2008 GUSTIE SOCCER CAMP APPLICATION
(Please print this application and send via US Mail)

Name ____________________________________________________________________________

Address __________________________________________________________________________

City ________________________________________State ____________ Zip _________________

Home Phone ____________________________   Office Phone _______________________________

Age: ______________       Sex (circle one):   Male  /  Female

Position (circle one):   Goalkeeper   /  Defender   /  Midfielder   /  Attacker

Club Team ________________ Age / Division: ____________

T-Shirt size: (circle one)  S   /  M   /  L   /  XL

Roommate preference: _______________________________________________________________

_________________________________________________________________________________

Camp Session / Fees (circle one):

  • Session I: June 22-June 26 (boy and girls ages 10-14)
      • $365 Overnight
      • $250 Commuter

  • Session II: July 6-July 10 (boys and girls ages 10-17)
      • $365 Overnight
      • $250 Commuter

X _____________________________________________   Date: ___________________________
Parent or guardian signature

Make checks payable to the Gustie Soccer Camp and mail application with a $50 non-refundable deposit to:

Mike Stehlik
Gustie Soccer Camp
Lund Center
St. Peter, MN 56082 Phone: (507) 933-7619