Registration
Please fill out the form below for camp registration. If you prefer to register offline, click
here to dowload registration forms.
Camp:
Participation:
Participation days:*
Player Information
First name:*
Last name:*
Birthdate:*
(mm-dd-yyyy)
Gender:*
Street address:*
City:*
State:*
Zip:*
Parent Information
Parent name:*
Email:*
Home phone:
(555-555-5555)
Cell phone:
(555-555-5555)
Emergency Contact Information
Contact name:
Contact phone:
Doctor's name:
Doctor's phone:
Allergies or other medical problems:
Registration Policy: Dusko & Juan Premier Soccer, LLC will be glad to apply any unused registration fees to a future program. There is no policy for refunds.