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Bath County Soccer Camp - 2023
Player Registration form - Register by June 1st to get the free Soccer Ball and Jersey!
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* Indicates required question
Email
*
Your email
Player Name
*
Your answer
Program Attending
*
Goalkeeper 11:00am to 12:00pm - $95 (Included - don't need to pay extra if already register for any camp)
Half Day camp (7 - 8 y.o) 9:00pm to 12:00pm - Half day - $139
Half Day camp (9 - 10 y.o) 5:00 pm to 8:00 pm- Half day - $139
Half Day Camp (11 - 14 y.o) 5:00 pm to 8:00 pm - Half day - $139
Coaching Clinic (8.30 -11am) Saturday only (For volunteer coaches)
Required
DOB
*
Your answer
Jersey Size
*
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
Responsible’s Name
*
Your answer
Responsible’s Email
*
Your answer
Responsible’s Phone number
*
Your answer
Address
*
Your answer
TO COMPLETE REGISTRATION - FULL PAYMENT IS NECESSARY PRIOR THE CAMP TO DR. ELLEN MILLER
A copy of your responses will be emailed to the address you provided.
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