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: *

* required field

Camps & Clinics