Minnesota Soccer Camps

2009 Residential Academy

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Camp Registration deadline for the Day Academy is July 17th, 2009 and the deadline for the Residental Academy is July 31st, 2009. Campers can register online or by mail by printing out registration form attached and mailing it in. Full tuition will be charged immediately to your account when registering online.

Camp Refund

A camp deposit of $150 is required to hold your space in this camp. The remainder of camp balance for residential camp only can be paid at camp check-in. When paying by credit card a partial payment or deposit will not be accepted. Full tuition will be charged immediately to your account. If a camper withdraws from the camp for any reason up until the session begins, tuition will be refundable less a $150 deposit. Refunds must be requested in writing. Refunds will not be issued for any reason once the session has begun. Refunds will be provided by check regardless of payment.

General Information

First Name of Enrolled Player
Last Name of Enrolled Player
Parent or Guardian First Name
Parent or Guardian Last Name
Address
Address
City
State
ZIP
Home Phone
Business Phone
Player Birthdate
Player Grade
Email Address
Desired Camp	Minnesota Soccer Day Academy, July 20th - 23rd Minnesota Soccer Residential Academy, August 2nd - 5th
Are You A Field Player Or Goalkeeper?
Are you part of a team (10 or more) that is attending the camp?	Yes No
Club Team
High School Team
Roommate Request
T-shirt Size

Health Insurance Information

Health Insurance Company
Policy Number
Group Number
Policy Holder's Name
Policy Holder's Birthdate
Policy Holder's Employer
Emergency Contact
Emergency Contact Primary Phone
Emergency Contact Secondary Phone

Waiver of Liability

By clicking "I Agree", I hereby state that I release all members of the Minnesota Soccer Camps Staff, University of Minnesota, and any other party involved in the organization and administration of Minnesota Soccer Camps that may result in any injury on or around the camp site or in transportation to and from the site. I hereby declare that the enrolled applicant is in good health and in case of emergency, I grant permission for my child to be given medical treatment at a local hospital. By signing this from, I accept all responsibility and assume all costs that may be incurred in the event of an injury or accident.