2019 Soccer Mini-Camp Registration
July 8th–12th, 5–8pm
Email address *
Player
Ages 5–9
*
Your answer
Date of birth *
MM
/
DD
/
YYYY
Mailing address *
Your answer
Previous soccer experience *
Your answer
Emergency contact person
Name *
Your answer
Phone *
Your answer
Medical information
Medical insurance provider *
Your answer
Insurance policy number *
Your answer
Pertinent medical conditions
Your answer
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