2020 Jeremy Shortt Soccerfest
This is a soccer camp led by Jeremy Shortt and staff focusing on development in a fun environment.

Ages: 4-14 years old
Dates: March 9-11
Time: 8:00a-11:00a (Early drop-off 7:30a)
Location: NWRAA Soccer Complex- Reservoir
Cost: $60.00

What to bring:
Refillable Water Bottle (Mandatory)
Shinguards (Mandatory)
Soccer Ball

Email address *
Player Name: *
Your answer
Player Date of Birth: *
Your answer
Parent's Name *
Your answer
Parent Telephone Number *
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Parent's Email Address: *
Your answer
Do any of the participant's have any medical problems that the camp staff should be aware? (List Participant's name if multiple participant's and their associated medical condition). If none, just type "none". *
Your answer
Camp Disclosure: I (parent or guardian), do hereby waive and release any and all claims to damage or personal injury against Jeremy Shortt, IFC of MS, NWRAA, Reservoir Soccer Complex, and all other persons or organization associated with camp in name, incurred by, while participating in and to and from location. *By checking "I agree", you are in full understanding of the disclosure above* *
I understand that I will have to pay $60.00 upon arrival of first day of camp *
A copy of your responses will be emailed to the address you provided.
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