Boys & Girls Soccer Summer Clinic

St. Paul soccer Coach Joe Campos and his staff consisting of former college players will run a camp with the focus on preparation for the upcoming season. Key aspects of the program will aim to improve: shooting, dribbling, passing and foot skill. During the camp we will have a goalkeeper trainer as well as a strength and fitness coach. The program is open to all mail and female players looking to elevate their talents on the pitch. Please include t-shirt size with registration.

Summer Programs *

• Entering Grades 4-9 - Boys & Girls Soccer Clinic - July 29 - August 1 5:00-7:00pm - $100.00

Child Name *

First

Last

Choose a T-shirt Size - Adult Size *SmallMediumLargeXLarge

Grade Entering in Fall *

School child will be attending in the Fall *

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Emergency Contact (other than parent/guardian) *

First

Last

Relationship to Child

Emergency Contact Phone *

Would you like to include credit cards fees to your total?

• Yes
• No

Credit Card Fee

Price: $3.00

Total Amount

$0.00

Has your child attended a St. Paul Summer Program in the past? *

• Yes
• No
• Not sure

Comment or Special Instructions

Credit Card *

Card

Name on Card

Signature *

Clear Signature

Submit

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