DFC Summer Soccer Camp
July 23-27
August 6-10
9 AM- 12PM
location: 32 Hampden Road, East Longmeadow
(This is a private field out behind a house. Turn in the driveway and follow the signs to the field.)

In order to complete registration, please fill out this form and bring a check for $150 to the first day of camp.

If you have any questions, please send an email to dagostinofc@gmail.com.

Player's First Name *
Your answer
Player's Last Name *
Your answer
Player's Birthday *
MM
/
DD
/
YYYY
Which week(s)? *
Required
Any medical conditions? *
Your answer
Parent 1 First and Last Name *
Your answer
Parent 1 Phone Number *
Your answer
Mailing Address *
Your answer
Email Address *
Your answer
Emergency Contact Name (other than Parent 1) *
Your answer
Emergency Contact Phone Number (other than Parent 1) *
Your answer
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