Register before MAY 20th and receive your free Pro Kick Soccer Ball
Childs First Name
*
Childs Last Name
*
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 25-29 @ Bethlehem Town Park, Day camp
July 2,3,5,6 @ Bethlehem Town park, Day Camp
July9-13@ Bethlehem Town Park, Day Camp
July 16-20@ Bethlehem Town Park, Day Camp
July 30-August 3@ Crellin Park, Chatham. 1/2 day camp only
August 6-10 @Bethlehem Soccer Plex, Scholastic Prep camp, evening camp
*
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
144 Hasgate Drive
Delmar, New York 12054
Your cancelled check is your confirmation of camp enrollment
