Optional - Register by Mail:
To "Register By Mail": print out & complete the form below. Then mail it, along with payment (if check) to: Todd Wallace, 6148 Winton St., Dallas, TX 75214
CAMPER'S NAME: _________________________ AGE: _____ DOB: ___________
SESSION(S) ATTENDING:
SUMMER Sessions (ONLY 2):
_____ Session 1: December 19-23, 2022
_____ Session 2: December 26-30, 2022
* $255.00 per Session
$ ________ Total Due
Pay by: ___ Zelle ___ Check
Parent Name: __________________________ Parent Ph. #:___________________
Email: _________________________________
Physician Name: ______________________ Physician Ph. #:_________________
*Parent Signature: ________________________________
* By signing above, I acknowledge that I have read and agree to the Camps Terms & Conditions:
1) In case of accident or sudden illness, I request that "World Class Soccer Camps" contact me. In the event that I cannot be reached, I hereby authorize "World Class Soccer Camps" to contact my child's physician.
2) If deemed necessary, I authorize "World Class Soccer Camps" to transport my child to the physician I have listed or to a local emergency room.
3) My child has permission to attend "World Class Soccer Camps" and I hereby release "World Class Soccer Camps", Todd Wallace and his staff, as well as any cosponsoring agencies from liabilities, damages or injuries not covered by insurance which may occur during the week my child attends camp.
4) In the case of inclement weather, I understand that the camp may / will be rescheduled to a later date.
