Registration - Women's Soccer ID Camp

Camp Session:

Camp Session: April 25, 2026
Student Name: Student Name: First Last
Date of Birth: Date of Birth: / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone: Home Phone: - ### - ### ####
Mobile Phone: Mobile Phone: - ### - ### ####
Student Email:
Parent/Guardian Email:
High School:
High School Graduation Year:
Club Soccer Organization:
Grade Entering in Fall of 2026
Position
Recruiting Profile Link
Film Link
Other Schools of Interest:
Emergency Contact Name #1 Emergency Contact Name #1 First Last
Relationship
Phone Number 1 Phone Number 1 - ### - ### ####
Emergency Contact #2 Emergency Contact #2 First Last
Relationship
Phone Number 2 Phone Number 2 - ### - ### ####
Insurance Company
Policy Holder Name
Policy Number
Please list any food allergies: