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California Camp Registration

Player Application:
Step 1 of 2 [* ALL FIELDS REQUIRED]
Player's First Name:*
Player's Last Name:*
Player's Age:*
Address:*
City:*
State:*
Zip:*
Parent Cell Phone #1:* (XXX) XXX-XXXX
Parent Cell Phone #2
Or other emergency contact #:
(XXX) XXX-XXXX
Email Address:*
Uniform Size:*
Youth Adult
X-Small Large
Small X-Large
Medium XX-Large
Last Team Played For?
How did you find us?
Roommate Requested:
Program:
Camp Requested: *

Army and Navy Academy


July 23-27, Carlsbad, CA
July 30 - August 3, Carlsbad, CA
I will be in the Goalkeeper Program Yes:

Camp Type:

HIDER

Residential Camp
$695.00 Fee
$250.00 Deposit*

Day Camp
$475.00 Fee
$150.00 Deposit*
January 2-5 Half Day Camp $125 PIF

* Non refundable deposit.

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.

No refunds, only a tranferrable credit towards a future camp at any of our locations.

Do you agree?

 

Camp Director, Dennis Lukens directed and produced the best selling soccer instructional video "World Cup to the Backyard" featuring members of the 1999 World Cup Champion United States Women's National Team.

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