21 AM CAMP REGISTRATION

TES SOCCER SCHOOL - 2001
Registration Form

* Indicates required field

Parent or Guardian's Name *

First

Last

Player's Name *

First

Last

Player's Age *

Player's Date of Birth (DD/MM/YYYY) *

Player's Current Club *

Parent or Guardian's Email *

Parent or Guardian's Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone Number *

Home Phone Number *

Player's Gender *

Girl Boy

Morning TES Camp *

August 2-6 / 8:30-12:00 August 9-13 / 8:30-12:00 Both Morning Camps

Level Registering for: *

Recreational Competitive

Age Group: *

Comments *

Submit

• Please complete the 2 attached waivers and return to philbergen@teamexcelsoccer.com before the first day of camp: