Residential Soccer Camp 2008 Registration Form
A $150 non-refundable deposit, payable to English Soccer Experience is required to secure a place at camp.

Please fill out the following information and return to:
28150 N. Alma School Parkway, Suite 103/112, Scottsdale, AZ 85262
Contact Mark Lowe @ 480.600.8136 or mark@englishsoccer.com

Please print clearly as all correspondence will be done by email

Name of Player_________________________________ Age at camp_____ DOB___________

Team _____________________________ Player Email _______________________________

Parents__________________________________Email________________________________

Street________________________________________ Town ______________ Zip ________

Home phone ___________________ Work ____________________ Cell _________________

Name of room-mate________________________________________________________

 Select Week:

 Wk 1: Jun 15th - 21st____ Wk 2: Jun 22nd - 28th____

Wk 3: Jun 29th - Jul 5th____ Wk 4: Jul 13th - 19th____

Check Program:

Select $499 (Sun-Fri) ___   Pro $549 (Sun-Sat) ___   

 Pro Goalkeeping $625 (Sun-Sat) ___   Day Camper $330 (Mon-Fri) ___ 

Day Camper with Shooting or Goalkeeping $400 (Mon-Sat) ___

Pro Shooting - our most popular program $625 (Sun-Sat) ___

Number of Private Lessons: One ($50) ___ Two ($80) ___ Three ($110) ___

Select Camp & Pro Camp Discounts: if 2-4 players sign up together it is $20 pp. If 5 -10 players sign up together the discount is $30 pp

 (In order for discounts to apply, the applications must arrive in the same envelope.)

Total amount  _________   $150 deposit enclosed  ________   Balance owed  ________
(The balance must be paid 4 weeks prior to the start of the camp)

I certify that my child ___________________________is in good health and may participate in all activities related to the soccer camp. I am aware that soccer is a physically challenging contact sport in which injuries do occur as a natural part of the game. I have read and completed the Medical Release form. I agree to hold the English Soccer Experience Inc, its agents, contractors harmless from all injuries sustained to my child during participation in camp. I grant permission for my child to receive emergency medical treatment if required. Permission is granted to English Soccer Experience to use any photographs or video footage of my child in any promotional literature. Refunds: the $150 deposit is non refundable. Once the balance is paid there are no refunds. A camp credit wil be given that can be used at any time during the 2007 0r 2008 camp season.There is no refund for any player who has to leave camp early for whatever reason.

Print Name _______________________ Sign _______________________ Date __________