Multiple Teams · 2017 Carlmont Boys and Girls Summer Soccer Camps


SUMMER SOCCER CAMP (Benefitting Carlmont Soccer)

Who:  Boys and Girls entering 7th – 12th grade in Fall 2017

Dates:  June 26 – 30, 2017 (girls) 4:00 – 6:00 p.m.

June 26 – 30, 2017 (boys) 6:00 – 8:00 p.m.

Location:  Carlmont High School Soccer Field

Cost: $125 (please make checks payable to Carlmont High School for girls and boys)

Things to Bring:­­­­­­ running shoes, soccer cleats, shin guards, white t-shirt, sweatshirt, and water

 

Name of Player______________________________________________________________

Grade _________________________                Birth Date_______________________

 

Name of Mother  _____________________________________________________________

Address_________________________________________________________________ City_____________________________   State ______________  Zip Code _________

Email_________________________________ Phone___________________________

 

Name of Father _____________________________________________________________

Address_________________________________________________________________City______________________________  State ______________  Zip Code _________

Email_________________________________ Phone___________________________

 

Allergies:  _____ no  _____ yes

To What___________________________________________

Please describe any player limitations  -___________________________________________________________________

________________________________________________________________________________________________________________________

 

IN CASE OF EMERGENCY

(You may write mother and/or father above, or you may add another contact.)

Name of Emergency Contact Person ______________________________________________

Relation ___________________________________________________

Home Phone______________________________

Cell Phone ________________________

Signature ____________________________________

Today’s Date ___________________

The mailing address for registration and payment are:

Boys:  Will Stambaugh, 570 El Camino Real #150-216, Redwood City, CA 94070 (650) 280-5603 pitchmaker13@gmail.com

Girls:  Tina Smith, 927 South Grant Street, San Mateo, CA 94402 (650) 271-3449 tsmith@seq.org