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COLLEGE PREP SOCCER ACADEMY
1-Day College Prep Camp Registration
December 10, 2023
$200
Player's First Name
Player's Last Name
Email
Phone
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
School Grade
Birthday
Primary Position
T-Shirt Size
Player's Club Team
Thanks for Registering for College Prep Soccer Academy Camp!
Does the player have any dietary restrictions or food allergies? If so, please list everything we need to know.
Does the player have any medical conditions or injuries we should be aware of? Please include concussion history. Also include any current medications the player is taking.
Parent/Legal Guardian Name
Parent/Legal Guardian Email
Parent/Legal Guardian Phone
Parent/Legal Guardian Work Phone
Insurance Carrier
Emergency Contact Name
Policy Number
Emergency Contact Phone
I have read and agree to the terms & conditions of the College Prep Soccer Academy Medical Release and Waiver. Checking this box is my electronic signature and consent.
View the agreement
How did you find out about this camp?
Go to Checkout
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