New York Camp Registration Please select only one of payment options. You can pay full camp fee or deposit. New York Camp Registration First Name*Player's First name Last Name*Player's First namePlayer's Age*On 6/1/2018 Address*Mailing AddressCity*Your CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificSelect Your StateZip Code*Mailing ZipPrimary Contact*First Name Primary Contact*Last NameParents Email*Best email AdressParents Cell*Primary ContactOther CellEmergency ContactProgramSelect ProgramPlease Select Your ProgramSmart Soccer Program 7 + 8 year oldsJunior Soccer Academy Program 9 + 10 year oldsJunior Soccer Academy Program 11 + 12 year oldsElite Soccer Academy Program 13+14 year oldsElite Soccer Academy Program 15-18 year oldsAdvanced Academy Program 12-18 years oldCollege ID Camp - 14-18 years oldCamp Level and AgeGoalkeeper Yes I want the Goalkeeper Program Check for yesVenue and Camp DatesNY Military Academy Cornwall, NYJuly 29-August 2 Cornwall, NYAugust 5-9 Cornwall, NYAugust 12-16 Cornwall, NYCamp & PricingDay CampDay Camp $425Residential Camp $625Elkins Group/Team $495Uniform Size*Youth SizesX-SmallSmallMediumAdult SizesLargeX-LargeXX-LargePlayer InfoLast Team PlayedTeam Name & CityHow did you find us?Friend, Search, PlayerRoommateName of requestedDo you agree?My child is in good health and has my permission to participate in all camp activities. In case of emergency, I hereby give my permission to the Doctor, selected by the Director of Premier Plus Soccer Camp, to secure proper treatment. All pictures and videos may be used by Premier Plus Soccer Camps at their discretion.YesNoNo refunds, only a transferable credit towards a future camp at any of our locations.