Registration Form for 1 Camper - 2010 Az Soccer Camp

AZ SOCCER CAMP

Your Subtitle text

Our online registration is a three step process...

Step One: Completely fill out the form below and press submit.
                    (After submission, you will be directed to our secure payment page)

Step Two: Make your payment.
                    (After your payment, you will receive an email that has the link from which you can download your information packet.)

Step Three: Download your Information Packet - which includes your Medical Authorization Form. This form is to be completed and handed in at camp during check-in.

The cost for camp is $450.00 per week. (This includes a $150.00 non refundable deposit.).
(There is no stayover fee for those staying more than one week.)

                                                                       Do you have two campers to register? Click Here
                                                                                            Three campers to register? Click Here
                                                                                              Four campers to register? Click Here

___________________________________________________________________________

2010 Az Soccer Camp Registration Form - Step One

1 of 1	1 of 1
Camper's Name: *
Camper's Nickname:
Week(s) camper is attending	6/20 - 6/26 Week One
	6/27 - 7/03 Week Two
	7/04 - 7/10 Week Three
	7/11 - 7/17 Week Four
	7/18 - 7/24 Week Five
Camper's date of birth: Month: *
Day: *
Year: *
Age at camp: *
Gender:
Does camper live with both parents?	Yes No
Who will have custody while the child is at camp?	Mom Dad Either
Other:
Mother's Name: *
Home Phone:
Work Phone:
Cell Phone: *
Mother's Email:
Address:
City:
State:
Zip Code:
Father's Name: *
Father's Phone Number at Home:
Father's Phone - Work:
Father's Phone - Cell: *
Father's Email:
Father's Address:
Father's City:
Father's ZipCode:
State:
Is child affected, or likely to be affected, by any custody orders while camp is in session?	Yes No (If yes, please contact the Camp Director and provide details)
Does your camper know how to swim?	Yes No
Any physical limitations?:
Does your camper have a preference for a cabin mate?	No
	Yes (If yes, please list names by order of preference) (Every attempt is made to grant cabin mate preferences, but cannot be guaranteed. Cabin mates must be of the same gender and within a year of the same age.)
1):
2):
3):

Press Submit for Step Two: Make Your Payment

IMPORTANT NOTE: Upon payment, you will receive an email with a link from which to download your packet of information – a list of things to bring, directions, answers to frequent questions, and a medical authorization form to be completed and handed in at camp during check in. If you plan on sending your child to camp with another parent, please give that parent the signed paperwork found on the last two pages of the informational packet.

Refund/Cancellation Policy of Az Soccer Camp LLC
Please note that we plan our staffing needs according to registrations in order to provide a safe, structured atmosphere for our campers. Your registration fee includes a $150 non-refundable “deposit”.

If you cancel BEFORE mid-night, May 16, 2010, your registration fee will be mailed back to you – minus the $150 deposit. This refund will be in the form of a check. Cancellations must be received in writing via email to scott@azsoccercamp.com. In addition to emailing your request to execute our cancellation/refund policy, you may call Scott Segerson at 480-217-4095.

If you find somebody to register for Az Soccer Camp (of the same gender and general age of your son/daughter) your entire registration fee will be refunded no matter what date you registered. Please contact Scott Segerson if this is the case.
Please note: No refunds will be issued for voluntary withdrawal during camp, withdrawal because of illness/injury, no shows, or the expulsion from camp.

Go Daddy