Date: JUNE 16-20, 2014
Camp Time: 1:00 P.M. – 4:00 P.M.
DAY 1 (REGISTRATION) 12:15 – 12:45 P.M.
LOCATION: ELKHORN ROTARY SOCCER
FIELD
1350 HWY 67, Elkhorn, Wisconsin 53121
FRIDAY, June 20nd,
AWARDS CEREMONY @ 3:45P.M.
AGES 8 – 14 BOY’S AND GIRL’S CAMP
PLEASE CHECK: BOY ☐GIRL ☐ AGE:____
(ATHLETE) FIRST NAME:______________________
LAST NAME:________________________________
HOME ADDRESS:____________________________
CITY:________________STATE:______ZIP:_______
HOME PHONE_(____)________________________
CELL PHONE: (_____)________________________
EMAIL:_____________________________________
SCHOOL: __________________________________
GRADE: ___________________________________
T-SHIRT SIZE (PLEASE) CIRCLE:
YS YM YL AS AM AL
PARENTS/GUARDIAN MUST FILL OUT
LIABILITY/WAIVER FORM AT:
WWW.ELKHORNYOUTHSOCCER.COM
CAMP COST: $85.00 (rental cost went up for city use)
*MAKE CHECK PAYABLE TO: BZ KAYSER SOCCER*
PLEASE MAIL PAYMENT AND LIABILITY FORM TO:
229 W. PAGE ST. ELKHORN, WI 53121
PARENT SIGNATURE:________________________
DATE:_____________________________________
ANY QUESTIONS PLEASE CALL: 262-215-9253
OR EMAIL: [email protected]
DEADLINE: JUNE 1st, 2014
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