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INDIANA WOMEN'S SOCCER CAMPS

July 16-19 Bloomington, Indiana
at Indiana University

CAMP COSTS

$575.00 Overnight
$500.00 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 9-15

- Check-In - July 16, 3 p.m.

-  Check Out - July 19, 12 p.m.

Daily Schedule

 

FOR REGISTRATION INFORMATION:

Phone: 973.270.1936

E-Mail: Click Here!

Early Release Form: Click Here!
Register On-Line: Now Available!

FOR REGISTRATION PAYMENTS BY MAIL:

Indiana Women's Soccer Camps LLC

1624 S. Ira Street

Bloomington, IN 47401

Make checks payable to Indiana Women's Soccer Camps LLC



* Register Early for our Early Bird Rates!!

All Camps are open to all and any entrants

2017 Residential Camp

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, so long as they cancel at least one week before the start of camp. This will be sent only to those requesting such refund in writing at least one week prior to the start of camp. No refunds for cancellations within one week of start of camp for any reason.

PLEASE NOTE: All Hoosier Soccer campers must bring one soccer ball to camp. If you'd like to purchase a soccer ball during the registration process, you will have that option at the bottom of this form.
 
Housing Option (select one)*
 Overnight
 Commuter
 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Camper's Home Phone #*
 
Parent's Cell Phone #
 
Parent's E-Mail Address*
 
Age*
 
HS Graduation Year (i.e. 2019)*
 
Birthdate (Month/Day/Year)*
 
Camper's School*
 
Name of Club Team
 
Position (pick one)*
 

Previous Years attended Indiana Soccer Camp
 
If you are purchasing a soccer ball, what size ball do you want to purchase?
 No Ball Purchase
 Size 4
 Size 5
 

Roommate Preference
 
T-Shirt Size (adult sizes)*
 XS
 S
 M
 L
 XL
 XXL
 
How did you hear about Indiana 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 Minor*
 
Insurance Company*
 
Policy Number/Group #*
 
Name of Policy Holder*
 
Drug Reactions
 
Present Medication (include dosage)
 
Allergic Reactions/Allergies
 
If the camper should be restricted from any activity, please note
 
Date of Last Tetanus Toxoid
 
Any past illness or injury 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 and Forward Marketing LLC, their 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.  

* By my submission of this registration, I represent that I am either 18 years of age or older, or that I am the parent or legal guardian of the registrant (if he/she is under age 18). I represent I have read the terms of the Privacy Policy, that I understand the manner in which the information collected about the registrant may be used, and that I agree to the use of the registrant’s personally identifiable information in the manner described in the Privacy Policy.  

Parent/Guardian Name*
 
Date*
 

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, 1624 S. Ira Street, Bloomington, Indiana 47401. Phone 973.270.1936.
 
Qty 
 $575.00 Option 1 - Overnight Camper

 $500.00 Option 2 - Commuter Camper

 $35.00 SOCCER BALL Purchase (All players need to provide one soccer ball for camp. If you'd like to purchase an Indiana Soccer Ball for $35, enter a 1 in this box as well)