Packer Soccer Camps - 40 Years - Since 1978
Registration
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2021 Premier Program Registration Form
Please note that javascript must be turned on in your browser in order to register.

* Indicates Required Field

1. Enter Your Information
*Camper First Name:
*Camper Last Name:
*Parent First Name:
*Parent Last Name:
*Home Address:
*Town:
*State:
*Zip Code:
*Home Phone:
Business Phone:
*Cell Phone
(in case of emergency):
School:
*Email:
*Sex:
MaleFemale
*Age At Camp:
*Date of Birth:
*Are You A
Repeat Camper?:
YesNo
*Doctor Name:
*Doctor Phone:
*Tshirt Size:
ADSMADMEDADLG

Additional Comments:

2. Select A Session

The following are fees
for Premier Program 2021 for Ages 12 - 14


Half Day
9:00 AM - 12:00 PM
$275 for 1 Week Session

I would like to sign up for the following sessions:

Week
Amount
* June 21 - June 25, 2021 Mon.-Fri.
Half DayNone
$
* June 28 - July 2, 2021 Mon.-Fri.
Half DayNone
$
TOTAL $

Proceeds from the Rowayton Camp will be donated to Haiti Lumiere de Demain, a non-profit organization which promotes literacy among the children of Haiti.


3. Medical Release and Disclaimer
Medical Release

I enroll my child to participate in any and all activities of the Packer Soccer Camps, Inc., and I waive all claims against the camp owners,organizers, sponsors, supervisors, coaches, related personnel and employees which might arise as a result of injuries in approved camp activities. I verify that my child has his/her own medical insurance policy, and I have made all arrangements to determine his/her physical fitness to attend camp. I hereby give consent for my child to be medically treated for injuries or illness during his/her participation in camp.


*Click here to agree to our camp medical release

4. Register


If you have any questions please email us at or call us at (203) 866-4830

Our Mailing Address is:
Packer Soccer Camps
43 Pine Point Road
Rowayton, CT 06853
(203) 866-4830




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Packer Soccer Camps • 43 Pine Point Road, Rowayton, 06853 • Phone (203) 866-4830 • E-mail:


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