(Print and mail to the address listed below)

Mr. Soccer Camps - Registration Form

First Name: _________________________________________________

Last Name: _________________________________________________

Date of Birth: _______________________________________________

Parent(s) Name: _____________________________________________

Email: _____________________________________________________

Phone: _____________________________________________________

Select One:    8 and under (9:00 - 11:30 am)        9 to 14 years (1:30 - 4:30 pm)

T-Shirt Size:    YS   YM   YL   AS   AM   AL

Unusual Medical Conditions: ____________________________________

How did you hear about us? _____________________________________

Comments: __________________________________________________

Send to:  Mr. Soccer Camps - 4110 Circle View Drive - Williamsburg MI 49690