Washburn Youth Soccer Camp: Registration

Summer K-5 Youth Soccer Camp

You are registering a camper for the K-5 Youth Soccer Camp at Pearl Park. More information about the camp is also available on the Washburn Youth Soccer Camp page. Please contact us at [email protected] if you run into any trouble using the online registration. Sorry, mail-in registration is not available.

Online Registration

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 2023)*
What is the camper's grade for the school year beginning this coming fall?
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
- No
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 2023 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:
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
$0.00
Credit Card
Card Details
Cardholder Name
Email
This field is for validation purposes and should be left unchanged.

Summer K-5 Youth Soccer Camp

Online Registration

Contact Information

Camper Information

Emergency Contact Information & Waiver

Payment

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