Camp Registration Form

Lightning Camp Registration Form

Choose a camp:

Player Development Camp Seesion 1 - U8 to U12	May 19-22	_____
Player Development Camp Seesion 2 - U13 and Older	June 2-5	_____
Recreation Camp	June 2-6	_____

Name _______________________________________________________ Age ___________ Male ________ Female _________

Email Address ___________________________________________________________________________________

Address ________________________________________________ City _____________________________ Zip _________________

Home Phone ________________________________________ Cell Phone _________________________________________

Current Team _________________________________ Current League __________________________________________

T-Shirt Size: YL ___________AS ___________ AM __________ AL ___________ AXL ___________ (T-shirts will only be given at some camps)

PLAYERS WILL NOT BE GIVEN A CONFIRMATION CALL FOR THE CAMPS.
ONCE YOU HAVE SENT IN YOUR REGISTRATION, EXPECT TO ATTEND

LIABILITY WAIVER

I certify that my child is medically qualified to attend soccer camp and/or tryouts. I hereby authorize the Lightning Soccer staff to act for me according to their best judgement in securing treatment for my child in any emergency requiring medical care and guarantee that my medical insurance or I will be responsible for any charges. I waive and release Lightning Soccer, Fayette County Youth Soccer League and their staffs from all liability for any injuries and illness incurred while at camp and/or tryouts. I also hereby grant permission for any photographs, film or videotape of my child taken during the camp and/or tryouts to be used for publicity purposes and for training others in the future.

_______________________________________
Parent or Legal Guardian

____________
Date

Make Check Payable to: Lightning Soccer, P.O. Box 1808, Fayetteville, GA 30214
(770) 460-8070 FAX (770) 460-8068