Camp / REG

Camp Registration
Please click on the Submit button to submit the form details.

Name:

Last Name:

Date Of Birth:

Age:

Address:

Home Phone:

Cel Phone:

Office Phone:

Email:

Soccer Experience:

Camp Dates:

Week 1:

1

Week 2:

2

Week 3:

3

Week 4:

4

Week 5:

5

Week 6:

6

Cost $375.00:

$375

Payment:

Cash
Cheque

Please click on the Submit button to submit the form details.

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