Name (Last) DOB
(First) /
/
(MI)_____
Age at Camp ___________ Grade _________________
Address ______________________________________________________________________ City
State
Zip _______
Parent/Guardian ________________________ Home Phone
Mobile Phone ___________________
Email address for confirmation _________________________________ School
Club team _____________________________
Please check desired camp session: $150 for each session
Sunday, January 27th
Sunday, March 17th
Please check desired position for camp training: Goalkeeper (a goalkeeper will not have the option to train as a field player at camp) Field Player: Position: Primary Foot:
Defender Right
Midfielder
Forward
Winger
Left
Applicants will be accepted on a first come, first serve basis. Enrollment will be limited and can only be secured by returning an application as soon as possible. The balance is due in full with registration. Upon receipt of application and payment, confirmation will be sent out via email. No credit card accepted: cash, check or money order please:
Please mail application and payment to:
UCF Soccer Camp 206 Vine St, Oviedo, FL 32765 Make checks payable to Bryan Cunningham’s Soccer Camp For more information please contact
[email protected] 407-823-5827