Youth Camp Waiver and Registration Form
Parental Consent and Waiver of Claims
To Parent/Guardian: Please read and sign below:

I hereby approve of my child’s attendance and participation at the  Shane Snyder Soccer Camp. I certify that he or she is in good health and is able to participate in any and all program activities.
I understand that there is a risk of injury involved in my child’s participation in the Shane Snyder Soccer Camp including but not limited to risks associated with injury due to weather conditions, playing conditions, equipment, other campers, and the inherent risks of injury in the camp.
I hereby waive any and all claims against the camp, its directors, or other employees of the Shane Snyder Soccer Camp

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Child's Last Name *
Child's First Name *
Grade Level for Upcoming Year *
Week Attending *
Shirt Size *
Are you part of a team of 10 or more?  If so list your team name
Asthma *
Emergency Contact Name (Can be a parent or guardian) *
Emergency Contact Phone Number *
Email *
Home Address *
Waiver Signature *
Relationship to Camper *
Payment Information
Make Checks Payable To: ShaneSnyderSoccerCamp        
Send Payment to: 5 Oak Ridge Drive
Haddonfield NJ, 08033
or Venmo: @sssc-snyder
$140 per camper for one week
$120 per camper for each additional week ($20 discount)
$120 per week for each additional sibling ($20 discount)  
$120 for groups of 10 or more ( please send email if registering as a group )
**Walk-ups, on the first day, are welcome however, Cash Only Please**    
You will receive a confirmation letter after we process your registration
A $25 processing fee will be charged for any cancellations
Venmo Code
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