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Pre-Registration

Home     Soccer Camps


Fill this form out and click submit.  After 2 days if your child's name is not on the attending players page then email me.  After you submit your information if you want to keep looking on the website just click the back button.

Email: dise9@aol.com 

 

There is be a problem with the registration.  I am in the process of fixing this.   Please copy and paste the information into an email and send it completed or send registration through US Mail. 

Please provide the following information:

                                                   Player

First Name
Last Name
DOB / Male or Female
Age Group
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Emergency Contact Name
Cell Phone
Home Phone

                                      Parent or Guardian

First Name 
Last Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
Cell Phone
Work Phone
Home Phone
E-mail

Select the following camps you plan on attending:

Camp 1 - June 16th-20th
Camp 2 - July 14th-18th
Camp 3 - July 21st-25th
Camp 4 - August 4th-8th ($200 )
Tee Shirt ($15) - Sizes - YS - YL



Copyright 2008 [Paradise Soccer]. All rights reserved.
Revised: March 08, 2009