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2008 Summer Soccer Camp - $35 Grades K-2, $50 Grades 3-8, $5 off for each additional sibling

June 30th - July 3rd
Grades K-2 - 9:00 AM - 10:30 AM • Grades 3-8 - 9:00 AM - 12:00 PM
Please contact the Athletics Department to ask about our extended program.
Unless indicated as optional, all fields are required.

First Name:
Middle Name (optional):
Last Name:
Age: years old
Grade Entering:
Gender:
Street/PO Box:
City/Town:
State/Province:
Zip/Postal Code:
Country:
Home Phone Number: () -
E-mail:
School:
Coach (optional):
T-Shirt Size (optional):
If other, please enter a size:

I hereby authorize the staff of Bengal Soccer Camp to act for me in their best judgment in any emergency requiring medical attention, and I hereby waive and release Bengal Soccer Camp from any and all liability for any injuries or illnesses while at the Bengal Soccer Camp. I have no knowledge of any physical impairment that would affect the above named player’s participation in Bengal Soccer Camp as outlined by the brochure. I also understand Bengal Soccer Camp retains the right to use for publicity and advertising purposes photographs of players taken at Bengal Soccer Camp.