AXE SOCCER CAMP ONLINE REGISTRATION FORM

Indicate preferred pronouns (optional)

they/them

she/her

he/him

CAMPER First Name

CAMPER Last Name

School camper will be attending in the fall

List any additional persons authorized to pick up camper from camp (first and last name)

IF THEY ATTENDED LAST YEAR, what was your child's most favorite thing at camp?

IF THEY ATTENDED LAST YEAR, what was your child's least favorite thing at camp?

There may be special interest sessions offered during camp. Please indicate any your child is interested in (optional)

Goalkeeping

refereeing intro & information on opportunities

Girls only

List any Axe Soccer Camp 2023 requests you or your child has (optional)

parent/guardian 1 name

parent/guardian 1 phone

parent/guardian 1 email

parent/guardian 1 address

parent/guardian 2 name

parent/guardian 2 phone

parent/guardian 2 email

emergency contact name if parent/guardian unavailable

emergency contact phone

healthcare provider/child's physician (optional)

Physician phone

health insurance company

policy number

policy holder

List any camper physical health conditions

Please list anything else you feel camp staff should know about your child (social, emotional, pesonality, life circumstances etc).

Check here to view and agree to release & authorizationView Terms

Type your name and the date here to sign the release and authorization

This is a Title.