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
2016 JOHN NAPIER SOCCER CAMP APPLICATION   
Parent or Guardian's signature_____________________________
( MARK SESSIONS WANTED BELOW)                            
REGULAR SESSIONS: AGE 6 THRU 15 BOYS AND GIRLS

  •    CAMP  LOCATION----Escondido CALVIN CHRISTIAN H.S.
  •     CAMP LOCATION----Temecula   PAT BIRDSALL PARK

___________   Escondido         June   13---17            9am – 2.00pm    
_________Temecula           June   20---24            9am – 2.00pm    
________  Escondido         July     11---15            9am – 2.00pm    
_________Escondido         July     18---22            9am – 2.00pm    
Cancelled Escondido         July     25---29            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 5 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.
  • CAMP LOCATION---Escondido  CALVIN CHRISTIAN H.S.
  • CAMP LOCATION---Temecula    PAT BIRDSALL PARK

__________   Escondido         June  13---17             9am – 2.00pm    
________ Temecula           June  20---24             9am – 2.00pm     
________  Escondido         July    11---15             9am – 2.00pm    
________  Escondido         July    18---22             9am – 2.00pm    
Cancelled Escondido         July    25---29             9am – 2.00pm
  
LOCATION:          DATE:                      TIME: