INDIVIDUAL PLAYER REGISTRATION Name ___________________________________________________________________ Age ________ Birth Date __________ Grade in Fall 2015________ Gender _____________ Address _________________________________________________________________ City ______________________________________ State _________ Zip _____________ Email _____________________________________ Phone ________________________ T-Shirt Size (Circle) : Youth S M L XL Adult S M L XL
CAMP OPPORTUNITIES
(Check the camp your child will attend)
O Day Camp
June 15-19
Ages 8-14
9am-4pm
$220
O Little Leafs
June 15-19
Ages 5-7
9am-12pm
$150
O Future Leafs
June 15-19
Ages 3-5
4pm-5pm
$50
Camp Discounts (check all that apply): O
Pay before May 15, receive $5 off
O
Second sibling receives $10 off
O
Children of Goshen College faculty & staff receive $20 off (please complete below)
Department______________________ Name____________________________
REGISTRATION INFORMATION Mail completed registration form with entry fee to: Goshen College Soccer/Attention: Coach Scott Gloden 1700 S. Main St. – Goshen, IN 46526 Make checks payable to Goshen Soccer
*Confirmation packet will be sent once registration is received
SOCCER CAMPS JUNE 15-19, 2015 2015 SUMMER CAMP