LSA Soccer Winter Camp 2025 Registration

DAY CAMPER*

First NameLast Name

AGE*

GRADE*

GENDER*

FemaleMaleOther

Provide School Name

LSA T-Shirt Sizes (if you enroll and pay before Nov 30th or you are joining 5 days Extended Program then your child will receive a free t-shirt)

PARENT/ GUARDIAN*

First NameLast Name

EMERGENCY CONTACT*

RelationshipPhone

Allergies or Medical conditions we should be aware of?*

Please use the space below to tell us about your child condition.

Add more details about medical condition

EMAIL*

Provide your email for invoice & camp purpose.

PARENT PHONE*

Please enter a valid phone number.

Program Description: (if you enroll and pay before Nov 30th or you are joining 5 days Extended Program then your child will receive a free t-shirt)

Regular Program 5 Days $630AM/Half Day Program 5 Days $400PM/Half Day Program 5 Days $400Extended Day Program 5 Days $720

CAMP DATES: One week*

December 15TH TO Dec 19TH.

Program Description:

Note: Register and pay before 30th November 2025 to receive a free camp T-shirt, complimentary lunch (cheese pizza, chips, and a drink), and enjoy early drop-off from 8:15 AM — all included in the camp fee

Regular Full Day Program:

8.15AM/8.45AM TO 3.15PM $630.00/wk/(Lunch, drinks, & all mini breaks art project materials included)

AM/Half Day Program:

8.15AM/8.45AM TO 12.15PM $400.00/wk/(Lunch, drinks, & all mini breaks art project materials included)

PM/Half Day Program:

12.15PM TO 4.15PM $400.00/wk/(Lunch, drinks, & all mini breaks art project materials included)

Extended Day Program:

8.15AM/8.45AM TO 4.15PM $720.00/wk/(Lunch, Drinks, and Free LSA T-shirt and mini break art material included)

Note: To receive a free camp T-shirt, your child must be enrolled in the Extended Program for all 5 days or have registered and paid in full by 30th November 2025.
All art materials for the T-shirt logo design project and the soccer ball fee are included in the registration cost.

Dates. Enrollment requirement 5 days minimum. Price provided per day basis (8.15am drop off no charge) Regular drop off 8.45am.

	Regular Program Day $126/day (7hrs)	AM/Half Day Program $80/day (4hrs)	PM/Half Day Program $80/day (4hrs)	Extended Day Program $144/day (8hrs)
15th Dec
16th Dec
17th Dec
18th Dec
19th Dec

**Camper can order in lunch from outside vendors or bring in their own lunch. Its a NUT FREE environment.

WAIVER AND RELEASE

By signing below, I acknowledge that participation in London Soccer Academy Camp involves certain risks and that I assume all risks associated with my child's participation. I release and waive any claims against London Soccer Academy Camp, its employees, and volunteers from any liability for any injury, illness, or damages that may result from my child's participation in the program.

REFUND POLICY Winter Camp 2025

Cancellations:
Registrants who cancel their registration at least 15 days prior to the camp start date are eligible for a full refund.
Late Cancellations:
No refunds will be issued for cancellations made less than 5 days before the camp start date.
Medical Emergencies:
In the event of a medical emergency that prevents participation, a full refund will be provided upon receipt of valid medical documentation from a licensed healthcare professional.
Program Cancellation:
If the camp is cancelled due to insufficient enrollment or other unforeseen circumstances, all registrants will receive a full refund.
Early Registration Bonus:
Register for the Winter Camp 2025 (15th–19th December) by 15th November and complete payment by 30th November to receive a free camp t-shirt.

Signature*

Registration Fee and Payment Method. Total your payment and pay*

E-TransferChequeCash

Please use this email for all E- Transfers: pay@londonsocceracademy.com
Cheque payable to London Soccer Academy Inc.

info@londonsocceracademy.com

647-713-7094 / 647 709 7094

Form

LONDON SOCCER ACADEMY WINTER CAMP 2025 REGISTRATION