COP House Soccer Camp Registration MORNING CAMP

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* 1. Contact Information

First/ Last Name

Age

Address

Address 2

City/Town

State/Province

Grade and School

Parent First/Last Name

Parent Email Address

Parent Phone Number

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* 2. T-Shirt Size

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* 3. Soccer Skill Level

Beginner

Intermediate

Advanced

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* 4. Second Child *Optional

First/Last Name

Age

Grade and School

T-Shirt Size

Skill Level

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* 5. Third Child *Optional

First/Last Name

Age

Grade and School

T-Shirt Size

Skill Level