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INDIANA WOMEN'S SOCCER CAMPS

June 9-12, Bloomington, Indiana
at Indiana University

CAMP COSTS

$550.00 Overnight/$450.00 Commuter

Campers also need to  provide own soccer ball. Ball can also be purchased during on-line registration for an additional $35

CAMP DETAILS

- Open to Girls Ages 9-16

- Registration - June 9, 3-4 p.m.

-  Check Out - June 12, Noon

 

FOR REGISTRATION INFORMATION:

Phone: 1-812-856-1481

E-Mail: Click Here!
Register On-Line: Now Available!

All IU Camps are open to all and any entrants

2013 Residential Camp I

As of June 8 registration for this camp is closed.  
Registration Note: Registrations will be accepted until camp is full. All campers who cancel, including for medical reasons, will receive a full refund minus a $100 processing fee. This will be sent only to those requesting such refund in writing at least two weeks prior to the start of camp. NO REFUNDS are given with less than 48 hours notice before the start of camp for any reason..
 
Housing Options*
 Overnight
 Commuter
 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Camper's Home Phone #*
 
Mother's Cell #
 
Father's Cell Phone #
 
Parent's E-Mail Address*
 
Age*
 
High School Graduation Year*
 
Birthdate (Month/Day/Year)*
 
Position (pick one)*
 Goalkeeper
 Position Player
 
Camper's School*
 
Name of Club Team
 
Previous Years attended Indiana Soccer Camp
 
Do you want to purchase an adidas soccer ball for an additional $35? (note: Be sure to select to corresponding option at the bottom of the registration form) *
 Yes
 No
 
Which size soccer ball would you like to purchase?*
 No Ball Purchase
 Size 4
 Size 5
 
Roommate Preference (note: only one roommate per camper)
 
T-Shirt Size (adult sizes)*
 S
 M
 L
 XL
 XXL
 
How did you hear about IU Soccer Camp?*
 
Other
 


MEDICAL CONSENT FORM
To enable the Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your daughter, we must have a completed Consent Form on file each year. This way, we can help your child without delay in an emergency.
 
Name of Camper*
 
Insurance Company*
 
Policy Number/Group #*
 
Name of Policy Holder*
 
Insurance Company Phone
 
Drug Reactions
 
Present Medication (include dosage)
 
Allergies
 
If the camper should be restricted from any activity, please note
 
Date of Last Tetanus Toxoid
 
Any Past Illness or other information that would be useful in the event of medical treatment
 
Name and Phone Number to call if parents cannot be reached*
 

* I grant permission to the Directors, Assistants, or other persons responsible for her care to act on my behalf of said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give consent to such medical treatment as deemed necessary including surgery, x-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse.  

* Waiver: In consideration of being allowed to participate in the Indiana Women's Soccer Camps, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge and covenant not to sue Indiana Women's Soccer Camps LLC, its officers, employees and agents for liability from any and all claims including the negligence of the Indiana Women's Soccer Camp, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Indiana Women's Soccer Camps.  

Parent/Guardian Name*
 

PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field.
We need a registration form and consents completed for each participant.

Note: A charge from Hoosiersportscamps.com will appear on your credit card for your on-line registration. However, if any of the Hoosier Women's Soccer Camps are canceled for any reason, refunds must be collected directly from Indiana Women's Soccer Camps LLC, 1001 E. 17th Street, Bloomington, IN 47408. Phone 812-855-9442.
 
Qty 
 $550.00 Option 1 - Overnight Camper

 $585.00 Option 2 - Overnight Camper with Soccer Ball Purchase

 $450.00 Option 3 - Commuter Camper

 $485.00 Option 4 - Commuter Camper with Soccer Ball Purchase