DAVID ALLRED YEAR 'ROUND SCHOOL SOCCER CAMP

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CAMP REGISTRATION

Participant Information

* Camper Name:

* Date of Birth:

Current Team:

* Current School:

Repeat Camper:

Camp Dates and Locations

Parent and Contact Information
* Parent/Guardian First Name:
* Parent/Guardian Last Name:
* Address:
* City:
* State:
* Zip Code:
* Home Phone Number:
* Work Phone Number:
* Email Address:
* Emergency Contact Name:
* Emergency Contact Number:

Fee Schedule:
Five-Day Full Week Camp:
Half-day 8:30 – 12:00	Cost: $105.00
Full-day 8:30 – 5:00	Cost: $165.00
Three-Day Mini-Camp: (You pick any three days that fit your schedule that week)
Half-day 8:30 – 12:00	Cost: $80.00
Full-day 8:30 – 5:00	Cost: $110.00
* Camper 1 Fees
* Camper 2 Fees
Camper 2 Fees are only required if you are registering more than one camper.
* Total Fees