Application for 2000 Joe Clarke / Washington University Soccer Camps
Complete this form and submit it with a $100 deposit to reserve your space at camp (you may either submit this form via the internet or print it off and mail the form in with your deposit)


Name: Male: Female:
Address
  street city state zip
E-mail Address
Parents' Names
Telephone (Home) (Work)
Birthdate: Age at camp Grade next year
Roommate or friend preference for day camp

 

Check desired session:      Amount

Residential Camp for Boys July 15 - 19

Commuter $300

Resident $360

$
High School Division (14-18) Boys Division (10-13)  
Field Player Goal Keeper $


Specialty Camps (for males and females age 9-18)(9a.m. - 12:15p.m.)

Dribbling July 20 - 22 (Thurs - Sat)($60)   $
Goal scoring July 24 - 28 ($100)   $
Goalkeeper(at goal scoring) July 24 - 28 ($45)   $


Youth Skills and Games (for boys and girls age 6-8)(9a.m. - 12:15p.m.)

July 17 - 21 ($100) July 24 - 28 ($100) $


Soccer Ball

I will purchase the camp soccer ball - $17 $
I will bring my own ball


Subtract Family or Team Discount (only one discount allowed)

Registrant perviously attended camp June ,2000 at Chaminade H.S. -$
(Second child discount) I paid full tuition for my other child, , to attend camp here June ,2000. -$

(Team discount) (Team of 10 or more submitting all applications together by June 1)
I am registered as part of team.

 
Mini $10 Full day $15 Residential $20 -$

 

Subtract Payment Enclosed -$

 

Balance Due - Please Total   $

 

With submitting this form, please mail $100 deposit check payable to Washington University
Joe Clarke Soccer Camps * PO Box 160052 * St. Louis, MO 63116

QUESTIONS? Call: (314) 821-KICK (5425)