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Enrollment is Limited . . . . Register Early!!!!

 

APPLICATION

 

Name:                                                                                     

Address:                                                                                                 
                                                                        Street

                                                                                               
                        City                                           State                                        Zip

Phone:                                                                                    

Email Address:_____________________________________

Date of Birth:                                            Age:                     

HT:                                            WT:                                      

High School:                                                                           

Club Team: _______________________________________

 

CIRCLE the appropriate selection below:

NIKE Shirt Size:  Adult XL,  Large,  Medium,  Small
All Campers Receive Nike  Soccer Ball
Camp Options
Extended Discount Offer
Early Sign up before 7/1                        $495
Day Camp Only
(Includes Lunch and Dinner)                                   $445