University of Michigan Boys Residential Soccer Camp by vW8nq4a


									                     University of Michigan Boys Soccer Camps
                   Winter Elite Recruiting Camp Registration Form
                                   Feb. 23-24, 2008

Camper Information

First Name       Last Name                                             Nickname

Address                                                   City                         State          ZIP

Age at Camp         Grade Completed     Home Phone Number

Email Address (This is where your camp confirmation letter will be sent.)

Parent's Names

Club Team

T-Shirt (Adult Sizes)       Small       Medium           Large    X-Large

Position      Goalkeeper        Defense       Midfield       Forward

Upon receipt of this registration form and camp deposit, applicant will receive confirmation of enrollment in camp via email.
You will be sent the following attached forms via email which must be returned before the start of camp: 1) Parent/Guardian
Consent and Release from Liability Agreement, 2) Health Insurance Information Sheet, 3) Winter Camp Health
Questionnaire, 4) Physical Examination Information,

                                               Payment Information
                                        Winter Elite Recruiting Camp …...…...……….. $200
                                        Registration Paid After Feb 1 …. (Add) $10

                            Mail Registration and Payment to:
                             Michigan Men's Soccer, LLC               Make checks payable to:
                                     P.O. Box 4004                  Michigan Men's Soccer, LLC
                                  Ann Arbor, MI 48106

 For credit card users, the full cost of the camp, plus a 5% user fee, will be charged to your card

 Visa Mastercard Credit Card Number                                                Exp. Date

                     Name on Card                                                  ZIP Code of Billing Address

Refund Policy
If a camper withdraws from camp for any reason before camp begins, all funds paid to date will be returned minus a $50
administrative fee. No refunds will be returned for any reason once a camp begins.

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