If you wish to pay by check or register via mail or fax Click here for a printable Day Camp "2002 Application"

To register online and pay via credit card, please complete all sections and click "Submit Form".

*Complete one application per Player.*
Please note, confirmation of payment and program details will be via email.

PLAYER AND PARENT DETAILS

Player First Name
Last Name
Players Age
Players Sex	- Male Female
Players Date of Birth
Parent / Guardian First Name
Parent / Guardian Last Name
Home Phone
Work Phone
Address
City
State
Zip
Parents E-mail
Players E-mail

CAMP DETAILS

Name of Soccer Organization / Team
Start Date of Camp (m/d/y)
Location of Camp
Time of Session
Duration of Camp	- Half Day Full Day
Type of Program	- "Fun in the Sun" (5-6 yrs) "Skills n Thrills" (7-10 yrs) "Compete with your Feet" (11-16 yrs) Team (if applicable, 8 yrs+) Goalkeeper (if applicable, 9 yrs+)
Camp Shirt	- YS (10-12) YL (14-16) AS (34-36) AM (38-40) AL (42-44)

PAYMENT

Camp Cost $ ($5 Sibling Discount for 2nd, 3rd child etc)
Shinguards $10 (Optional)	Check Box if you wish to purchase	Shinguards Size (Please select Size)	- XXS (5-6 yrs) XS (7-8 yrs) S (9-12 yrs) M (13-16 yrs)
Ball $15 (Optional)	Check Box if you wish to purchase	Ball Size (Please select Size)	- Size 3 (5-7 yrs) Size 4 (8-11 yrs) Size 5 (12 yrs+)
Water Bottle $4 (Optional)	Check Box if you wish to purchase
Credit Card type?	- Visa Mastercard Discover
Credit Card #
Expiration Date (Month / Year)
Total Cost $

Any health or other issues we need to be aware of ?

How did you hear about us? - Color Brochure Paper Flyer Mailer Newspaper Ad Poster Friend Other

I would like more information on:
Hosting A UKISC Coach
Residential Academies
"UK Camp in the UK"
Team Tours
UKISC Soccer Merchandise

I Certify that my child enrolled above is in excellent health and may participate in strenuous physical activities including soccer. I agree to defend and hold UK International Soccer Camps, its servants, agents, and/or employees and contractors harmless from any and all claims for injuries sustained by my child during his or her participation in the camp. Permission is hereby granted to UK International Soccer Camps, to use pictures and any video footage of the campers in any promotional materials. Permission is granted for my child to receive emergency medical treatment, if needed, and I certify that there are no limits to my child's participation except as stated in writing and included with this application. Refunds can be given at the discretion of UK International depending on the nature of the situation. Children who leave during the program due to injury or illness will receive a pro rata refund. A $15 handling fee will be required on any refund, no refund will be given for cancellation within 7 days of the camp start date. Children are enrolled on a fist come first served basis. We cannot guarantee enrollment any later than 5 days prior to camp. Should inclement weather affect the program, any lost hours will be made up later in the camp week. If this is not possible, refunds will not be issued.

Parent Initials Date

Copyright © 2002 U.K. International Soccer Camps. 
All rights reserved.
Revised: July 26, 2002