2013 Wasp Soccer Academy Session 2: August 5-9
To register for the 2013 Wasp Soccer Academy Session 2: August 5-9, please fill out the following form.  The information will reach Head Coach Linda Schirmeister Gess and she will be in touch with you shortly after submission.

Please call Coach Gess at 724-980-4919 (cell) or email at lgess@ehc.edu with any questions.

Please send a check for $100 made payable to Emory & Henry College.  Please write "Women's Soccer" on the memo line.  

Send payment to:

Emory & Henry College
King Center-Soccer Office
Linda Gess
12228 Itta Benna Drive
Emory, VA 24327
Sign in to Google to save your progress. Learn more
Player First Name *
Player Last Name *
Gender *
Date of Birth *
Age *
Grade (Fall 2013) *
Address *
City *
State *
Zip *
School *
Club Team *
Parent/Guardian Names *
Emergency Contact Number *
Contact Email *
T-Shirt Size (Youth M-Adult XXL) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report