BOYS AND GIRLS 2008 VIKING SOCCER CAMP REGISTRATION FORM
Please TYPE in responses, PRINT form, and remember to SIGN form.

LAST NAME FIRST NAME male female
ADDRESS CITY STATE ZIP
DATE OF BIRTH GRADE & SCHOOL FALL 2008
HOME PHONE EMERGENCY PHONE
EMAIL
NAME OF TEAM CURRENTLY PLAYING ON (only necessary if applying team discount)
CAMP SESSIONS
Session I August 4th-8th 9:00AM-12:30PM

T-SHIRT SIZE YM YL AS AM AL AXL

PAYMENT: Tuition for camp is $140.00
Click on the box if you are applying ONE of the dicounts (CHECK ONLY 1 BOX)
Early Enrollment Discount - Registration form mailed before May 1, 2008 Tuition $125
Sibling Discount - For families with two or more children attending Viking Soccer Camp (same session) Tuition $125 per camper.

PARENT AGREEMENT
I certify that the named participant is in good health and physically able to participate in this camp. I understand the risk involved with such participation. My child is currently covered by medical insurance. I will in no way hold the Camp, the director, the staff, or the Viking Backers responsible for any injuries resulting to my child while participating in the Viking Soccer Camp.
Name of Participant
Signature of Parent/Legal Guardian DATE
Parent/Guardian's Printed Name
Make check payable to VIKING SOCCER CAMP and MAIL check and form to:

Viking Soccer Camp
c/o Mike Linsenmeyer
6730 Allview Drive
Columbia, MD 21046