First Touch Soccer Camp 2011

                                                            Marlton N.J.

                                                Mail-In Registration Form

Circle:             Week  1 (July 18th-July 21st)       and/or     Week  2 (August 1st-August 4th)

Name of Athlete _____________________________________Team Name (if app.)________

Address_______________________________________________________________

City____________________  Zip Code____________________

Age by camp date________________________  

Gender (Circle)   M     F

Home Phone # ____________________________

E-Mail Address____________________________

Emergency Contact #_______________________

Asthma: (Circle)   Yes    No         Allergies: (Circle)   Yes   No        Allergic to ____________

Medical Conditions____________________                    

Medications__________________________________

 Shirt Sizes: (Circle)           Youth:          M    L            Adult:    S   M   L   XL

Make Checks Payable To:    First Touch Soccer Camp        

*Costs: If Received Before July 1st*

$130 per camper for one week

$240 per camper for both weeks ($20 discount)

$110 per week for each additional sibling ($20 discount)  

*Add $10 per camper to price if received after July 1st*

**Walk-ons are welcome**   You may also register at the Marlton Recreation Council

Send to:    

First Touch Soccer Camp

4 Whitney Place

 Hainesport, N.J. 08036

You will receive a letter via email confirming your registration.

Any questions please email: firsttouchsoccercamp@gmail.com

                                                     Parental Consent and Waiver of Claims

 To Parent/Guardian: Please read and sign below:

           I hereby approve of my child's attendance and participation at the First Touch Soccer Camp. I certify that he or she is in good health and is able to participate in any and all program activities.

          I understand that there is a risk of injury involved in my child's participation in the First Touch Soccer Camp including but not limited to risks associated with injury due to weather conditions, playing conditions, equipment, other campers, and the inherent risks of injury in the camp.

           I hereby wave any and all claims against the camp, its directors, or other employees of the First Touch Soccer Camp.

                                   PLEASE SIGN AND MAIL WITH REGISTRATION

Name: ________________________________________________

Relation to Camper:______________________________________

Date:_______________