Soccer Info and Registration General Information GRADES: 6th-12th DATE: July 17th – 20th, 24th-27th TIME: 8:00 a.m. – 10:30 a.m. LOCATION: Elgin Sports Complex COST: Checks can be made out to St. Edward High School and mailed to:St. Edward CCHS | c/o Camp Name 335 Locust St. | Elgin, IL 60123 Please be sure to include the camper’s name on the check. Camper is not registered until check has been received. Total fee is $100.00 SPONSOR: Tim Brieger email@example.com 2017 St. Edward Catholic SUMMER CAMP REGISTRATION FORM Soccer (Co-Ed) Camp H.S. Students Name * First Last * Last Age * Grade (Fall 2017) * Shirt Size * Address * Address Line 2 City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip * Parent/Guardian * Parent/Guardian Email * Parent/Guardian Phone Number * Emergency Contact * Emergency Contact Phone Number * Camp Dates * July 17-20 July 24-27 We/I hereby request that you accept this application and in consideration of your acceptance of the application, we/I hereby release St. Edward Central Catholic High School and all its employees from all claims on account of any injuries which may be sustained by our/my child while attending the 2017 St. Edward Central Catholic High School camps. We/I shall indemnity and hold harmless St. Edward Central Catholic High School and all of its employees and against any loss or expense with respect to any action, claim or demand by we/I and my/our child for injuries sustained by our/my child. Furthermore, we/I certify that within the past year, our/my child has had a physical examination and that he/she is physically able to participate in all activities. * By checking this box I agree to the terms above reCAPTCHA Submit If you are human, leave this field blank.