TeamPages - ACSC Summer Camp Registration - Alabaster Competitive Soccer Club

ACSC Summer Camp Registration

This form is not collecting results at the moment. ACSC Summer Camp Registration does not collect results after 2018-07-22.

hideYou should not enter any sensitive information on this page such as health data, passwords, credit cards or social security numbers. If you are being asked or need to provide this information for your registration please contact Alabaster Competitive Soccer Club directly. A secure checkout page will be used to collect your payment details on the next page.

Pricing Details

Total: $ 130.00

ACSC Summer Camp Registration

Please complete all information fields. The $130 registration fee is due at the time of registration submission. Camp participants will receive an ACSC T-shirt and a water bottle. You will be able to select a shirt size from a drop down menu below.

Player Name

Name:

Date of Birth

Player Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

Phone Number:

Gender

MaleFemale

Allergies or other medical conditions.

Parent/Guardian Information

Name:

Parent/Guardian Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

Parent/Guardian Phone Number:

Email Address:

Emergency Contact if Parent or Guardian cannot be reached.

Name:

Relationship to Player

Home Phone Number:

Work Phone Number:

Mobile Phone Number:

Physician

Physician Phone Number:

or cancel

Alabaster Competitive Soccer Club

ACSC Summer Camp Registration

Pricing Details

Total: $ 130.00

ACSC Summer Camp Registration

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