Team Camp Registration Form

 

Choose a session, age category and T-shirt size and sign consent form.  Send in this section along with a check made payable to Classic Soccer Academy.  Click on the button at the bottom to print this page.

 

Player Name

Email

Address

Emergency Contact

Phone #

Phone #

 

Age as of June 2, 2008

Male

 o

DSC Member

o

Female

 o

 

Session Three: July 28-Aug 1 (5pm-8pm)
o

Advanced Team Camp

Coach’s Name/Age

($130/$110 for DSC)
 

 

Shirt Size

YS

o

YM

o

YL

o

AS

o

AM

o

AL

o

AXL

o

 

Parent’s Consent Statement

I certify that my child enrolled in this camp is in excellent health and may participate in the activities of this camp.  In consideration of the participation of __________________________(child’s name), a minor, at Classic Soccer Academy, I , as parent/guardian, have actual knowledge and appreciation of the particulars of this program and hereby voluntarily consent to said participation and assume the risk arising therefrom.  Futhermore, I give my permission for my child to receive emergency treatment, if needed.

 

 

(parent’s signature)

 

 

(player’s signature)

 

Send to:

Classic Soccer Academy
164 Van Eeopel Court
Pendergrass, Georgia 30567

Registration Deadline:

July 14th Session Three

 

 

Refund Policy:

50% will be refunded up to July 14 for Session Three. 
After that date all payment is non-refundable.