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Send a check to Lake Placid Soccer Centre

PO Box 847 Lake Placid, NY 12946

 

coach@lakeplacidsoccer.com
 
 
 
 
 
Saint Lawrence University 2021
Day Camp/Clinic July 23 - 26 $210 at St.Lawrence University

Mighty Mites (age 5 - 8) July 23 - 26 $135 at St. Lawrence University
Lake Placid Day Camp 2021
Day Camp/Clinic(age 8 – 18) JULY 12-16 $250 Lake Placid NY
Day Camp/Clinic (age 8 – 18) August 16-20 $250 Lake Placid NY
Mighty Mites (age 5 - 8) July 12-16 $155 Lake Placid NY
Mighty Mites (age 5 - 8) August 16-20 $155 Lake Placid NY
 
 
 
Check one:  
 
Day Camper
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:

See our policy

 

 
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