UK Soccer Camp Registration Page

Northern Lehigh SC Youth Soccer Camp  (Ages 7 - 15) - $120
Northern Lehigh SC Nippers Camp  (Ages 5 & 6) - $85
Northern Lehigh SC Goalkeeper Camp  (Ages 8 - 15) - $85
 
 
Camp includes Official UK Camp Shirt & Ball
$10 Sibling Discount
 
Camp Registration

 

Camper First Name

 

Last Name

 

Parent or Guardian  

Address

 

City

 

State

 

Zip

 

Day Phone

 

Eve Phone

E-mail

 

Shirt Size Youth Small            Youth Med           Youth Large 

Adult Small   Adult Med               Adult Large        Adult XL

 

Team or Individual

Team Camp

Team Name

Individual

Age

Date of Birth

 

  Male       Female       

 

Payment Information

Bill Me

Deposit   Amt:  Paid in Full

Visa

MasterCard

Card Holder Name

Card #

V-Code

(What is a V-Code?)

Expire Date

 

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