CC Select Soccer Camp 2019
This is the on-line registration form for the summer of 2019.

For a printable registration form, visit: https://tinyurl.com/y45dcjg4
Please pay $80 online at: www.paypal.me/CCSelect, or mail check to address below:
Ilona Ryon
Smith Elementary
Wheeler Ave.
Cortland, NY 13045.

Please provide your check # (or PayPal confirmation) *
Your answer
Player LAST Name *
Your answer
Player FIRST Name
Your answer
Player DOB *
MM
/
DD
/
YYYY
Grade Entering (Fall 2019) *
Home School District *
Your answer
Parent/Guardian(s) *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Shirt Size *
Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
Release of Liability *
Terms and Conditions *
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