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APPLICATION FOR ENROLLMENT
Please print out this page and mail to:
WSC-Legacy Camps, P.O. BOX 296
Williamsburg, VA 23187
Please fill out one application for each child
Player's Name
___________________________________
Age_______ Sex__________ Date of
Birth___________
Parent(s)/Guardian(s)
Name_________________________
Address________________________________________
City_____________________ State_____
Zip__________
Travel Team______________________________
Home Phone_____________________________
Work Phone_____________________________
E-mail__________________________________
T-Shirt Size(Circle one) YL (Adult Sizes) S
| M | L | XL
Camp Attending:
Check One
____Shooting Star Camp - Half Day - 6/24 -
6/28
____Full Field Camp - Full Day - 6/24 - 6/28 (Girls)
____Full Field Camp - Full Day - 6/24 - 6/28
(Boys)
____Legacy Leaders Camp - Full Day - 6/30 - 7/03
(Travel)
Payment:
Deposit ($60)
$_____________
Nike Ball ($20)
$_____________
Shin Guards ($5)
$_____________
Total $_____________
I hereby authorize the staff of the Total Training Camp to
act for me according to their best judgment in any emergency requiring medical attention,
and I hereby waive and release the staff, camp and the Williamsburg Soccer Club from all
and any liability for any injuries while at camp. I also certify that he/she is physically
fit to take part in all camp activities.
SIGNED_________________________
Date___________
(Parent/Guardian)
MEDICAL INSTRUCTIONS
If you have any specific medical instructions for our trainer, please indicate them in the
space provided below.
_______________________________________________
_______________________________________________
_______________________________________________
HOW DID YOU HEAR ABOUT THE TTC:
___Advertisement ___Direct mail ___Coach ___Friend
___Retail Outlet
___ Website____E-mail
Office Use Only: Check #______________
Deposit: _________ Amount Owed: ___________
Nike Ball: ________ Shin Guards: ____________
Camp
Directors
Director's Message
Camp Program
Camp Facts
Camp Application
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