Please mark the appropriate program, session,
location and fill out the form completely
Overnight/Day Soccer Camp ages 5 18 CO-ED
July 18 - 24 * St. Lawrence University. Overnight
July 18 - 24 * St. Lawrence University. Day Camp 9am to 8:00pm
July 18 - 24 * Junior Elite Field Player (ages 11-12-13)
July 25 - 31 * St. Lawrence University. Overnight
July 25 - 31 * St. Lawrence University. Day Camp 9am to 8:00pm
July 24 - 31 * Senior Elite Filed Player (age 14+)
July 24 - 31 St. Lawrence University. Advanced Goalkeeping (age 13+)
August 8 - 14 * Northwood School Lake Placid. Overnight
August 8 - 14 * Northwood School Lake Placid. Day Camp (9am-8pm)
BUY A SOCCER BALL $20.00
Expanded Team Training @ St. Lawrence University
"SIGN UP AS A TEAM, SEE YOUR COACH / GROUP MANAGER"
July 18 - 23 * Jr. Team Training session (under 14)
July 25 - 30 * Senior Team Training (age 14+)
Mighty Mites age 5 - 8 CO-ED
July 18 - 24 * St. Lawrence University. Mighty Mites (9am-12 noon)
July 25 - 31 * St. Lawrence University. Mighty Mites
August 8 - 14* Northwood School Lake Placid.
LOCAL DAY CAMPS 2010 NEW!! Deposit $50
June 28 July 2, 2010 * JCC To register go to www.jccsoccer.com site, Jefferson County Community College - Watertown, NY
July 5 - 9 2010 * Tupper Lake 9:00am 12:00pm
July 5 - 9 2010 * Saranac Lake 1:00pm 4:00pm Schroeders Field
July 12 - 16 2010 * Plattsburgh 9:00am 12:00pm Plattsburgh Oval
August 2 - 6 2010 * Queensbury 9:00am 12:pm Queensbury High School
August 2 - 6 2010 * Amsterdam 2:00pm 5:00pm Amsterdam Fields

Check one:
Overnight Camper
Day Camper
Goal Keeping (please check also above)
Mighty Mites
Special Session or Program: (check information as needed )
Returning Camper? : Yes No
Last Name:
First Name:
Street Address:
City:
State/Province:
Zip Code:
Area Code:
Phone:
Email:
Gender:
Male: Female:
Age when camps starts required:
Date of birth:
Roommate requests: Lake Placid Soccer Centre takes requests for specific roommates, but it cannot guarantee them. Rooming information will not be given out prior to the start of camp. Requests for room changes are reviewed each Sunday evening only.
Name of Roommate(s) Requested:

IMPORTANT: If you register online, you still need to fill out a
medical form and mail it in or bring it with you to camp.
Download the medical form here.
I understand that Lake Placid Soccer Centre is not responsible for accidents resulting in medical, dental or other expenses, including loss of personal items. The camp participant will be held responsible for all property damage and may be sent home without a refund for violation of camp rules. The applicant must be in good health and be able to participate in the physical activity of a vigorous program. A health form to be completed by the applicant's physician will be sent with the camper's confirmation letter and must be presented before or on arrival at the camp. A non-refundable deposit is required for this application to be accepted, with the balance due on or before the first day of camp. In the event I cannot be reached, it is permissible for LPSC, to have a doctor/hospital treat my child for medical reasons.
 I Agree  

Health Insurance Company:
Policy Number :
Group Number :
Comments:

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