The early bird registration price is $150. After July 1st, the price increases to $175. New trainees must sign this WAIVER before attending the camp.

Who is filling out this form? *

Parent/Guardian

Trainee

Name *

First Name

Last Name

Phone *

(###)

###

####

Email *

Trainee's Name *

First Name

Last Name

Trainee's date of birth *

MM

DD

YYYY

If multiple children add them here

Trainee's position *

Field Player

Goalkeeper

T-shirt size

Youth/S

Youth/M

Youth/L

Adult/S

Adult/M

Adult/L

Have you signed our WAIVER form? *

Yes

No

Thank you!

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