MERCER SOCCER CAMP at Mercer University in Macon, Georgia M F Name: ____________________________________________________Age:______________Gender: [CIRCLE] Address: ____________________________________________________________________________________ City: ____________________________________________ State:______________ Zip:____________________ Email:____________________________________________________DOB:_______________________________ School: _____________________________________Grade (Entering in Fall): ___________Grad Year: __________ Parents’ Names: _____________________________________________________________________________ Parents’ Email Address:_______________________________________________________________________ Phone (Cell):__________________________________Phone (Home):_________________________________ Emergency Phone: __________________________________________________________________________ How did you hear about us?:___________________________________________________________________ Mercer Cubs Camp | Boys & Girls | Ages 4-6
Full Day Camp | Boys & Girls | Ages 7-14
June 5-9, 2017
8:30 a.m. - 4:30 p.m. $195
July 24-28, 2017 8:30 a.m. - 4:30 p.m. $195 * Day camp ends at noon on Friday
June 5-9, 2017
8:30 a.m. - 11 a.m.
$75
July 24-28, 2017
8:30 a.m. - 11 a.m.
$75
* Campers must bring own lunch
Campers NEED to bring their own soccer ball or can purchase a Mercer Logo Soccer Ball I would like to purchase a Mercer Logo Soccer Ball for $25:
Size 4 (ages 4-10)
Size 5 (ages 11-18)
Register by April 1 and receive a free Mercer soccer ball. (Full Day campers only)
FREE CAMP T-SHIRT (please check size) YXS
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AXL
SIBLING DISCOUNT
When a camper registers at full price, the camper’s sibling will receive a $20 discount for Full Day and $10 discount for Cubs
MILITARY/MERCER DISCOUNT
Simply attach a photo copy of Military/Mercer ID with the registration and each camper will receive a $20 discount for Full Day and $10 discount for Cubs
Yes, I am requesting a discount. (Discounts may not be combined) Sibling ($20 - Full Day)
Sibling ($10 - Cubs)
Military/Mercer ($20 - Full Day)
Military/Mercer ($10 - Cubs)
A $50 non-refundable deposit must accompany this application, with the balance to be paid on or before June 1, 2017. Please make check payable to Mercer Soccer Camps and mail to: Mercer Soccer Camps Attn: Tony Economopoulos Mercer University 1501 Mercer University Drive Macon, GA 31207 Additional information will be sent upon receipt of your application. Questions? Call (478) 301-2060 or email
[email protected] FOR MORE INFORMATION OR TO REGISTER ONLINE VISIT: WWW.MERCERSOCCERCAMPS.COM