LaunchTrack

Camper Registration - $95.00 - $0.00

Once you submit this form you will be sent a link to complete payment through PayPal.

First name:

Last name:

Email:

Phone Number:

Emergency Contact Name:

Emergency Contact Phone:

Name (Camper One):

Age (Camper One):

Shirt Size (Camper One):

Soccer Ability (Camper One):

Recreational

Competitive

Care Card Number (Camper One):

Allergies / Medical Concerns (Camper One):

I need supervised drop off to an afternoon camp at the H2O:

Yes

H2O Program/Camp Name & Time:

Name (Camper Two):

Age (Camper Two):

Shirt Size (Camper Two):

Soccer Ability (Camper Two):

Recreational

Competitive

Care Card Number (Camper Two):

Allergies / Medical Concerns (Camper Two):

Name (Camper Three):

Age (Camper Three):

Shirt Size (Camper Three):

Soccer Ability (Camper Three):

Recreational

Competitive

Care Card Number (Camper Three):

Allergies / Medical Concerns (Camper Three):

*Youth T-shirt size selection available only until June 30, after that t-shirt sizes cannot be guaranteed.

**Whitecaps Experience includes 2 tickets to the Whitecaps match verses San Jose on July 26th, post-game on-field autographs of select Whitecaps players, and concert. Additional tickets are available at $25 each, while quantities last. Please email after you register to reserve.

***Registration cancellations will be subject to a $20 administration fee and will be non-refundable after June 20, 2015.

Once you submit this form you will be sent a link to complete payment through PayPal.