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: 760-744-2300
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.
2010 JOHN NAPIER SOCCER CAMP APPLICATION
Parent or Guardian's signature_____________________________
( MARK SESSIONS WANTED BELOW)
REGULAR SESSIONS: AGE 5 THRU 15 BOYS AND GIRLS
______ Escondido June 21--25 9am – 2.30pm
______ Temecula June 28--July 2 9am – 2.30pm
______ Escondido July 12--16 9am – 2.30pm
Temecula July 19--23 9am – 2.30pm
______ Escondido July 26--30 9am – 2.30pm
______ Temecula Aug 2-- 6 9am – 2.30pm
______ Escondido Aug 9--13 9am - 2.30pm
LOCATION: DATE: TIME:
COSTS
For each session
Includes all costs
$125.00
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 5 years playing experience required for each camper)
ADVANCED SESSION Full-Day
$135.00
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.
_____ Escondido June 21--25 9am – 2.30pm
_____ Temecula June 28--July 2 9am – 2.30pm
_____ Escondido July 12--16 9am – 2.30pm
_____ Temecula July 19--23 9am – 2.30pm
_____ Escondido July 26--30 9am – 2.30pm
_____ Temecula Aug 2-- 6 9am – 2.30pm
_____ Escondido Aug 9--13 9am - 2.30pm
LOCATION: DATE: TIME: