Name_______________________________________F_____M_________                       

Address______________________________________________________________

______________________________________________
Zip____________________

E-Mail:_____________________________________Home Tel:__________________

Work Tel: ________________________Cell Tel: _____________________________

Soccer Experience (Years ) _________Age ______DOB._______________________

T-shirt Size    Youth    (Small)  (Medium)  (Large)                   
Circle One      Adult    (Small)  (Medium)  (Large)

RESERVATION WILL BE CONFIRMED BY MAIL
I hereby authorize the staff of John Napier Soccer Camps to act for me according
To their best judgement in any emergency requiring medical attention and I hereby
Waive and release the camp from any and all liability for any injuries or illnesses
Incurred while at camp. I have no knowledge of any physical impairment that would
Be affected by the above named camper’s participation in the Camp program, as
Outlined in the brochure.  I also understand the Camp retains the right to use for
Publicity and advertising purposes photographs of campers taken at the camp.
Mail to:

JOHN NAPIER SOCCER CAMPS
P.O. Box 1683
San Marcos Ca. 92079-1683

Tel:   760-744-6884
Fax:  760-744-9487

www.johnnapiersoccer.com
E-mail jnapsoccer@roadrunner.com

Deposit Enclosed  
           __________

Full Payment Enclosed   __________

(CHECK # HERE)             __________

Balance is due one week prior to your
camp date.
Campers will be sent information by mail
2015 JOHN NAPIER SOCCER CAMP APPLICATION   
Parent or Guardian's signature_____________________________
( MARK SESSIONS WANTED BELOW)                            
REGULAR SESSIONS: AGE 6 THRU 15 BOYS AND GIRLS

FULL Closed   Escondido         June   15--19            9am – 2.00pm    
_________Temecula           June   22--26            9am – 2.00pm    
________  Escondido         July       6--10            9am – 2.00pm    
_________Escondido         July     20--24            9am – 2.00pm    
_________Temecula           July     27--31            9am – 2.00pm
_________Escondido          Aug       3-- 7            9am -  2.00pm
LOCATION:           DATE:                      TIME:
COSTS
For each session
Includes all costs
$130.00
REGULAR SESSION Full-Day
Deduct $5.00 for each additional
Family member.
A full payment or
$35.00 deposit
Must accompany each application.

BALANCE IS DUE ONE WEEK PRIOR TO
YOUR CAMP DATE.
ADVANCED SESSION ONLY: (MUST BE 10 THRU 15) FOR THESE SESSIONS BOYS / GIRLS
(A minimum of 4 years playing experience required for each camper)
ADVANCED SESSION Full-Day
$140.00
COSTS
For each session
Includes all costs
Deduct $5.00 for each additional
Family member.
A full payment or
$35.00 deposit
Must accompany each application.

BALANCE IS DUE ONE WEEK PRIOR TO
YOUR CAMP DATE.

FULL Closed Escondido         June  15--19             9am – 2.00pm    
________Temecula           June  22--26             9am – 2.00pm     
________Escondido         July      6--10             9am – 2.00pm    
________Escondido         July    20--24             9am – 2.00pm    
________Temecula           July    27--31             9am – 2.00pm
________Escondido          Aug     3-- 7              9am -- 2.00pm
LOCATION:          DATE:                      TIME: