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Lightning Summer Camp Registration Form
Location:Weis Park
Please fill out a separate form for each child in attendance
*
Indicates required field
Are you a Lightning Team member?
*
Yes
No
We are considering your club.
Child's Name
*
First
Last
Training Camp Ages 11-14 years
*
Week One 7:00pm- 8:30pm ages 11-14yrs = $65
Week Two 7:00pm-8:30pm ages 11-14yrs =$65
Both Training Weeks Discount $100
This division does not apply to my child
Training Camp Ages 6 years- 10 years
*
5:30pm- 7:00pm first week $65
5:30pm - 7:00pm second week $65
5:30pm- 7:00pm two weeks $100
This division does not apply to my child
What week(s) child will attend (1st and 2nd; 1st only 2nd only)
*
Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
AXL
2XL
Child's DOB Month/Day/Year
*
Parent/Guardian Name
*
First
Last
Email (our primary form of contact/communication)
*
Emergency Contact Number
*
Relationship to the Child
*
Payment:
Payments prior to June 3rd receive FREE Camp shirt
Payment's received after June 3rd, add a $12 shirt fee.
Please mail your check or money order to Lightning Soccer Club 4935 Sharonwood Ave NW Canton, OH 44718
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Waiver Of Liability
I hereby waive and release any liability from injuries incurred by my child while participating in the Lightning Soccer camp. I hereby state that my child is in good physical health and capable of participating in camp activities. I release the Lightning Soccer Club and coaching instructors from liability from injuries that may occur while my child is at camp. I give consent for my child to be photographed or videotaped during the camp and release use of the images by Lightning Soccer Club for promotional purposes.
Waiver
*
I agree
I don't agree
Submit
Home
Spring Soccer Sign Up
About Us
Lightning Indoor Soccer
Travel Uniform/Training Jerseys
Spirit Wear!!!
Home field/ Camp location
Calendar
Contact Form