2019 Parkway Central High School Soccer Camp put on by Chesterfield Football Club
Registration for the Parkway Central Soccer summer high school camp run by the Chesterfield Football Club. Please fill out the form to register for the summer sessions on Monday and Wednesday evenings. You are allowed to modify your answers after you submit this form. You may mail the $75 check to Parkway Central High school, 369 N. Woods Mill Rd. Chesterfield, MO 63017. Address the letter to Parkway Central Soccer, CO: Brian Adam and the make the check payable to the Chesterfield Football Club. You may also bring the money to school or the first summer session that you attend.
First name *
Your answer
Last Name *
Your answer
Gender
Grade in the Fall *
Email Address
Your answer
Cell Phone # *
Your answer
T-shirt size
Parent/Guardian Name *
Your answer
Parent/Guardian best contact # *
Your answer
Parent/Guardian best email address *
Your answer
Known summer conflicts
Your answer
Waiver *
By agreeing in the following field, you hereby authorize the directors of the Chesterfield Football Club to act for you according to their best judgement in an emergency. You know of no mental or physical problems which might affect your child's ability to safely participate in this camp. You will be responsible for any medical or other charges in connection with your child's attendance at camp. You agree that your child must abide by the rules and regulations of this camp. You also authorize the hospital/physician/dentist to perform necessary procedures.
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