Packer Soccer Camps

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*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:

The following are fees
for Premier Program 2026 for Ages 12 - 14

Half Day
9:00 AM - 12:00 PM
$300 for 1 Week Session if you register before March 31, 2026
$315 after March 31, 2026
75 days remaining until March 31, 2026.
You qualify for the early registration discount.

I would like to sign up for the following sessions:

Week
Amount

* June 22 - 26, 2026 Mon.-Fri.
Half DayNone $

* June 29 - July 3, 2026 Mon.-Fri.
Half DayNone $

$15 Discount per week for early registration
TOTAL $

Medical Release: I enroll my child to participate in any and all activities of the Packer Soccer, LLC., 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.

Disclaimer: Packer Soccer, LLC uses its websites and social media such as Facebook to showcase and advertise its programs, to enhance your child's connection to fellow campers, and encourage participation in the sport of soccer in general. This may or will include photographs or video of you, your family, or your child, and you hereby give your license to Packer Soccer, LLC to publish any such imagery on such sites or on camp websites or materials without consideration or fee. You should know that such sites may reserve or claim the right to use posted images as well.

*Click here to agree to our camp medical release and disclaimer

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

Our Mailing Address is:
Packer Soccer Camps
13 Maurice St
Norwalk, CT 06851
(203) 866-4830