2025 Youth Soccer Camp Registration

2025 Youth Soccer Camp

Registration form for the 2025 Washburn High School Youth Soccer Camp

"*" indicates required fields

1Contact Information

2Camper Information

3Waiver/Emergency Contact

4Payment

Contact Information

Primary Contact Name*

Who should we be in contact with regularly about the registered camper?

First Last

Primary Contact Email*

Primary Contact Phone*

Address*

Street Address City State ZIP Code

Camper Information

Name of Camper*

Name of the child who is being registered for camp. If you have more than one child being registered, you will need to complete a registration for each one.

Date of Birth*

MM slash DD slash YYYY

Grade (in Fall 2025)*

What is the camper’s grade for the school year beginning in the fall of 2025?

School*

School the camper will be attending this coming fall

T-Shirt Size*

Friend/Sibling Request

Does this camper have any friends or siblings attending the camp AND would like, if possible, to be paired with them? If so, please list any friends or siblings

Health Issues*

Does this camper have any allergy or health concerns that we should know about?

Yes

Health/Allergy Concerns

Please let us know about any allergy or health concerns about this camper

Emergency Contact Information & Waiver

Name of Person to Contact in Case of Emergency*

Emergency Contact Phone*

Waiver Signature*

Type your name to indicate agreement to the following: My child has permission to participate in the Washburn High School 2025 summer youth soccer camp. I hereby release and/or otherwise indemnify Washburn High School and its associated coaches and players against any claim by or on behalf of my child.

Payment

Youth Soccer Camp Registration Cost*

Price:

After Care Registration Cost*

After care will be offered on Tuesday and Thursday from 3:00 – 5:00. Cost is $25 per day for 1 camper and $40 max per family per day.

No After Care

1 Camper, 1 Day

1 Camper, 2 Days

Family Option (multiple campers from the same family), 1 Day

Family Option (multiple campers from the same family), 2 Days

If choosing after care family option please register and pay for your family's campers with the first registration and note sibling names below.

Discount Code

The discount code is supplied solely by Washburn Soccer Boosters after confirming a family qualifies for a discount.

Washburn Soccer Camp Registration

Total cost, including any applied discounts

Credit Card

Card Details

Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

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