Soccer ID Camp Registration
Email
Secondary Email
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Email address *
First name *
Last name *
Address 1 *
City *
State *
ZIP Code *
Cell Phone Number *
Date of Birth: *
Father's Name & Occupation: *
Mother's Name & Occupation: *
High School: *
Including City, State, & Zip Code
Head H.S. Soccer Coach *
Including Phone Number
ACT or SAT Score (Composite): *
Graduation Year: *
High School GPA (4.0 = A) *
Club Team Name: *
Club Team Coach: *
Including Phone Number
Primary Position: *
Secondary Position: *
Athletic Honors Received: *
T-Shirt Size: *
Submit
* required field