AYSO Soccer Community Day Camp Application
application per player. Make check(s) payable to AYSO Soccer Camps.
Mail with full payment to AYSO Soccer Camps, Inc. P.O.
Box 1838, Redlands, CA 92373
or fax to: (909) 793-7310. Call office (888) 857-6222, or local
coordinator for further information.
Name:_____________________ Age:_____ Date of
Name:____________________ Player's Sex: M F (circle)
Phone: Home (___)
_________________ Work (___) ___________________________
Dates of Camp:
__________ Location: _____________________Camp Code:________
Check appropriate boxes:Fun in the Sun
Compete With your Feet (11yrs.+) Team (If available)
Strikers (If available)
Camp Cost: $
________ Family Discount ($5 for 2nd, 3rd, etc. sibling)
GK Clinic $30 (optional)
Strikers Clinic $30 (optional)
Ball $15 (optional)
Shinguard $10 (optional) XXS (5-6 yrs) XS (7-8 yrs) S (9-12 yrs) M (13-16 yrs)
Total Cost $
Credit Card (check one) Visa
#_________________________________________ Credit Card Exp. Date
Credit Card Verification(3 digits) #:_______ Signature: __________________________
YES, I want more information on: Hosting a coach
How did you hear about us?
I Certify that my child enrolled above is in excellent health and may participate in strenuous physical activities including soccer. I agree to defend and hold AYSO & UK International Soccer Camps, its servants, agents, and/or employees and contractors harmless from any and all claims for injuries sustained by my child during his or her participation in the camp. Permission is hereby granted to UK International Soccer Camps, to use pictures and any video footage of the campers in any promotional materials. Permission is granted for my child to receive emergency medical treatment, if needed, and I certify that there are no limits to my child's participation except as stated in writing and included with this application. Refunds can be given at the discretion of UK International depending on the nature of the situation. Children who leave during the program due to injury or illness will receive a pro rata refund.
A $25 handling fee will be required on any refund, no refund will be given for cancellation within 14 days of the camp start date. Children are enrolled on a first come first served basis. We cannot guarantee enrollment any later than 5 days prior to camp. Should inclement weather affect the program, any lost hours will be made up later in the camp week.
If this is not possible, refunds will not be issued.
Camp equipment cannot be guaranteed for players who register less than 10 days prior to camp.