subject_line
Student First Name
*
Student Last Name
*
Street Address
*
City
*
State
*
Zip Code
*
Grade for the 2024-25 School Year:
*
3rd
4th
5th
6th
7th
8th
T-Shirt Size:
*
Youth Small
Youth Medium
Youth Large
Adult Small
AdultMedium
Adult Large
Adult X-Large
Adult XX-Large
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
*
Parent/Guardian Email Address
*
Parent/Guardian Phone Number:
*
Emergency Contact Name:
*
Emergency Contact Number:
*
Please list special considerations (food allergies, medical conditions, etc.):
*
Summer Camps 2024:
*
3rd-5th Grade Coed Soccer Camp June 25-27th from 9:00-10:30am $50
6th-8th Grade Soccer Camp June 25-27th from 10:30am-Noon $50
I have a $50 camp voucher.
Please present this certificate at the first day of camp registration.