UK Soccer Camp Registration Page
Chambersburg YSA -Youth Camp ( Ages 8 - 16 ) - 4pm - 8pm  $ 120
Chambersburg YSA - Nipper Camp ( Ages 5, 6 & 7 ) -  9am - 11am  $85
Chambersburg YSA - Goalkeeper Camp ( Ages 8 - 16 ) - 11am - 1pm $85

 
Camp includes Official UK Camp Shirt & Ball
Camp Registration

 
Camper First Name
Last Name
Parent or Guardian
Address
City
State
Zip
Day Phone
Evening Phone
Email
Shirt Size Youth Small Youth MediumYouth Large

Adult SmallAdult MediumAdult LargeAdult XL

 

Team or Individual

Team Camp
Team Name
Individual
Age

Date of Birth
Male Female

 

Payment Information

Bill Me     Deposit  Amt:  Paid in Full
VisaMasterCard
Card #      Expiration Date:
V-Code (What is a V-Code?)

 

Waiver/Exclusion

WAIVER/EXCLUSION (Please Read Carefully)  I, the parent or guardian or participant, understand the inherent risks of physical injury involved in sports and do so at my own risk. Participants & parents assume full responsibility for all injuries and damage and forever release, discharge and hold harmless the employees and agents of UK Soccer Camps, Trident Sports, Inc., it's coaches and affiliates from any and all claims, demands, damages & rights of action, present and future resulting from participation in any program or use of facilities.

      Please type Yes to Accept the Waiver/Exclusion

**Notice:  Child will not be registered for Camp unless Waiver is accepted**

Today's Date

 

Information to our Staff:

Home Office

PO Box 20038

York, PA 17402

(P) 717 825-2060

www.uksoccercamps.com