Decorah United Soccer Club MEMBERS ONLY Registration Form

Luther College Soccer Instructional Camp | DUSC Players

Ages 8-14
July 16-19, 2018

Application deadline: July 13, 2018

* = required field

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NOTE: Campers MUST have proof of health insurance (copy of insurance card) provided to Luther college before check-in in order to participate in our camps.
First Name*
Last Name*
Grade next fall*
School*
Gender*
Age*
Birth date (MM/DD/YYYY)*
Home address*
City*
State*
Zip Code*
Home phone
Parent's cell
Camper's cell
Parent's e-mail*
Camper's e-mail
T-shirt size*
Refund Policy: Written or e-mailed cancellation notice that is received five or more business days prior to the first day of camp will result in a full refund, less a $50 cancellation fee.
Attending as*
Payment Amount*

Payment Information

Name as it appears on card*
Billing Street Address*
City*
State/Province*
Zip/Postal Code*
Country*
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