Register before MAY 20th and receive your free Pro Kick Soccer Ball
Childs First Name
*
Childs Last Name
*
Email
*
Address
*
City/ Town
*
Zip Code
*
Childs Age
*
Soccer Club
Telephone Number
*
Daytime Telephone Number
*
Name of Parent or Guardian
*
Insurance Provider and ID#
*
Camp
Select one or hit ctrl buton to select more
June 24-28@Bethlehem Town Park, Full Day $215
June 24-28@ Bethlehem Town Park, Half Day $125
July 1-3,5@ Bethlehem Town Park, Full Day $190
July 1-3,5@ Bethlehem Town Park, Half Day $110
July 8-12@ Bethlehem Town Park, Full Day ,$215
July 8-12@ Bethlehem Town Park, Half Day , $125
July 15-19@Bethlehem Town Park, Full Day,$215
July 15-19@ Bethlehem Town Park, Half Day, $125
July29-August2 @ Crellin Park, Chatham 1/2 day only $125
August 12-16@ Bethlehem Town Park, Scholastic Prep Camp, evening, $125
*
Free Pro Kick T-Shirt
Youth M
Youth L
Small
Medium
Large
XL
**At Bethlehem Soccer-plex
*= required information
To complete your registration
A non-refundable $50 deposit or payment in full is required with all applications.
Please make all checks payable to: PRO KICK SOCCER and mail to:
Pro-Kick Soccer Camps c/o Jeff Guinn
27 West Bayberry Rd.
Glenmont, NY 12077
Your cancelled check is your confirmation of camp enrollment
