Soccer Summer Camp Registration Please fill out the form completely. All camps include a camp t-shirt. Register early to avoid a late registration fee. Student's First Name * Student's Last Name * Home Phone Cell Phone * Emergency Phone List Any Health Concerns Grade Level * Grade? K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th T-shirt Size Shirt Size? Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Parent's Full Name * Parent Email * Name & Relationship of Emergency Contact Payment can be made by using a credit card or PayPal. A PayPal account is not required. Your registration will be complete and submitted after the payment has been processed. You will recieve an email to confirm your student's registration. Thank you for supporting the Neuqua Valley Summer Camp Program.