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2021 Synergy Athletic Solutions Soccer Performance Camp
Athlete Camp Registration Form
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* Indicates required question
Athlete Name:
*
Your answer
Athlete Date of Birth:
*
MM
/
DD
/
YYYY
Athlete Age:
*
Your answer
Athlete Gender:
*
Male
Female
Other:
Is Athlete Current Synergy Athletic Solutions Member?
*
Yes
No
Synergy Athletic Solutions Adidas Training Shirts Size
*
S
M
L
Other:
Synergy Performance Camp Package
*
4-Day (includes soccer, strength, speed, and agility training)
2-Day (soccer only)
Specify dates athlete is unavailable for training
*
Your answer
Would like to participate in pre & post- soccer camp sport science testing?
Yes
No
Maybe
Clear selection
How did you hear about Synergy Athletic Solutions Soccer Performance Camp?
*
Referral
Website
Social Media
Other:
If referred? Indicate by whom
Your answer
Parent Name:
*
Your answer
Home Phone Number:
*
Your answer
Mobile Number:
*
Your answer
Email Address:
*
Your answer
Primary Address:
*
Your answer
Confirmation of Camp Registration & Payment Method
*
Yes, Synergy Athletic Solutions Online Payment Portal
Yes, Synergy Athletic Solutions Venmo or PayPal
Yes, Cash or Check
No
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