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Register for the Elite Soccer Camp

Player Information

Fill out the form below to register for the Elite Soccer Camp:

Player's Name:
Date of Birth:
Age:
Gender:
Medical Conditions (if any):

Contact Information

Parent's Name:
Email:
Phone:
Cell or Work Phone:
Address:
City:
State:
ZIP:
Emergency Contact Name:
Emergency Contact Phone:

Select a Camp

Camp Dates Times Camp Fee
July 22 - July 26, 2019 9am - 12pm $230
July 22 - July 26, 2019 9am - 12pm $230

Payment Amount
$230

Liablity Release and Medical Authorization

The above names camper is in good health and has my permission to participate in the Steve Myles Soccer Camp. In case of emergency, I grant permission for my child or ward to receive emergency treatment. In consideration of the acceptance of my child or ward to the Steve Myles Soccer Camp, I hereby, for myself and my child or ward, release the Steve Myles Soccer Camp, its affiliated and its respective coaches, employees, officers, directors, agents, officials, volunteers, sponsors and owner of the facility from and against any liability claims or demands for any injury illness or death incurred at or arising by virtue of participation in the Steve Myles Soccer Camp. I also, for myself and my child or ward assume complete financial responsibility for any personal injury or property damage created as a result of an intentional or neglectful act of my child or ward as he/she is participating in the Steve Myles Soccer Camp.

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