Summer Camp Application
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Date of Birth: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Age: 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
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Gender: Male Female
Position: Field Player Goalkeeper Both
T-Shirt Size Youth Large Adult Small Adult Medium Adult Large Adult XLarge
Camp
July 6th to 10th Minnechaug High School Wilbraham, MA July 13th to 17th Spec Pond Boston Rd. Wilbraham, MA July 20th to 24th Michael E. Smith Middle School South Hadley, MA July 27th to July 31st (Advanced Player/Goalkeeper week) Spec Pond Boston Rd. Wilbraham, MA Aug. 24th, 25th, 26th High School Prep Minnechaug High School Wilbraham, MA Aug. 24th, 25th, 26th High School Prep Granby, MA
Ages: 3-5 (Kids Club) 5-12 14-18
Prices: Kids Club 9:30-10:30 $85 Full Day Advanced Camp 9am to 3pm $195 Full Day 9am to 3pm $155 Half Day 9am to 12pm $125 High School 5:30pm to 7:30pm $95
Soccer City, Inc. is not responsible for articles lost or stolen. All players are required to have their own medical insurance. The facility will not be held liable for any injury sustained during the competition or instruction. I agree to follow the above regulations and all other rules governing the competition or instruction.
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