Registration

Participant First Name:

Middle Initial:

Last Name:

Gender:

Age:

Date of Birth:

Address:

City/State:

Zip Code:

Home Phone:

Email Address:

Cell Phone:

Parent1 Name:

Parent1 Work/Cell Phone:

Email Address:

Parent2 Name:

Parent2 Work/Cell Phone:

Email Address:

Team Name:

Coach Name:

How did you hear about FlawlessSoccer?

REGISTERING FOR:

July 26-30 Emmittsburg MD

Residential

Personalized Team Camp

Registration Information

Note that summer camp participants must complete a registration packet including more details about camp, emergency contact sheets and medical forms.

Upon receipt of this web form you will be mailed a registration packet (one will be posted for download soon).

All forms must be received prior to the start of camp to comply with state laws.

If this online form does not work for you, please check your internet browser configurations.

You may also:

>>Send an email directly to ogedegbe@flawless-soccer.com which includes the information requested above
>>Email a request for a brochure to be mailed to you
>>Give us a call at 703 669-0726
>>Print out the form and mail it with payment to: PO Box 502, Leesburg, VA 20178

Special Offers

Team Discounts for groups of 10 or more.

Be sure to include discount codes in the “How did you hear” section