(print this page and mail to the address listed below)

Traverse City - Mr. Soccer Camp

July 28 - Aug 1, 2008

 Name:__________________________________ Parent(s):________________________________

Address: ________________________________________________________________________

City: __________________________________ State: _________ Zip: _______________________

Home Phone: __________________Work:___________________  Cell: ______________________

Email: _____________________________________________  Date of Birth: __________________    

T-Shirt Size: YS YM YL AS AM AL

I will attend the following (circle one):
9:00 - 11:30 a.m. (8 and under) - $70
 
1:30 - 4:30 p.m. (9 to 13 years) - $90

For an additional $15, I would like to purchase a soccer ball:

Size 5
Size 4
Size 3
None

 

Please print and mail this form with payment to: Mr. Soccer Camps
  4110 Circle View Dr
  Williamsburg MI 49690