Date of Birth: How did you hear about us?: Scho
Name: Address: City: Email: Date of Birth: School: Parent’s Names: Parent’s Email Address: Phone (1) Emergency Phone:
Age: State:
Male
Female
Zip:
How did you hear about us?: Grade (Entering in Fall):
(2)
Full Day Camp, Boys and Girls, Ages 7-14 9 a.m. - 4 p.m. June 10-14 $190 *Day Camp ends at noon on Friday -Campers must bring own lunch
Mercer Cubs Camp, Boys and Girls, Ages 4-6 9 a.m. - 11 a.m. June 10-14 $75
Campers need to bring their own soccer ball or can purchase an Mercer Logo Soccer Ball Size 4 (ages 4-10) Size 5 (ages 11-18) Mercer Logo Soccer Ball $25: YXS
YS
FREE CAMP T-SHIRT (please check size) YM YL AS AM
AL
AXL
Sibling Discounts
When a camper registers at full price, the camper’s sibling will receive a $20 discount.
Military Discounts
Simply attach a photo copy of Military ID and each camper will receive a $10 discount.
Yes, I am requesting a discount.(Discounts may not be combined) Sibling ($20)
Military ($10)
A $50 non-refundable deposit must accompany this application, with the balance to be paid on or before June 1, 2013. Please make check payable and mail to:
Mercer Soccer Camps Mercer University 1400 Coleman Ave. Macon, Ga. 31207 Email: [email protected] Additional information will be sent upon receipt of your application. Questions? Call (478) 301-2060 or (478)301-5214
Register Online With Credit/Debit Card at: http:mercersoccercamps.wix.com/home
Age: State:
Male
Female
Zip:
How did you hear about us?: Grade (Entering in Fall):
(2)
Full Day Camp, Boys and Girls, Ages 7-14 9 a.m. - 4 p.m. June 10-14 $190 *Day Camp ends at noon on Friday -Campers must bring own lunch
Mercer Cubs Camp, Boys and Girls, Ages 4-6 9 a.m. - 11 a.m. June 10-14 $75
Campers need to bring their own soccer ball or can purchase an Mercer Logo Soccer Ball Size 4 (ages 4-10) Size 5 (ages 11-18) Mercer Logo Soccer Ball $25: YXS
YS
FREE CAMP T-SHIRT (please check size) YM YL AS AM
AL
AXL
Sibling Discounts
When a camper registers at full price, the camper’s sibling will receive a $20 discount.
Military Discounts
Simply attach a photo copy of Military ID and each camper will receive a $10 discount.
Yes, I am requesting a discount.(Discounts may not be combined) Sibling ($20)
Military ($10)
A $50 non-refundable deposit must accompany this application, with the balance to be paid on or before June 1, 2013. Please make check payable and mail to:
Mercer Soccer Camps Mercer University 1400 Coleman Ave. Macon, Ga. 31207 Email: [email protected] Additional information will be sent upon receipt of your application. Questions? Call (478) 301-2060 or (478)301-5214
Register Online With Credit/Debit Card at: http:mercersoccercamps.wix.com/home
