CBC Dutch Touch Soccer Camp - 2019

June 24-27 | CBC Dutch Touch Day Camp | Players born 2005 - 2008

July 8-12 | Dutch First Touch Camp | Players born 2009 - 2011

July 8-12 (pm) | CBC Dutch Touch High School Camp | Open to any High School player

July 14-19 | Dutch Touch Elite Camp | For elite players b. 2004-2008

July 22-25 | CBC Dutch Touch Day Camp | Players born 2006 - 2009

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All Camps are held at CBC High School (1850 De La Salle Drive, St. Louis, MO) and nearby Cadet Park

For more information visit CBCDutchTouch.com or e-mail Terry Michler at michlert@cbchs.org

PAY ONLINE WITH PAYPAL! https://www.cbcdutchtouch.com/camp_paypal.htm

2019 CAMP REGISTRATION FORM
REGISTER NOW!
Participant name (Please complete for each camper) *
Your answer
Birthdate *
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DD
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YYYY
Parent/Emergency Contact Cell Number: *
Your answer
Email Address *
Your answer
Home Address *
Your answer
City, State *
Your answer
Soccer Club
Your answer
Position:
Your answer
Select Camp Dates *
Required
PAYMENT DETAILS *
Required
Clothing - Shirt Size *
Clothing - Game Shorts *
Clothing - Game Socks *
Allergies - Please list any allergies food or medical. If none - please write none *
Your answer
Please list any special requests:
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LIABILITY RELEASE: (MUST BE COMPLETED BY PARENT OR GUARDIAN): Because of rising insurance costs and our effort to keep our fee reasonable, all campers must cover themselves for any injury or sickness incurred while attending International Soccer Camp. I hereby authorize and direct the camp staff to exercise and act in their best judgment in the event any medical emergency regarding my child may arise. I confirm that my child is covered by medical insurance. I assume liability for my child during the time he/she is attending the International Soccer Camp In the event of injury or accident, I will release CBC, and the camp staff from any and all liability. *
Required
PHOTO/MEDIA RELEASE: In addition, I, the undersigned, hereby grant CBC Dutch Touch International permission to make still pictures, videos, and sound recordings, separately or in combination, of me and/or my child, and I also give CBC Dutch Touch permission to use the finished videos, still pictures, and/or sound recordings in educational, instructional and commercial distribution via private or public broadcast or other delivery format without monetary compensation. *
Required
REFUND POLICY: Due to our commitment and related expenses to bring quality coaches from Europe, there is a $150 penalty for any cancellation made PRIOR to Camp. There will be NO refunds once camp begins. Questions? Contact Terry Michler at michlert@cbchs.org *
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ELECTRONIC SIGNATURE: Sign and Date *
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