Packer Soccer Camps - 40 Years - Since 1978
Registration

2024 Regular Program Registration Form
* 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:
 YSMYMEDYLYXLADSM

Additional Comments:

2. Select A Session

The following are fees
for Regular Program 2024 for Ages 5 - 11



Half Day
9:00 AM - 12:00 PM
$275 for 1 Week Session if you register before March 15, 2024
$295 after March 15, 2024

I would like to sign up for the following sessions:

Week
Amount
* June 17 - 21, 2024 Mon.-Fri.
Half Day None 		$
* June 24 - 28, 2024 Mon.-Fri.
Half Day None 		$
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, 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.

Informed Consent: COVID-19 is a serious and highly communicable disease. An inherent risk of exposure to COVID-19 exists in any public place where people are present. Although Packer Soccer Camps, Inc. asks all attendees, guests, parents and staff to observe precautions, there is no assurance of protection from exposure to COVID-19 at our camp. The risk of exposure to COVID-19 is voluntarily assumed by all attendees.

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

4. Register

NOTE: Only click the submit button once.



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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