Norse Soccer Mini Camp Registration

Ages 4-7
July 17-20, 2017

Application deadline: July 14, 2017

* = required field

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First Name*
Last Nane*
Grade next fall*
School*
Gender*
Age*
Birth date (MM/DD/YYYY)*
Home Address*
City*
State*
Zip code*
Home phone
Parent's cell phone
Parent's e-mail*
Youth size T-shirt*
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.
Payment Amount*

Payment Information

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