2008 South Jefferson  Boys & Girls  Summer Soccer Camp
Registration Application

Fill out Form (type in info) and click on the print button below
Name:    
Street Address:
City State:   zip code:
Phone Number:   
Emergency Number:
Emergency Contact:
must be handwritten (do not type):
 

_____________________________________________________________

Parent /Guardian Signature
School:  
Grade Fall 2008:      Age
T- shirt size: S M L XL

Send Application and money to:
Terry Burgess
431 Harris Drive
Watertown, NY 13601

Make checks payable to:
South Jeff Varsity Club

Registration is due June 15, 2008
to secure a spot

Camp cost is $65.00 first family member
$55.00 second family member
$45.00 for any more than two members of the same family