We are very pleased to offer this program to our community, boys and girls at all levels ages 4-14 years old.
To Register:
Please fill out the form below for camp registration. If you prefer to register offline,
click
here to dowload registration forms.
Camp:
Participation:
Participation days:*
Player Information
First name:*
Please enter first name
Last name:*
Please enter last name
Birthdate:*
(mm-dd-yyyy)
Please enter player's birthdate as mm-dd-yyyy
Please enter player's birthdate as mm-dd-yyyy
Gender:*
Please select gender
Shirt Size:*
Street address:*
Please enter street address
City:*
Please enter a city
State:*
Zip:*
Please enter 5-digit zip code
Please enter 5-digit zip code
Parent Information
Parent name:*
Please enter parent's name
Email:*
Please enter parent's email
Please enter a valid email address
Home phone:
(555-555-5555)
Please enter a valid phone number
Cell phone:
(555-555-5555)
Please enter a valid phone number
Emergency Contact Information
Contact name:
Contact phone:
Doctor's name:
Doctor's phone:
Allergies or other medical problems:
Registration Policy: Premier Soccer Clinics, LLC will be glad to apply any unused registration fees to a future program. There is no policy for refunds.