Do you have what it takes to be Elite?
Player Full Name *

Player Gender *

Player Date of Birth *


1st Line of Address

2nd Line of Address



Zip Code


Parent Name

Phone Number *

Camp Times

Morning Session
9:00 AM - 12:00 PM players ages 7 to 10

Afternoon Session
1:00 PM - 4:00 PM player ages 11 to 15

Which camp do you wish to participate in? (Please select all that apply) *

Which one is your Age Division *

Name of your futsal club

Name of your soccer club

T-Shirt Size *

Your total is{{var_price}} *

Please enter your Credit or Debit Card number: *

The CVC number: *

(3 or 4 digit security number on the back of your card)
The name on your card: *

Your card's expiry month: *

Your card's expiry year: *

Your application has been successfully submitted. You will receive a confirmation email with more information about the camp.
Thank you!