Belmont Academy Soccer Camp Registration

Belmont Academy Soccer Camp Registration

Register your child for Belmont Academy’s upcoming soccer camp. Please complete all required fields.
Camper's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender

Other
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does the camper have any allergies or medical conditions?
Do you give Belmont Academy permission to use your child's picture on social media and future marketing
Signature
Payment can be submitted via Venmo at the QR code or link below

$20 per camper
https://venmo.com/code?user_id=4623792819144441964&created=1781968815.819195&printed=1
Should be Empty: