All American Soccer Camp Registration

DATE: June 23rd, 24th and 25th
TIME: 9am-12pm
LOCATION: Santa Margarita High School
COST: $250.00

DIRECTIONS: ALL INFORMATION IS REQUIRED. Please review and make sure you have filled in all information. Once your application is processed you will be directed to the PAYMENT PROCESSING PAGE. You may either pay online using a major credit card OR mail your check payment.
CAMP:	College Clinic 2008
Athlete's name:
Athlete's age:
Athlete's grade level (2008-2009 school year)
Current Club Team (2008-2009)
T-shirt size :	Adult Sm Adult M Adult L

Parent first name:
Parent last name:
Telephone:
Street address:
City:
State:
Zip:
Parent email address :
List any known medical conditions:
MEDICAL RELEASE/WAIVER: I hereby give permission for any and all medical attention to be administered to my child. In the event of accident, injury, sickness, etc., under the direction of the person(s) listed below, until such time as I may be contacted. I request and authorize physicians, dentists, and staff , duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the minor listed on this medical release form. I have not been given a guarantee as to the results of examination or treatment. I also assume the responsibility for the payment of any such treatment. I AGREE

All American Soccer accepts Mastercard and Visa
Mastercard & Visa Card