Cougar Soccer Camp Registration

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IF FORM IS CLOSED, PLEASE EMAIL cougarsoccercampmd@gmail.com TO INQUIRE ABOUT SPOTS.

E‑mail *

Please register by MAY 1 to ensure a CAMP SHIRT in your desired size!!!

Camper Last Name *

Camper First Name *

Camper Date of Birth *

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Camp shirt size *

YXL

Women's S

Women's M

Women's L

Grade in School (Fall 2023) *

School (Fall 2023) *

Parent Name(s) *

Best Phone Number *

Home Address *

Alternate Phone Number

Name of Emergency Contact *

Emergency Contact Phone Number *

Any health/emergency information? (Allergies, other health concerns staff should be aware of) Please enter "N/A" if none. *

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