Soccer Camp 2019 August 19 - 23
Please fill out this registration for for your child
Email address *
Camper Name *
Your answer
Camper Age *
Your answer
Male or Female *
Please list any allergies
Your answer
Please Send your camper with lunch & Water bottle *
List any other health problems/important information
Your answer
Shirt Size *
Parent / Guardian Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Emergency Contact Name and Number *
Your answer
I authorize the above mentioned to pick up my child if needed *
Required
I authorize my child to be photographed by Athletes In Action *
Required
Please indicate method of payment *
Select the option "Other Donation" Then Write "Soccer Camp" in the memo box.
A copy of your responses will be emailed to the address you provided.
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