2023 Dominate the 18/Jim Thorpe Area Youth Soccer Summer Soccer Camp!                                                                              Ages 5 - 7 (Half-day), Ages 8 to 13 (Full Day)
Please complete all sections of this registration form in it's entirely truthfully and accurately. Please enter FULL first and last names when entering a person. This form must be completed before the child's participation and must be completed by the parent or legal guardian (age 18 or older) of the participant. All responses on this form will remain confidential (unless for emergency purposes to authorized personnel), and are used for necessary registration requirements and/or in the event of any emergency.

Camp will occur from June 26th to June 30th, 2023 with a rain of July 1st, 2023 if needed. 9 AM to 3 PM at the Penn Forest Recreation Park Fields. 

For Regular Registration, the Cost is $235 for a Full-Day Campership (9 AM to 3 PM) and $205 for a Half-Day Campership (Ages 5 to 7, 9 AM to 12 PM). Prices increase by $25 for both Camperships on May 15th, 2023.  

For all Jim Thorpe Youth Soccer Club Players, the Cost is $210 for a Full-Day Campership (9 AM to 3 PM) and $180 for a Half-Day Campership (Ages 5 to 7, 9 AM to 12 PM). 

Prices increase by $25 for all Camperships on May 15th, 2023.  Register today!  

Players will be placed in Groups by Age and Ability.  Unless your player is in ODP, ECNL, or an Academy for an MLS Team (or similar circumstance), there is NO bumping in the group made. The camp director may make adjustments to groups based on level after the first day or at his discretion based on ability. The drills are similar topics between age groups (made more advanced for older and/or more advanced players) , and players who push and challenge themselves to have fun through competition and to be better will foster the maximum benefit. If needed, we will ask families to move up or down based on ability for Day 2 or as we deem appropriate. 

Each participant will receive a FREE DOMINATE the 18 Soccer Training Tshirt!  

We will be adhering to all current and updated State, local, and CDC Guidelines for this camp as of June 15th, 2023.  If you do not wish for your child to follow these guidelines, we kindly ask that you do not sign up for this camp.
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Please watch this short video (less than 2-min) about how to properly submit payment based on your Camper's Registration Type *
Please go to the middle of the following webpage to select the proper option and submit payment: 
https://www.dominatethe18goalkeepertraining.com/field-players/jim-thorpe-area-youth-sc-summer-soccer-camp

Regular Registration -  Cost is $235 for a Full-Campership (Ages 8 to 14) - until May 15th, 2023

Cost is $205 for a Half-day Campership (Ages 5 to 7) 
- until May 15th, 2023

Jim Thorpe Area Youth Soccer Players! 

Regular Registration -  Cost is $205 for a Full-Campership (Ages 8 to 14) - until May 15th, 2023

Cost is $180 for a Half-day Campership (Ages 5 to 7) - until May 15th, 2023

If you have multiple children ($10 discount AFTER the first child), please email dominatethe18soccertraining@gmail.com AFTER completing all registrations (one per child).  The credit will be issued 5-7 days after payments and registrations for all children are received (minus payment fees associated). 

Any issues, please email dominatethe18soccertraining@gmail.com. 
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Date of completion by Parent or Guardian *
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Name of Player (Participant) *
Age of Participant (as of June 1st, 2023) *
Participant's T-shirt Size. FREE with Registration!  Your child will get the famous DOMINATE the 18 athletic shirt!   Smallest size is Youth Small, largest size is XL.  *
Name of Individual Completing this Form *
Relationship to Player (Participant) *
Date of birth (participant) *
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Gender of child *
Mailing address *
City, State, Zip *
Current Soccer Club *
Phone #1 (primary contact) *
Phone #2
Email: *
Emergency Contact *
Do you have medical coverage for your child? This question must be a YES in order for your child to participate. *
Medical Insurance Provider *
Policy Number *
MEDICAL NEEDS of player. If there are no medical needs, please answer NONE.  Make sure to state any and all allergies, recent injuries, if your child carries an epi pen (location of), etc.  Be specific and clear: *
Parents must sign below prior to child’s participation in the 2023 Dominate the 18/Jim Thorpe Area Youth Summer Soccer Camp! If medical assistance is required for illness or injury while attending the camp, I give permission for such care and I certify I have medical insurance, and that the applicant is covered by our family medical insurance. Dominate the 18 Soccer, their associates, the Jim Thorpe Area Youth Soccer Club, Carbon County, and any associated entities are all NOT responsible legally or financially in any manner, and will not provide any payment or have any responsibility for any medical, dental, hospital, transportation, or laboratory fees due to injury incurred while participating in the 2023 Dominate the 18/Jim Thorpe Area Youth Summer Soccer Camp. I hereby release Dominate the 18 Soccer and staff of any and all liability from any type of injury as a result of this training.                                                                                                 -------------------------------------------------------------------------------------------------------------------------------For your electronic signature, please type your FULL NAME followed by YOUR First and Last Initials, then #                                                                                                                                                                                 --------------------------For example: Person is John Smith.                           Enter:  John Smith  JS# *
Date of payment sent/made. Please note that registration is not complete, and the spot cannot be reserved, until payment is made. If not done already, please go to the middle of the webpage:  https://www.dominatethe18goalkeepertraining.com/field-players/jim-thorpe-area-youth-sc-summer-soccer-camp   to submit payment.  *
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Waiver form, please go to: https://www.waiverfile.com/b/PipechElitelSoccerTraining/Waiver.aspx?formid=83df00e8-a55e-4862-9234-d039b79d55df.  After completing (keep this window open), please confirm below. *
Double check:  Please check off for yourself that you have completed all items. If any items are not completed, your child's registration is incomplete and will not be able to participate until all items are completed.  Thank you for your help in advance.  *
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