JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bath County Soccer Camp - 2022
Player Registration form - Register by June 15th to get the free Soccer Ball and Jersey!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Player Name
*
Your answer
Program Attending
*
Future Star (4 - 6 y.o) - 9:00 am to 10:15 am - $95
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
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
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
