Saturday, June 22, 2024

11:00 AM - 2:00 PM

Phillipsburg Soccer Facility

782 Orchard Street

California, PA 15419

Cost: $30 (Shirt included if registered by Friday, June 7, 2024)

*Please complete all the information below, review our terms and conditions, and click 'Complete Registration.'

Camper First Name *

Camper Last Name *

Camper Date of birth *

Age *

Parent/Guardian Email *

Parent/Guardian Phone *

Address *

City *

State *

Postal code *

Soccer Organization *

T-Shirt Size *

Insurance Company Name *

Insurance Policy Number *

Insurance Group Number *

Allergies/Medical Conditions (Staff will be made aware) *

More Information

Payment *

Youth Soccer Camp

$30.00 Registration Fee for Youth Soccer Camp

$30

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

CONTACT INFORMATION

Scott Fichter, Sports Program Director

Pittsburgh, Pennsylvania 15237

Phone: 412.720.9145

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