Uptown Soccer 2019 Camp Sign Up
Uptown Soccer Summer Camp 2019 Runs July 15th - August 15th, Monday - Thursday, 9am - 2pm at Dyckman Fields. It is open to children ages 7 and up. The camp is FREE, but we require a $20 registration fee to reserve your spot. This can be paid by venmo, or by cash or check BEFORE June 21st.

Uptown Soccer Summer Camp 2019 se lleva a cabo del 15 de julio al 15 de agosto, de lunes a jueves, de 9 am a 2 pm en Dyckman Fields. Está abierto a niños de 7 años en adelante. El campamento es GRATUITO, pero requerimos una tarifa de registro de $ 20 para reservar su lugar. Esto se puede pagar por venmo, efectivo o cheque ANTES del 21 de junio.

Uptown Soccer Camp 2019
Player's First Name / Nombre del Niño *
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Player's Last Name / Apellido *
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Player's Age / Edad *
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Date of Birth / Fecha de nacimiento *
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Address / Direccion *
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City / Ciudad *
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Zip Code *
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Cel Phone # / celular *
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Email *
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Parent Full Name / Nombre del Padre *
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Alternative Phone # / Alternativo numero de telfono *
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Male / Female / Niño/a *
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Emergency Contact Name / Contacto emergencia *
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Emergency Contact Phone # *
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Race / Ethnicity of Child / Etnicidad del niño
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Does Child receive free / reduced price lunch at school? / Recibe almuerzo gratis en escuela?
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Any Health / Medical concerns we should be aware of? / Algunas condiciones medicas? *
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Liability Waiver *
Please read the liability waiver here: http://goo.gl/hLOLX
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How will you pay the registration fee? *
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