Lane Tech Girls' Soccer Middle School Soccer Camp 2018
Complete this form if you are a CPS middle school student (Grades 5-8).

Dates: Monday, June 24 - Friday, June 28

Time: 10:15am - 12:15pm

Location: Lane Stadium

Suggested Donation: $100 Cash or checks accepted on the first day of camp. Please make checks payable to Lane Tech Girls Soccer Association

Questions? Please contact Coach Vale at mvale@cps.edu

Email address *
Player's Name *
(First & Last)
Your answer
What school do you attend? *
Your answer
Grade (in Fall 2019) *
Student's Email Address *
Your answer
Student's T-shirt Size (Youth Sizes) *
Emergency Contact's Name *
Your answer
Emergency Contact's Relationship to Student *
Your answer
Emergency Contact's Phone Number *
Your answer
Second Emergency Contact's Name *
Your answer
Second Emergency Contact's Relationship to Student *
Your answer
Second Emergency Contact's Phone Number *
Your answer
Go, Lane, go!!!
A copy of your responses will be emailed to the address you provided.
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