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SC Blues Summer Camp 2019 - Registration Form July 8th-11th at La Paz Sports Park
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Players Full Name
*
Your answer
Players Year of Birth
*
Your answer
Confirming you are signing up for our Summer Soccer Camp on July 8th thru 11th
*
Yes
No
Other:
How will yo pay
*
Venmo @irelandrob
Cash
Mothers Name
*
Your answer
Mothers Phone Number
*
Your answer
Fathers Name
*
Your answer
Fathers Phone Number
*
Your answer
Home Address
*
Your answer
Which email address shall we use to share updates?
Your answer
Please provide an emergency contact number:
Your answer
What school does your daughter attend?
Your answer
What club and team does your daughter currently play on
Your answer
Does your daughter have any allergies or medical conditions?
Your answer
How did you hear about our program?
Your answer
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