Registration Form

For Printable PDF version please click here

Or print off the page and mail it in along with payment.

Three Lions Summer Camp Registration 2017

Please print out this application page for each child attending:

Players Information

Name …………………………………………………………………………………………………………………………………………………..

Gender ………………………………………………………………………………………………………………………………………………..

Age …………………………………………………………………………………………………………………………………………………….

 

Parent/Guardian Information

Parents Name ……………………………………………………………………………………………………………………………………..

Parents Phone Cell …………………………………………… Home ……………………………………………………………………..

Parents Email ……………………………………………………………………………………………………………………………………..

 

Emergency Information (in case of Emergency please provide alternative numbers)

Contact Name …………………………………………………………………………………………………………………………………….

Contact Phone ……………………………………………………………………………………………………………………………………

 

Please circle with the camp you wish to attend:

CAMP                                      Date                                       Times                                     Cost

 

Indoor Camper (10+)       May 30th-June 2nd, 2017    9:00 AM-12:00 PM    Tuition $89

                                                                     

Futsal Camper (14+)       May 30th-June 2nd, 2017   6:00 PM - 7:30 PM      Tuition $79 

 

Little Camper (3,4,5)        June 20th-23rd, 2017        8:00 AM-8:45 AM        Tuition $39

                                

Premier Camper (6-9)     June 19th-23rd, 2017       9:00 AM-12:00 PM       Tuition $89 (1/2 day)

                                   

                                           June 19th-23rd, 2017       9:00 AM-3:00 PM         Tuition $169 (full day)

 

                                

Elite Camper (10+)          June 19th-23rd, 2017       9:00 AM-12:00 PM       Tuition $89   (1/2 day)

                    

                                          June 19th-23rd, 2017       9:00 AM-12:00 PM       Tuition $169 (Full day)

Payment

Application is not valid until payment is received. Payment will not be prorated or refunded for non-attendance

Please make checks payable to: James Phillips  

and Mail it to

 

James Phillips

2030 Blue Ridge Ave

Melbourne, FL 32935

 

Release

I hereby authorize the directors of 3 Lions Soccer Academy to act for me according to their best judgment in any event that my child may require medical attention. I also herby release and discharge Holy Trinity and 3 Lions Academy and its employees from any and all action regarding any known or unknown injuries that may occur while participating in the boy’s soccer camp. I know of no mental or physical problem that affects my child’s ability to safely participate in this camp. 

 

Parent/Guardian …………………………………………………………………………….. Date …………………………………………….

 

© 2023 by Name of Site. Proudly created with Wix.com