activities, or any other group or organization in whose building or grounds this activity is being held, and instructors or persons of these groups for injuries received in participating in any sponsored activity. I also agree to abide by any and all rules and regulations set forth by the Page County Recreation Leagues and Activities."
Signature
“These materials and the activity described herein, are not sponsored or endorsed by Page County Public Schools.”
Submit
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