Gustavus Soccer Camp Application

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2009 GUSTIE SOCCER CAMP APPLICATION

Name ___________________________________________________

Address __________________________________________________

City _____________________________________________________

State ___________________ Zip _________________

Home Phone __________________________

Office Phone __________________________

E-mail address _________________________

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

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

Club Team ________________ Age / Division: ____________

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

Roommate preference: _____________________________

_______________________________________________

Camp Session / Fees (circle one):

• Session I: June 21-June 25 (boys and girls ages 10-14)
  • $370 Overnight
  • $250 Commuter
    

• Session II: July 6-July 10 (boys and girls ages 10-17)
  • $370 Overnight
  • $250 Commuter
    

X _____________________________________________
Parent or guardian signature