2020 MSA Camps Registration Form
Welcome to Silicon Valley's Premier Soccer Camps!
Email address *
Player First Name *
Your answer
Player Last Name *
Your answer
Select One *
Date *
Required
Camp Program *
Primary Parent/Guardian Name *
Your answer
Address *
Your answer
Primary Parent/Guardian Phone # *
Your answer
Player Birth Year *
Your answer
Gender *
Current Club *
Your answer
T-Shirt Size *
Favorite Team and/or Player
Your answer
Medical Conditions?
Your answer
Emergency Name & Contact Number (if different than above)
Your answer
Please read and sign below:
Electronic Signature: Please type your first and last name *
Your answer
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Medical Release Waiver Form *
Required
A copy of your responses will be emailed to the address you provided.
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